Ultrasound criteria for the differential diagnosis of primary and metastatic ovarian tumors in patients with corpus uteri cancer
Studying the features of ultrasound criteria used in the differential diagnosis of primary and metastatic ovarian tumors in patients with cancer of corpus uteri cancer (CUC) is an urgent problem of modern medicine.Chekalova M.A., Borisova M.I.
Case report. This paper analyzes the results of examinations in 4 patients diagnosed with CUC who were suspected to have ovarian metastases during initial ultrasound examination. Histological examination diagnosed pathological masses in both ovaries in all the 4 patients: metastatic CUC in one ovary and an independent ovarian tumor in the other. Ultrasound examination revealed masses in both ovaries in all the 4 patients. In case of synchronous cancer of the corpus uteri and ovaries, the ovarian tumor structure is more frequently solid cystic with uneven clear contours, the sizes of the ovaries exceed 6.0 cm; elastography shows that the ovaries are mapped mainly as type 4 elastogram. In case of metastatic lesions, ovarian tumors are more often represented by solid masses with clear even contours; the sizes of the ovaries fail to exceed 6.0 cm or do not differ from those of intact ones, while elastography demonstrates that solid masses in the ovarian structure are mapped mainly as type 5 elastogram.
Conclusion. Studying different semiotic variants of ovarian tumors in patients with CUC is necessary to improve their visualization. Timely diagnosis of ovarian neoplasms (regardless of their morphological nature) in patients with CUC is of fundamental importance, since it affects the volume of surgery and the prognosis of the disease.
Keywords
cancer of the uterine corpus
synchronous ovarian tumor
metastatic ovarian tumor
ultrasound examination
compression elastography
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Received 02.07.2020
Accepted 13.10.2020
About the Authors
Marina A. Chekalova, MD, Professor, Department of Radiology and Ultrasound Diagnostics, Institute for Advanced Studies of the Federal Medical and Biological Agency. Tel.: +7(903)199-50-96. E-mail: ch2me@yandex.ru. 115682, Russia, Moscow, Orekhovy Boulevar, 28.Margarita I. Borisova, doctor of ultrasound diagnostics, Center for outpatient oncological care, Klinical hospital No. 40, Moscow.
Tel .: +7 (985)365-31-04. E-mail: margo94@inbox.ru. 115304, Russia, Moscow, Medikov str., 7.
For citation: Chekalova M.A., Borisova M.I. Ultrasound criteria for the differential diagnosis of primary and metastatic ovarian tumors in patients with corpus uteri cancer.
Akusherstvo i Ginekologiya/ Obstetrics and gynecology. 2020; 10: 224-228 (in Russian)
https://dx.doi.org/10.18565/aig.2020.10.224-228
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