CT features of torsion of benign cystic teratoma of the ovary.
OBJECTIVE
The purpose of this work was to evaluate the usefulness of CT scans for distinguishing torsed from uncomplicated benign cystic teratoma (BCT).


METHODS
Retrospective analysis was performed in 14 torsed BCTs (14 patients) and in 23 uncomplicated BCTs (20 patients) for comparison. The features on CT scans were compared to the pathologic findings.


RESULTS
CT findings indicating torsed BCT were the presence of eccentric wall thickening of >1 cm, peritumoral infiltration, and presence of enlarged solid tubal mass adjacent to the uterus (p < 0.05).


CONCLUSIONS
The present study suggests that CT is useful in differentiating torsed from uncomplicated BCT. Although CT findings are not specific for some patients, detection of certain CT findings could increase the diagnostic accuracy.
Kim
Y H
YH
Department of Diagnostic Radiology, Sanggye Paik Hospital, Inje University, Seoul, Korea.
Cho
K S
KS
Ha
H K
HK
Byun
J Y
JY
Auh
Y H
YH
Rhim
H C
HC
Shim
J C
JC
Cha
S J
SJ
Hur
G
G
D000293:Adolescent; D000328:Adult; D000368:Aged; D016009:Chi-Square Distribution; D002648:Child; D003937:Diagnosis, Differential; D005184:Fallopian Tube Diseases / Q000000981:diagnostic imaging; D005260:Female; D006470:Hemorrhage / Q000000981:diagnostic imaging; D006801:Humans; D007047:Hysterosalpingography; D007238:Infarction / Q000000981:diagnostic imaging; D007511:Ischemia / Q000000981:diagnostic imaging; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000098:blood supply / Q000000981:diagnostic imaging* / Q000473:pathology; D012189:Retrospective Studies; D013724:Teratoma / Q000098:blood supply / Q000000981:diagnostic imaging* / Q000473:pathology; D014057:Tomography, X-Ray Computed; D014102:Torsion Abnormality / Q000000981:diagnostic imaging / Q000473:pathology