To outline the ultrasonic imaging features of ovarian Sertoli–Leydig cell tumors (SLCTs) and enhance the diagnostic and detection rates of this condition via ultrasound.
Approach:
Key Findings:
41.7% of tumors were well-differentiated, 41.7% moderately differentiated, 8.3% moderately to poorly differentiated, and 8.3% retiform type.
58.3% of tumors were solid, 25.0% cystic-solid, and 16.7% cystic.
Internal vascularity was rated as 4 in 1 instance (8.3%), 3 in 7 instances (58.3%), 2 in 2 instances (16.7%), and 1 in 2 instances (16.7%).
Peripheral vascularity was rated as 4 in 8 instances (66.7%), 1 in 2 instances (16.7%), and 0 in 2 instances (16.7%).
66.7% of cases exhibited a surrounding ball vascular pattern.
Interpretation:
Ovarian SLCTs predominantly presented as unilateral, well-defined solid or cystic-solid adnexal masses with notable peripheral vascularity.
Limitations:
The study is based on a limited retrospective series of 12 cases.
Findings may not be generalizable due to the small sample size.
Conclusion:
Sonographic attributes may be relevant in the clinical context of younger patients with hyperandrogenic features.
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