Imaging in gynecological disease (13): clinical and ultrasound characteristics of endometrioid ovarian cancer

• DOI: 10.1002/uog.19026
• Publication Date: 2018-02-08T13:02:43Z
• Authors: F. Moro; G. Magoga; T. Pasciuto; F. Mascilini; M. C. Moruzzi; D. Fischerova; L. Savelli; S. Giunchi; R. Mancari; D. Franchi; A. Czekierdowski; W. Froyman; D. Verri; E. Epstein; V. Chiappa; S. Guerriero; G. F. Zannoni; D. Timmerman; G. Scambia; L. Valentin; A. C. Testa
• Keywords: Adult; Aged, 80 and over; Ovarian Neoplasms; endometrioid ovarian carcinoma; ovarian neoplasms; ultrasonography; Radiological and Ultrasound Technology; Reproductive Medicine; Radiology, Nuclear Medicine and Imaging; Obstetrics and Gynecology; Endometriosis; Ascites; Middle Aged; 3. Good health; Young Adult; 03 medical and health sciences; 0302 clinical medicine; Endometrioid ovarian carcinoma; Ovarian neoplasms; Ultrasonography; Adult; Aged; Aged, 80 and over; Ascites; Carcinoma, endometrioid; Endometriosis; Female; Humans; Middle aged; Retrospective studies; Young adult; Ultrasonography, Doppler, Color; Radiological and ultrasound technology; Reproductive medicine; Radiology, nuclear medicine and imaging; Obstetrics and gynecology; Humans; Female; Ultrasonography, Doppler, Color; Carcinoma, Endometrioid; Aged; Retrospective Studies

ABSTRACT Objective To describe the clinical and ultrasound characteristics of ovarian pure endometrioid carcinomas. Methods This was a retrospective multicenter study patients with histological diagnosis carcinoma. We identified 161 from International Ovarian Tumor Analysis (IOTA) database who had undergone preoperative examination by an experienced examiner between 1999 2016, another 78 databases departments gynecological oncology in participating centers. All tumors were described using IOTA terminology. In addition, one author reviewed all available images them pattern recognition. Results Median age 239 55 years (range, 19–88 years). On examination, two (0.8%) carcinomas as unilocular cysts, three (1.3%) multilocular 37 (15.5%) unilocular‐solid 115 (48.1%) multilocular‐solid cysts 82 (34.3%) solid masses. largest tumor diameter 102.5 mm 20–300 mm) median component 63 9–300 mm). Papillary projections present 70 (29.3%) Most cancers (188 (78.7%)) unilateral. 49 (20.5%) cases, cancer judged pathologist to develop endometriosis. These cancers, compared those without evidence developing endometriosis, more often manifested papillary on (46.9% (23/49) vs 24.7% (47/190)), less bilateral (8.2% (4/49) (47/190)) associated ascites (6.1% (3/49) 28.4% (54/190)) fluid pouch Douglas (24.5% (12/49) 48.9% (93/190)). Retrospective analysis recognition revealed that many endometriosis (36.3% (41/113)) large central entrapped within locules, giving cockade‐like appearance. Conclusions Endometrioid are usually large, unilateral, or tumors. The differ former being unilateral no ascites. Copyright © 2018 ISUOG. Published John Wiley & Sons Ltd.