Role of multidetector computed tomography (MDCT) in patients with ovarian masses

Figures & data

Figure 1 Fifty-year-old female presented with a palpable mass in the lower abdomen. Oral and IV contrast enhanced CT revealed 10 cm heterogeneously enhancing solid mass arising from right adnexa.

Table 1 Final diagnosis: benign lesions n = 24

Multidetector computed tomography findings	Histopathology/surgery findings
Thin walled cyst, less than 4 cm in size	Simple ovarian cyst n = 2
Thin walled cyst, less than 4 cm in size	Corpus luteal cyst n = 2
Thin walled cyst, less than 4 cm in size, except in one case which was a solid lesion of less than 4 cm in size with necrosis	Benign cystadenoma n = 4
Solid lesion, thick wall, calcifications	Dermoid cyst n = 2
Thin walled cyst of less than 4 cm in size, few areas of hemorrhage	Endometrioma n = 12
Solid well defined lesion, fat density, except one which had central necrosis and no fat density	Teratoma n = 2

Table 2 Final diagnosis: malignant lesions n = 76

Multidetector computed tomography findings	Histopathology/surgery findings
Thick walled, large solid cum cystic mass, ascites, lymphnodes	Papillary carcinoma n = 18
Thick walled, large masses with central necrosis	Malignant mullerian n = 12
Large multiseptated, solid cum cystic, ascites except one which was a large cyst with thin internal septations	Adenocarcinoma n = 32
Large solid masses, lymph nodes, omental thickening except one which was less than 4 cm and had well defined thin walls	Endometriod carcinoma n = 14

Table 3 Sensitivity and specificity of multidetector computed tomography in differentiating benign from malignant adnexal masses

Author	Sensitivity (%)	Specificity (%)
Kinkel et al^Citation12	81	87
Tsili et al^Citation13	90	88
Liu et al^Citation14	87	100
Mubarak et al^a	97	91

Note:

a the present study.

KinkelKLuYMehdizadeAPelteMFHricakHIndeterminate ovarian mass at ultrasound: incremental value of second imaging test for characterization-meta analysis and Bayesian analysisRadiology2005236859415955864

 PubMed Web of Science ®Google Scholar

TsiliACTsampoulasCCharisiadiAAdnexal masses: accuracy of detection and differentiation with multidetector computed tomographyGynecol Oncol2008110223118486202

 PubMed Web of Science ®Google Scholar

LiuYBenign ovarian and endometrial uptake on FDG PET-CT: patterns and pitfallsAnn Nucl Med20092310711219225932

 PubMed Web of Science ®Google Scholar