2018
Brenner tumor of the ovary - ultrasound features and clinical management of a rare ovarian tumor mimicking ovarian cancer
WEINBERGER, Vít, Luboš MINÁŘ, Michal FELSINGER, Petra OVESNÁ, Markéta BEDNAŘÍKOVÁ et. al.Základní údaje
Originální název
Brenner tumor of the ovary - ultrasound features and clinical management of a rare ovarian tumor mimicking ovarian cancer
Autoři
WEINBERGER, Vít (203 Česká republika, garant, domácí), Luboš MINÁŘ (203 Česká republika, domácí), Michal FELSINGER (203 Česká republika, domácí), Petra OVESNÁ (203 Česká republika, domácí), Markéta BEDNAŘÍKOVÁ (203 Česká republika, domácí), Marta ČÍHALOVÁ (203 Česká republika, domácí), Eva JANDÁKOVÁ (203 Česká republika, domácí), Jitka HAUSNEROVÁ (203 Česká republika, domácí), Barbora CHALOUPKOVA (203 Česká republika) a Michal ZIKAN (203 Česká republika)
Vydání
GINEKOLOGIA POLSKA, GDANSK, VIA MEDICA, 2018, 0017-0011
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30214 Obstetrics and gynaecology
Stát vydavatele
Polsko
Utajení
není předmětem státního či obchodního tajemství
Impakt faktor
Impact factor: 0.747
Kód RIV
RIV/00216224:14110/18:00103534
Organizační jednotka
Lékařská fakulta
UT WoS
000441192000002
Klíčová slova anglicky
Brenner tumor; ovarian neoplasms; diagnosis; surgery; ultrasonography
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 9. 2. 2019 21:11, Soňa Böhmová
Anotace
V originále
Objectives: To describe the ultrasound features of benign Brenner tumor in the background of complex clinical and histopathological pictures. Material and methods: We retrospectively identified patients with histologically confirmed benign Brenner tumor of the ovary who were treated in our institution in 2003-2016, and for whom complete imaging, clinical, perioperative and histopathological data were available in the database. Ultrasound findings were drawn from images and reports using terms and definitions of the International Ovarian Tumor Analysis group and pattern recognition description was applied. Results: Twenty-three patients were identified, most postmenopausal and asymptomatic. On ultrasound, 19/23 tumors were found unilaterally, 4/23 bilaterally, and 82% of tumors were detected in the left ovary. Most Brenner tumors (16/23) contained solid components and revealed no or minimal blood flow by subjective color score upon Doppler examination (19/23, 83%). Calcifications with shadowing were observed in 57% of all Brenner tumors and in 81% of tumors containing solid components. The complex appearance of the tumor misled the sonographers to describe the mass as malignant in 9 cases (39%), and frozen section was performed perioperatively. Surgery was performed via laparoscopy in 11 (48%) and via laparotomy in 12 (52%) cases. Conclusions: The complexity of the ultrasound picture, consisting of features like calcifications with acoustic shadowing, a poorly vascularized solid mass, and a left-sided localization could be signs of a benign Brenner tumor and could preoperatively help to differentiate between benign and malignant tumor.