malig ovarian tumours

8/3/2019 Malig Ovarian Tumours

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MALIGNANT OVARIANTUMOURS


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ULTRASOUND

TVS Hypoechoic mass with

papillary excrescencecharacteristic of ovarian

neoplasm


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USG of stage I ovariancancer

Cystic mass with irregular andthickened walls

Doppler shows low

impedence in the wallsindicating Malignant Ovariancancer.


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Color Doppler lowimpedence flow indicative of

ovarian cancer


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CT AND MRI

SEROUS CYSTADENOMA

Water Density mass withimperceptible walls and no

excresence


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MUCINOUS CYSTADENOMA

Mass with soft tissue densityin the pelvis


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SEROUS

CYSTADENOCARCINOMA

B/L Cystadenocarcinoma

with septa and mural nodules


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MUCINOUSCYSTADENOCARCINOMA

(Ruptured)

Sagittal T1W turbo spin echo

Mixed signal intensity mass


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Axial T2W turbo spin echo

shows high signal(mucin)honeycombing


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GAD enhanced Turbo SET1W image shows

enhancement of walls andsepta


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PAPILLARY SEROUS

CYSTADENOCARCINOMA

T2W TURBO SE showsmultiloculated (solid arrows)

mass , solid areas (openarrows) and papillary

structures(arrowhead)


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GAD enhanced T1W turbosequence shows

enhancement of solid and

papillary component .Fibrouspart non enhancing.


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ENDOMETROID TUMOUR

CT Scan shows cystic n solid

tumour with solid part , thickirregular enhancing walls


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CT scan shows dilated

endometrial cavity withenhancing solid part


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CLEAR CELL CARCINOMA

T2W turbo se sagittal imageshows hypointense peripheral

solid areas


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GAD enhaced T1W turbo seaxial image shows

enhancement of the solidperipheral component


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CLEAR CELL TUMOUR

USG image with hyperechoicmass with areas of sound

attenuation


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CT - Cystic tumour with fat

and calcification


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XRAYS Fat like opacity andtooth like calcification


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MRI

T1W Turbo se mass with

hyperintense signal ,hypointense calcification and

a mural nodule


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Sagittal T2W turbo spin echoshows mass isointense to soft

tissue , hypointensecalcification and hyperintense

rokitansky protuberance


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GAD enhanced fat supressedFLASH T1W image shows

hypointensity due tosupression of fat and


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IMMATURE TERATOMA

CT scan shows solid + cysticmass with foci of fat andscattered calcification


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Section at the level of renalhilum demonstrates

retroperitoneal adenopathy


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Dysgerminoma

CT Solid tumour with cysticcomponent (arrowhead) and

enhancing septa


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MRI

T2W se turbo sequenceshows multilobulated mass of

intermediate signal,hypoinintense septa and

hyperintense necrotic areas


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T1W Gad homogenousenhancement with none in the

septa and areas of necrosis


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ENDODERMAL SINUS

TUMOR

COMPLEX MASS with cystic

and solid areas . Ascitesseen(*) and elevated alpha

fetoprotein


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GRANULOSA CELL

TUMOUR

CT Scan shows cystic areaswith bunch of grapesappearance on the

right(arrows)

solid areas on the left(*)


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MRI

SAGITTAL T2W se turboshows multilobulated cystic

mass


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Gad enhanced T1W Spinecho FLASH sequence

shows enhancing septa andwalls and large cystic spacesindicative of macrofollicular

pattern


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FIBROMA

X Ray shows amorphouscalcification in pelvis


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MRI

Axial T1W turbo spin echoshows well defined mass with

low signal indicating

calcification


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Axial T2W Mass shows low

signal intensity with highsignal intensity foci indicatingcalcification


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FIBROTHECOMA

T1W Turbo se shows lowsignal intensity mass with

displacement of uterus


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T2W image with high signalintensity indicative of edema


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T1W Gad enhancement in theperiphery with central areas

of edema


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SERTOLI-LEYDIG CELL

TUMOUR

Axial T1W image shows well

defined low signal intensitymass


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T2W SE image showsintermediate signal intensity

with high signal intensity

cysts


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T1W Gd enhancedmasswith low signal areas of cysts


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malig ovarian tumours

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