Objective:

To explore the sonographic features of borderline ovarian tumors

and to evaluate the value of ultrasound in the diagnosis of borderline ovarian tumors.

Methods:

The data of 114 patients who underwent surgical treatment and were diagnosed with borderline ovarian tumors were retrospectively analyzed. The patients sonographic features and clinical characteristics were reviewed.

Results:

The 114 patients with borderline ovarian tumors were mainly at childbearing age. 98 patients had unilateral lesions and 16 patients had bilateral lesions. Bilateral involvement was more common in serous borderline tumors (22.6%

P

=0.022). Compared with mucin

ous borderline tumors

serous borderline tumors were likely to emerge papillary structure (73.8%

P

=0.005). The mucinous borderline tumors were bigger (tumors more than 10 cm occupied 55.6%

P

=2.2710

-8

). The mainly sonographic features of mucinous borderline tumors were multiple separations (70.4%

P

=1.210

-5

). Five patients with intraperitoneal implantation were diagnosed with serous borderline tumors. They had high levels of serum carbohydrate antigen 125 (CA125) and exophytic papillary on ultrasound.

Conclusion:

The diagnosis of ovarian borderline tumors by preoperative ultrasound examination is difficult

while ultrasound is helpful in preoperative tumor staging and surgical approach selecting.