|LETTER TO EDITOR
|Year : 2021 | Volume
| Issue : 1 | Page : 225-226
Papillary projections in ovarian tumors: Ultrasonographic evaluation
Suresh Phatak, Bhushan Lakhkar, Amruta Varma, Rishabh Gupta
Department of Radiodiagnosis, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences (Deemed to be University), Sawangi (M), Wardha, Maharashtra, India
|Date of Submission||28-Jul-2020|
|Date of Decision||09-Oct-2020|
|Date of Acceptance||21-Dec-2020|
|Date of Web Publication||29-Jul-2021|
Dr. Suresh Phatak
Professor, Department of Radiodiagnosis, JNMC, Sawangi
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Phatak S, Lakhkar B, Varma A, Gupta R. Papillary projections in ovarian tumors: Ultrasonographic evaluation. J Datta Meghe Inst Med Sci Univ 2021;16:225-6
|How to cite this URL:|
Phatak S, Lakhkar B, Varma A, Gupta R. Papillary projections in ovarian tumors: Ultrasonographic evaluation. J Datta Meghe Inst Med Sci Univ [serial online] 2021 [cited 2021 Sep 23];16:225-6. Available from: http://www.journaldmims.com/text.asp?2021/16/1/225/322625
Papillary projections as described in pathology, within an ovarian mass, are very important diagnostic clue toward epithelial stromal tumor, commonly called as epithelial tumors, which can manifest as benign, borderline, or malignant disease., This is applicable to pathology because, on ultrasound, a clot or any other amorphous material may look like a true papillary projection. Papillary projection can be defined at pathology consisting of folding of the growing proliferating neoplastic epithelium on a central fibrovascular stromal core. Solid papillary projections on sonography are defined as any solid projections in the cyst cavity from the cyst wall with a height of ≥3 mm. Solid papillary projections are described as being smooth or irregular-like cauliflower [Figure 1], [Figure 2], [Figure 3]. Identification of papillary projections on an imaging study is the single best predictor of an epithelial neoplasm and may correlate with the aggressiveness of the tumor. Papillary projections are usually not seen in benign cystadenomas; if they are present, they are generally quite small. Papillary projections are identified in epithelial tumors with low malignant potential and are often present in invasive carcinoma. In case of pregnant women, ovarian cysts showing ground-glass echogenicity and papillations with a smooth contour on ultrasound have high possibility of decidualized endometriomas, whereas cysts with anechoic or low-level echogenicity and papillations with an irregular contour indicate possibility of borderline malignancy.
|Figure 1: Gray scale ultra sonography image - Ovarian cyst adenocarcinoma showing papillary projections and measurements of base and height (5 x 3.5 mm and 9 x 14.6 mm) in size|
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|Figure 2: Doppler showing vascular pedicle at base of papillary projections|
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|Figure 3: Diagrammatic representation of measurement in solid papillary projection|
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[Figure 1], [Figure 2], [Figure 3]