Magnetic resonance imaging findings of endometrioid adenocarcinoma of the ovary

Kazuhiro Kitajima, Yasushi Kaji, Yoichiro Kuwata, Kazufumi Imanaka, Ryo Sugihara, Kazuro Sugimura
In: Radiation Medicine · 2007 · vol. 25(7) , pp. 346–354 · doi:10.1007/s11604-007-0151-5 · PMID:17705005 · W1981595367
article OA: closed CC0 ⤵ 4 in-corpus citations
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-08 ⓘ

This study assessed magnetic resonance imaging (MRI) features of ovarian endometrioid adenocarcinoma in 31 patients, finding that lesions arising from endometriomas were more often cystic and showed better prognosis.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 ⓘ

This retrospective study evaluated MRI features and clinical characteristics of 39 surgically proven ovarian endometrioid adenocarcinomas in 31 patients, comparing tumors arising from proven endometriomas (group A) versus those without coexisting endometrioma (group B). Lesions were classified on MRI as solid versus cystic, with the cystic type defined as cystic lesions with one or more mural nodules; tumors in group A showed a cystic pattern more often (11 cystic-type in group A vs 24 solid-type in group B; P < 0.0001). Group B tumors had higher nuclear grade (P = 0.0028) and more advanced clinical stage (P = 0.0018), and among cystic-type lesions in group A, endometrioma-associated cysts rarely showed “shading” on T2-weighted images. This paper is centrally about endometriosis — it specifically compares ovarian endometrioid adenocarcinoma cases that arose from proven endometriomas versus those without endometrioma and characterizes their MRI appearance and associated prognostic features.

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