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Significance of tumour calcification in ovarian carcinoma
The purpose of this study was to assess the pattern and significance of tumour calcification in ovarian carcinoma. Patients with calcifying ovarian carcinoma were identified from radiological reports. Their tumour characteristics, serum calcium levels, treatment and survival were compared with a con...
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Published in: | British journal of radiology 2009-08, Vol.82 (980), p.640-644 |
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description | The purpose of this study was to assess the pattern and significance of tumour calcification in ovarian carcinoma. Patients with calcifying ovarian carcinoma were identified from radiological reports. Their tumour characteristics, serum calcium levels, treatment and survival were compared with a control group of patients with non-calcifying disease. Patterns and distribution of calcification were assessed. Available serial CT scans were reviewed for changes in both soft-tissue and calcified disease according to RECIST (response evaluation criteria in solid tumours) criteria where feasible. Temporal changes in calcification were correlated with changes in soft tissue disease and CA125 levels. The calcified group numbered 122 (22 other patients had calcifying tumour but insufficient clinical data). Calcification in ovarian carcinoma had a prevalence of 8% (144/1721) in our series. There was a significant difference (p |
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J. C ; ALLEN, S. D ; A'HERN, R. P ; GORE, M. E ; KING, D. M</creator><creatorcontrib>BURKILL, G. J. C ; ALLEN, S. D ; A'HERN, R. P ; GORE, M. E ; KING, D. M</creatorcontrib><description>The purpose of this study was to assess the pattern and significance of tumour calcification in ovarian carcinoma. Patients with calcifying ovarian carcinoma were identified from radiological reports. Their tumour characteristics, serum calcium levels, treatment and survival were compared with a control group of patients with non-calcifying disease. Patterns and distribution of calcification were assessed. Available serial CT scans were reviewed for changes in both soft-tissue and calcified disease according to RECIST (response evaluation criteria in solid tumours) criteria where feasible. Temporal changes in calcification were correlated with changes in soft tissue disease and CA125 levels. The calcified group numbered 122 (22 other patients had calcifying tumour but insufficient clinical data). Calcification in ovarian carcinoma had a prevalence of 8% (144/1721) in our series. There was a significant difference (p<0.001) between the two groups in the distribution of histological type, with serous tumours being more common in the calcified group (74/122 (61%)) than in the controls (509/1498 (34%)). The calcified tumour patients tended to have lower grade disease (p<0.001). No differences between the groups were found for age, treatment or serum calcium levels. Distribution of calcification was diffusely peritoneal in 34 patients, in association with a pelvic mass in 15, nodal in 11 and within the anterior abdominal wall in 2. There was no correlation between changes in calcification on serial CT scans and corresponding CA125 levels. In conclusion, calcification tends to occur most commonly in serous cystadenocarcinomata and in tumours of lower grade. Changes in calcification cannot be used as a marker of disease response.</description><identifier>ISSN: 0007-1285</identifier><identifier>EISSN: 1748-880X</identifier><identifier>DOI: 10.1259/bjr/12716831</identifier><identifier>PMID: 19332521</identifier><identifier>CODEN: BJRAAP</identifier><language>eng</language><publisher>London: British Institute of Radiology</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; CA-125 Antigen - blood ; Calcinosis - diagnostic imaging ; Calcinosis - pathology ; Calcium - blood ; Case-Control Studies ; Child ; England ; Female ; Female genital diseases ; Gynecology. Andrology. Obstetrics ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Medical sciences ; Middle Aged ; Neoplasm Staging ; Ovarian Neoplasms - diagnostic imaging ; Ovarian Neoplasms - pathology ; Retrospective Studies ; Tomography, X-Ray Computed ; Treatment Outcome ; Tumors ; Young Adult</subject><ispartof>British journal of radiology, 2009-08, Vol.82 (980), p.640-644</ispartof><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c319t-d040ab2518c7ac42b6e4d6871ffa0674ccdf4c92953ec6248ca8bd4a3b633df73</citedby><cites>FETCH-LOGICAL-c319t-d040ab2518c7ac42b6e4d6871ffa0674ccdf4c92953ec6248ca8bd4a3b633df73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21791238$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19332521$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>BURKILL, G. J. C</creatorcontrib><creatorcontrib>ALLEN, S. D</creatorcontrib><creatorcontrib>A'HERN, R. P</creatorcontrib><creatorcontrib>GORE, M. E</creatorcontrib><creatorcontrib>KING, D. M</creatorcontrib><title>Significance of tumour calcification in ovarian carcinoma</title><title>British journal of radiology</title><addtitle>Br J Radiol</addtitle><description>The purpose of this study was to assess the pattern and significance of tumour calcification in ovarian carcinoma. Patients with calcifying ovarian carcinoma were identified from radiological reports. Their tumour characteristics, serum calcium levels, treatment and survival were compared with a control group of patients with non-calcifying disease. Patterns and distribution of calcification were assessed. Available serial CT scans were reviewed for changes in both soft-tissue and calcified disease according to RECIST (response evaluation criteria in solid tumours) criteria where feasible. Temporal changes in calcification were correlated with changes in soft tissue disease and CA125 levels. The calcified group numbered 122 (22 other patients had calcifying tumour but insufficient clinical data). Calcification in ovarian carcinoma had a prevalence of 8% (144/1721) in our series. There was a significant difference (p<0.001) between the two groups in the distribution of histological type, with serous tumours being more common in the calcified group (74/122 (61%)) than in the controls (509/1498 (34%)). The calcified tumour patients tended to have lower grade disease (p<0.001). No differences between the groups were found for age, treatment or serum calcium levels. Distribution of calcification was diffusely peritoneal in 34 patients, in association with a pelvic mass in 15, nodal in 11 and within the anterior abdominal wall in 2. There was no correlation between changes in calcification on serial CT scans and corresponding CA125 levels. In conclusion, calcification tends to occur most commonly in serous cystadenocarcinomata and in tumours of lower grade. Changes in calcification cannot be used as a marker of disease response.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>CA-125 Antigen - blood</subject><subject>Calcinosis - diagnostic imaging</subject><subject>Calcinosis - pathology</subject><subject>Calcium - blood</subject><subject>Case-Control Studies</subject><subject>Child</subject><subject>England</subject><subject>Female</subject><subject>Female genital diseases</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neoplasm Staging</subject><subject>Ovarian Neoplasms - diagnostic imaging</subject><subject>Ovarian Neoplasms - pathology</subject><subject>Retrospective Studies</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Outcome</subject><subject>Tumors</subject><subject>Young Adult</subject><issn>0007-1285</issn><issn>1748-880X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><recordid>eNpFkE1LxDAQQIMo7rp68yy96Mm6mSRtkqMsfsGCBxW8lTRNJEvbaNIK_nuzbtXTMDOPd3gInQK-AlLIZb0JSyAcSkFhD82BM5ELgV_30RxjzHMgopihoxg327WQ-BDNQFJKCgJzJJ_cW--s06rXJvM2G8bOjyHTqtU_58H5PnN95j9VcKpPj6Bd7zt1jA6saqM5meYCvdzePK_u8_Xj3cPqep1rCnLIG8ywqkkBQnOlGalLw5pScLBW4ZIzrRvLtCSyoEaXhAmtRN0wReuS0sZyukAXO-978B-jiUPVuahN26re-DFWycE5L1gCL3egDj7GYGz1HlynwlcFuNqmqlKq6jdVws8m71h3pvmHpzYJOJ8AFVMOG1IiF_84AlwCoYJ-A_TdcWg</recordid><startdate>20090801</startdate><enddate>20090801</enddate><creator>BURKILL, G. J. C</creator><creator>ALLEN, S. D</creator><creator>A'HERN, R. P</creator><creator>GORE, M. E</creator><creator>KING, D. M</creator><general>British Institute of Radiology</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20090801</creationdate><title>Significance of tumour calcification in ovarian carcinoma</title><author>BURKILL, G. J. C ; ALLEN, S. D ; A'HERN, R. P ; GORE, M. E ; KING, D. 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Obstetrics</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neoplasm Staging</topic><topic>Ovarian Neoplasms - diagnostic imaging</topic><topic>Ovarian Neoplasms - pathology</topic><topic>Retrospective Studies</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment Outcome</topic><topic>Tumors</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>BURKILL, G. J. C</creatorcontrib><creatorcontrib>ALLEN, S. D</creatorcontrib><creatorcontrib>A'HERN, R. P</creatorcontrib><creatorcontrib>GORE, M. E</creatorcontrib><creatorcontrib>KING, D. M</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>BURKILL, G. J. C</au><au>ALLEN, S. D</au><au>A'HERN, R. P</au><au>GORE, M. E</au><au>KING, D. M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Significance of tumour calcification in ovarian carcinoma</atitle><jtitle>British journal of radiology</jtitle><addtitle>Br J Radiol</addtitle><date>2009-08-01</date><risdate>2009</risdate><volume>82</volume><issue>980</issue><spage>640</spage><epage>644</epage><pages>640-644</pages><issn>0007-1285</issn><eissn>1748-880X</eissn><coden>BJRAAP</coden><abstract>The purpose of this study was to assess the pattern and significance of tumour calcification in ovarian carcinoma. Patients with calcifying ovarian carcinoma were identified from radiological reports. Their tumour characteristics, serum calcium levels, treatment and survival were compared with a control group of patients with non-calcifying disease. Patterns and distribution of calcification were assessed. Available serial CT scans were reviewed for changes in both soft-tissue and calcified disease according to RECIST (response evaluation criteria in solid tumours) criteria where feasible. Temporal changes in calcification were correlated with changes in soft tissue disease and CA125 levels. The calcified group numbered 122 (22 other patients had calcifying tumour but insufficient clinical data). Calcification in ovarian carcinoma had a prevalence of 8% (144/1721) in our series. There was a significant difference (p<0.001) between the two groups in the distribution of histological type, with serous tumours being more common in the calcified group (74/122 (61%)) than in the controls (509/1498 (34%)). The calcified tumour patients tended to have lower grade disease (p<0.001). No differences between the groups were found for age, treatment or serum calcium levels. Distribution of calcification was diffusely peritoneal in 34 patients, in association with a pelvic mass in 15, nodal in 11 and within the anterior abdominal wall in 2. There was no correlation between changes in calcification on serial CT scans and corresponding CA125 levels. In conclusion, calcification tends to occur most commonly in serous cystadenocarcinomata and in tumours of lower grade. Changes in calcification cannot be used as a marker of disease response.</abstract><cop>London</cop><pub>British Institute of Radiology</pub><pmid>19332521</pmid><doi>10.1259/bjr/12716831</doi><tpages>5</tpages></addata></record> |
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subjects | Adolescent Adult Aged Aged, 80 and over Biological and medical sciences CA-125 Antigen - blood Calcinosis - diagnostic imaging Calcinosis - pathology Calcium - blood Case-Control Studies Child England Female Female genital diseases Gynecology. Andrology. Obstetrics Humans Investigative techniques, diagnostic techniques (general aspects) Medical sciences Middle Aged Neoplasm Staging Ovarian Neoplasms - diagnostic imaging Ovarian Neoplasms - pathology Retrospective Studies Tomography, X-Ray Computed Treatment Outcome Tumors Young Adult |
title | Significance of tumour calcification in ovarian carcinoma |
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