Brenner tumor of the ovary - ultrasound features and clinical
management of a rare ovarian tumor mimicking ovarian cancer

J 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.

Basic information

Original name

Brenner tumor of the ovary - ultrasound features and clinical management of a rare ovarian tumor mimicking ovarian cancer

Authors

WEINBERGER, Vít (203 Czech Republic, guarantor, belonging to the institution), Luboš MINÁŘ (203 Czech Republic, belonging to the institution), Michal FELSINGER (203 Czech Republic, belonging to the institution), Petra OVESNÁ (203 Czech Republic, belonging to the institution), Markéta BEDNAŘÍKOVÁ (203 Czech Republic, belonging to the institution), Marta ČÍHALOVÁ (203 Czech Republic, belonging to the institution), Eva JANDÁKOVÁ (203 Czech Republic, belonging to the institution), Jitka HAUSNEROVÁ (203 Czech Republic, belonging to the institution), Barbora CHALOUPKOVA (203 Czech Republic) and Michal ZIKAN (203 Czech Republic)

Edition

GINEKOLOGIA POLSKA, GDANSK, VIA MEDICA, 2018, 0017-0011

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30214 Obstetrics and gynaecology

Country of publisher

Poland

Confidentiality degree

není předmětem státního či obchodního tajemství

Impact factor

Impact factor: 0.747

RIV identification code

RIV/00216224:14110/18:00103534

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.5603/GP.a2018.0061

UT WoS

000441192000002

Keywords in English

Brenner tumor; ovarian neoplasms; diagnosis; surgery; ultrasonography

Abstract

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.

Citovat

WEINBERGER, Vít, Luboš MINÁŘ, Michal FELSINGER, Petra OVESNÁ, Markéta BEDNAŘÍKOVÁ, Marta ČÍHALOVÁ, Eva JANDÁKOVÁ, Jitka HAUSNEROVÁ, Barbora CHALOUPKOVA and Michal ZIKAN. Brenner tumor of the ovary - ultrasound features and clinical management of a rare ovarian tumor mimicking ovarian cancer. GINEKOLOGIA POLSKA. GDANSK: VIA MEDICA, 2018, vol. 89, No 7, p. 357-363. ISSN 0017-0011. Available from: https://dx.doi.org/10.5603/GP.a2018.0061.

@article{1430638,
   author = {Weinberger, Vít and Minář, Luboš and Felsinger, Michal and Ovesná, Petra and Bednaříková, Markéta and Číhalová, Marta and Jandáková, Eva and Hausnerová, Jitka and Chaloupkova, Barbora and Zikan, Michal},
   article_location = {GDANSK},
   article_number = {7},
   doi = {http://dx.doi.org/10.5603/GP.a2018.0061},
   keywords = {Brenner tumor; ovarian neoplasms; diagnosis; surgery; ultrasonography},
   language = {eng},
   issn = {0017-0011},
   journal = {GINEKOLOGIA POLSKA},
   title = {Brenner tumor of the ovary - ultrasound features and clinical management of a rare ovarian tumor mimicking ovarian cancer},
   volume = {89},
   year = {2018}
}

TY  - JOUR
ID  - 1430638
AU  - Weinberger, Vít - Minář, Luboš - Felsinger, Michal - Ovesná, Petra - Bednaříková, Markéta - Číhalová, Marta - Jandáková, Eva - Hausnerová, Jitka - Chaloupkova, Barbora - Zikan, Michal
PY  - 2018
TI  - Brenner tumor of the ovary - ultrasound features and clinical management of a rare ovarian tumor mimicking ovarian cancer
JF  - GINEKOLOGIA POLSKA
VL  - 89
IS  - 7
SP  - 357-363
EP  - 357-363
PB  - VIA MEDICA
SN  - 00170011
KW  - Brenner tumor
KW  - ovarian neoplasms
KW  - diagnosis
KW  - surgery
KW  - ultrasonography
N2  - 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.
ER  -

WEINBERGER, Vít, Luboš MINÁŘ, Michal FELSINGER, Petra OVESNÁ, Markéta BEDNAŘÍKOVÁ, Marta ČÍHALOVÁ, Eva JANDÁKOVÁ, Jitka HAUSNEROVÁ, Barbora CHALOUPKOVA and Michal ZIKAN. Brenner tumor of the ovary - ultrasound features and clinical management of a rare ovarian tumor mimicking ovarian cancer. \textit{GINEKOLOGIA POLSKA}. GDANSK: VIA MEDICA, 2018, vol.~89, No~7, p.~357-363. ISSN~0017-0011. Available from: https://dx.doi.org/10.5603/GP.a2018.0061.

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