Diagnostic value of US and CT in the assessment of ovarian teratomas and their qualifications for surgical treatment with laparoscopic method.
In the group of 17 women after surgery with histopathologically confirmed diagnosis of teratomas diagnostic usefulness of US and CT was analysed. Differentiated echostructure of tumours was correlated with different densities of pathologic tissues in CT examination, also after their contrast enhancement. In 2 patients teratomas of both ovaries were recognised, in the remaining 15 women tumours were unilateral. In total morphologic pictures of 19 teratomas were assessed, 9 times tumours with prevailing liquid component had the picture of a thick-walled cyst, 7 times these were hyperechogenic fatty foci and in 3 cases had the character of solid tumours. Teratomas had different morphologic pictures, but it was possible to show the prevalence of one element and classify the tumour to one of the three types of teratomas. It was found that US examination, due to its high frequency, lets early diagnose teratomas before they are accessible in the clinical exam, in the symptomless period or when they give indirect symptoms, usually dysuric ones. CT examination, due to its high sensitivity in recognising fatty tissue and calcifications, is necessary before laparoscopic operation requiring fragmentation of big tumours to determine their character.
Krupski
W
W
2nd Department of Radiology, Medical University of Lublin.
Jakiel
G
G
Złomaniec
J
J
D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007813:Laparotomy; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery; D012680:Sensitivity and Specificity; D013724:Teratoma / Q000000981:diagnostic imaging* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography