Donald School Journal of Ultrasound in Obstetrics and Gynecology

Register      Login

VOLUME 18 , ISSUE 3 ( July-September, 2024 ) > List of Articles

REVIEW ARTICLE

Ovarian Cystadenomas of Borderline Malignancy

Zorancho Petanovski

Keywords : Borderline ovarian tumors, Epithelial neoplasms, Ovary tumors, Recurrent borderline tumors

Citation Information : Petanovski Z. Ovarian Cystadenomas of Borderline Malignancy. Donald School J Ultrasound Obstet Gynecol 2024; 18 (3):224-230.

DOI: 10.5005/jp-journals-10009-2037

License: CC BY-NC 4.0

Published Online: 30-09-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

Epithelial neoplasms of the ovary account for 60% of all ovarian tumors. They classify as benign, borderline, or malignant tumors. The type borderline malignancy is a type of tumor that, despite having malignant potential, is not invasive and has a clinically indolent course. Borderline tumors usually affect women aged between 20 and 40 years. They are diagnosed at an early stage. In this report, a 68-year-old woman with pelvic pain and abdominal discomfort several months after total hysterectomy with bilateral adnexectomy as a treatment for mucinous borderline malignancy ovarian tumor is presented. Ultrasound imaging showed a multilocular cystic tumor with a heterogeneous pattern, smooth borders, and thick vascularized septa with solid fraction in the internal wall. Relaparotomy was performed with pathohistology of recurrent mucinous atypical borderline tumor.


PDF Share
  1. Scully RE. World Health Organization classification and nomenclature of ovarian cancer. Natl Cancer Inst Monogr 1975;42:5–7. PMID: 1234636.
  2. Barakat RR. Borderline tumors of the ovary. Obstet Gynecol Clin North Am 1994;21(1):93–105. PMID: 8015769.
  3. Morgan RJ Jr, Armstrong DK, Alvarez RD, et al. Ovarian cancer, version 1.2016, NCCN clinical practice guidelines in oncology. J Natl Compr Canc Netw 2016;14(9):1134–1163. DOI: 10.6004/jnccn.2016.0122
  4. Pascual MA, Tresserra F, Grases PJ, et al. Borderline cystic tumors of the ovary: gray-scale and color Doppler sonographic findings. J Clin Ultrasound 2002;30(2):76–82. DOI: 10.1002/jcu.10028
  5. Exacoustos C, Romanini ME, Rinaldo D, et al. Preoperative sonographic features of borderline ovarian tumors. Ultrasound Obstet Gynecol 2005;25(1):50–59. DOI: 10.1002/uog.1823
  6. Timor-Tritsch IE, Foley CE, Brandon C, et al. New sonographic marker of borderline ovarian tumor: microcystic pattern of papillae and solid components. Ultrasound Obstet Gynecol 2019;54(3):395–402. DOI: 10.1002/uog.20283
  7. Timor-Tritsch IE, Lerner JP, Monteagudo A, et al. Transvaginal sonographic markers of tubal inflammatory disease. Ultrasound Obstet Gynecol 1998;12(1):56–66. DOI: 10.1046/j.1469-0705.1998.12010056.x
  8. Deenadayal M, Kadambari, Donthi S, et al. Diagnosing hydrosalpinx by three-dimensional ultrasonography in inversion mode. J Case Rep Images Obstet Gynecol 2017;3:47–50.
  9. Swire MN, Castro-Aragon I, Levine D. Various sonographic appearances of the hemorrhagic corpus luteum cyst. Ultrasound Q 2004;20(2):45–58. DOI: 10.1097/00013644-200406000-00003
  10. Timmerman D, Valentin L, Bourne TH, et al. Terms, definitions and measurements to describe the sonographic features of adnexal tumors: a consensus opinion from the International Ovarian Tumor Analysis (IOTA) Group. Ultrasound Obstet Gynecol 2000;16(5):500–505. DOI: 10.1046/j.1469-0705.2000.00287.x
  11. Kurjak A, Kupesic S, Sparac V, et al. Three-dimensional ultrasonographic and power Doppler characterization of ovarian lesions. Ultrasound Obstet Gynecol 2000;16(4):365–371. DOI: 10.1046/j.1469-0705.2000.00185.x
  12. Timmerman D, Ameye L, Fischerova D, et al. Simple ultrasound rules to distinguish between benign and malignant adnexal masses before surgery: prospective validation by IOTA group. BMJ 2010;341:c6839. DOI: 10.1136/bmj.c6839
  13. Kurjak A, Panchal S, Medjedovic E, et al. The role of 3D Power Doppler in screening for ovarian cancer. Int J Biomed Healthc 2020;8(2):80–92. DOI: 10.5455/ijbh.2020.8.80-92
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.