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© 2006 by the American Institute of Ultrasound in Medicine
J Ultrasound Med 25:1245-1251 • 0278-4297

Brenner Tumors of the Ovary

Sonographic and Computed Tomographic Imaging Features

Gretchen E. Green, MD, Koenraad J. Mortele, MD, Jonathan N. Glickman, MD, PhD and Carol B. Benson, MD

Departments of Radiology (G.E.G., K.J.M., C.B.B.) and Pathology (J.N.G.), Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts USA.

Address correspondence to Gretchen E. Green, MD, Department of Radiology, Brigham and Women’s Hospital, 75 Francis St, Boston, MA 02115 USA. E-mail: gegreen{at}partners.org

Objective. The purpose of this study was to describe the sonographic appearance of ovarian Brenner tumors with computed tomographic (CT) correlation. Methods. Twenty-two female patients (age range, 32–78 years; mean, 58 years) with 25 ovarian Brenner tumors were identified from pathologic records from 1990 to 2005. Corresponding pathologic reports and images (17 sonographic and 14 CT) were reviewed independently. Results. Tumors ranged in size from 0.3 to 12 cm (mean, 2.5 cm); all were benign. Sixteen (64%) of 25 were found incidentally. Eight (36%) of 22 patients had a total of 12 associated benign ovarian neoplasms (1 was contralateral); 3 patients had bilateral Brenner tumors. Eight (47%) of 17 tumors were not seen on sonography, and 5 (36%) of 14 were not seen on CT. Of the tumors seen on imaging, most were solid (67% on sonography and 78% on CT). Four tumors appeared at least partially cystic, of which 3 had coexistent cystic ovarian lesions. Conclusions. Brenner tumors are most often solid neoplasms found incidentally and frequently seen in association with other benign ovarian epithelial neoplasms.

Key Words: genitourinary system • neoplasm • ovary • sonography

Abbreviations: CT, computed tomographic

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