Sexcord/ stromal ovarian tumors CT scan

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: ; Maneesha Nandimandalam, M.B.B.S.[2]

Overview

Pelvic ct scan may be helpful in the diagnosis of sexcord/ stromal ovarian tumors. Findings on CT scan suggestive of sexcord/ stromal ovarian tumors include multicystic masses with solid components and either irregularly thickened or thin septations for both adult and juvenile granulosa cell tumors, Fibromas on delayed contrast-enhanced computed tomography usually shows a solid, well-defined, homogeneous ovarian mass which is isodense to the uterus with very sparse contrast uptake. Sclerosing stromal tumor will show peripheral contrast uptake, reflecting prominent vasculature in the cellular areas, with centripetal progression on late images. Leydig tumors tend to be small and hypoattenuating.

CT scan

Patient 1 Computer tomography images of recurrent ovarian granulosa cell tumour. a The progression of tumour (local tumour recurrence (blue arrow), diffuse peritoneal carcinosis with ascites and inguinal pathological lymph node), and b the regression of local recurrence tumour (blue arrow),Bufa A, Farkas N, Preisz Z, et al. Diagnostic relevance of urinary steroid profiles on ovarian granulosa cell tumors: two case reports. J Med Case Rep. 2017;11(1):166. Published 2017 Jun 22. doi:10.1186/s13256-017-1324-1,https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5480180/

References

  1. Gittleman AM, Price AP, Coren C, Akhtar M, Donovan V, Katz DS (2003). "Juvenile granulosa cell tumor". Clin Imaging. 27 (4): 221–4. PMID 12823914.
  2. Jung SE, Rha SE, Lee JM, Park SY, Oh SN, Cho KS, Lee EJ, Byun JY, Hahn ST (July 2005). "CT and MRI findings of sex cord-stromal tumor of the ovary". AJR Am J Roentgenol. 185 (1): 207–15. doi:10.2214/ajr.185.1.01850207. PMID 15972425.
  3. Outwater EK, Wagner BJ, Mannion C, McLarney JK, Kim B (1998). "Sex cord-stromal and steroid cell tumors of the ovary". Radiographics. 18 (6): 1523–46. doi:10.1148/radiographics.18.6.9821198. PMID 9821198.
  4. Yen P, Khong K, Lamba R, Corwin MT, Gerscovich EO (January 2013). "Ovarian fibromas and fibrothecomas: sonographic correlation with computed tomography and magnetic resonance imaging: a 5-year single-institution experience". J Ultrasound Med. 32 (1): 13–8. PMID 23269706.
  5. Calabrese M, Zandrino F, Giasotto V, Rissone R, Fulcheri E (April 2004). "Sclerosing stromal tumor of the ovary in pregnancy: clinical, ultrasonography, and magnetic resonance imaging findings". Acta Radiol. 45 (2): 189–92. PMID 15191104.
  6. 6.0 6.1 Saida T, Tanaka YO, Tanaka Y, Minami M (April 2007). "Steroid cell tumor of the ovary, not otherwise specified: CT and MR findings". AJR Am J Roentgenol. 188 (4): W393–4. doi:10.2214/AJR.06.0867. PMID 17377014.
  7. Souto SB, Baptista PV, Braga DC, Carvalho D (February 2014). "Ovarian Leydig cell tumor in a post-menopausal patient with severe hyperandrogenism". Arq Bras Endocrinol Metabol. 58 (1): 68–75. PMID 24728167.
  8. Dai J, Wu H, Li J (November 2000). "[CT diagnosis of fibrothecoma and fibroma of the ovary]". Zhonghua Zhong Liu Za Zhi (in Chinese). 22 (6): 504–6. PMID 11235575.
  9. Zhang Z, Wu Y, Gao J (March 2015). "CT diagnosis in the thecoma-fibroma group of the ovarian stromal tumors". Cell Biochem. Biophys. 71 (2): 937–43. doi:10.1007/s12013-014-0288-7. PMID 25315640.

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