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Volume 42 Issue 1
Jan.  2019
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Article Contents
Xiaochao FANG, Yunneng CUI, Wubing HUANG, Jing ZHANG, Hongyan HE, Dawei ZHANG. Misdiagnosis and imaging features of ovarian fibrothecoma[J]. Journal of Molecular Imaging, 2019, 42(1): 23-26. doi: 10.12122/j.issn.1674-4500.2019.01.06
Citation: Xiaochao FANG, Yunneng CUI, Wubing HUANG, Jing ZHANG, Hongyan HE, Dawei ZHANG. Misdiagnosis and imaging features of ovarian fibrothecoma[J]. Journal of Molecular Imaging, 2019, 42(1): 23-26. doi: 10.12122/j.issn.1674-4500.2019.01.06

Misdiagnosis and imaging features of ovarian fibrothecoma

doi: 10.12122/j.issn.1674-4500.2019.01.06
  • Received Date: 2018-11-06
  • Publish Date: 2019-01-01
  • Objective To explore the imaging features and reasons of misdiagnosis in ovarian fibrothecoma. Methods The clinical and imaging data of 16 female patients with pathology confirmed ovarian fibrothecoma were analyzed by two radiologists. The patients were conducted of CT or MR imaging examinations. The location, shape, maximum diameter, signal intensity or density, and enhanced pattern of the lesions were depicted. The reasons of misdiagnosis were explored. Results The tumors involved unilateral ovaries in all 16 patients, with the average maximum diameter of 10.9 cm. All the lesions showed the inhomogeneous signal intensity or density. Twelve lesions exhibited solid or solid -predominant mixed mass, and 8 lesions were found hypointensity area of parenchymal part on T2 weighted images. With the injection of contrast to 15 cases, 13 lesions presented slightly to moderately enhancement. Increase of serum CA125, estrogen level, and pelvic effusion were found in 9, 2 and 2 patients, respectively. Of 16 cases, 3 cases were misdiagnosed for epithelial tumors, and 3 cases for subserosal fibroids of uterus or broad ligament fibroids. Conclusion The ovarian fibrothecomas exhibit certain characteristic imaging features, but they are prone to be misdiagnosed.

     

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