MALIGNANT OVARIAN TUMOURS

ULTRASOUND

TVS Hypoechoic mass with papillary excrescence characteristic of ovarian neoplasm

USG of stage I ovarian cancer Cystic mass with irregular and thickened walls Doppler shows low impedence in the walls indicating Malignant Ovarian cancer.

Color Doppler low impedence flow indicative of ovarian cancer

CT AND MRI SEROUS CYSTADENOMA

Water Density mass with imperceptible walls and no excresence

MUCINOUS CYSTADENOMA

Mass with soft tissue density in the pelvis

SEROUS CYSTADENOCARCINOMA

B/L Cystadenocarcinoma with septa and mural nodules

MUCINOUS CYSTADENOCARCINOMA (Ruptured)

Sagittal T1W turbo spin echo Mixed signal intensity mass

Axial T2W turbo spin echo shows high signal(mucin) honeycombing

GAD enhanced Turbo SE T1W image shows enhancement of walls and septa

PAPILLARY SEROUS CYSTADENOCARCINOMA

T2W TURBO SE shows multiloculated (solid arrows) mass , solid areas (open arrows) and papillary structures(arrowhead)

GAD enhanced T1W turbo sequence shows enhancement of solid and papillary component .Fibrous part non enhancing.

ENDOMETROID TUMOUR

CT Scan shows cystic n solid tumour with solid part , thick irregular enhancing walls

CT scan shows dilated endometrial cavity with enhancing solid part

CLEAR CELL CARCINOMA

T2W turbo se sagittal image shows hypointense peripheral solid areas

GAD enhaced T1W turbo se axial image shows enhancement of the solid peripheral component

CLEAR CELL TUMOUR

USG image with hyperechoic mass with areas of sound attenuation

CT - Cystic tumour with fat and calcification

XRAYS Fat like opacity and tooth like calcification

MRI

T1W Turbo se mass with hyperintense signal , hypointense calcification and a mural nodule

Sagittal T2W turbo spin echo shows mass isointense to soft tissue , hypointense calcification and hyperintense rokitansky protuberance

GAD enhanced fat supressed FLASH T1W image shows hypointensity due to supression of fat and

IMMATURE TERATOMA

CT scan shows solid + cystic mass with foci of fat and scattered calcification

Section at the level of renal hilum demonstrates retroperitoneal adenopathy

Dysgerminoma

CT Solid tumour with cystic component (arrowhead) and enhancing septa

MRI

T2W se turbo sequence shows multilobulated mass of intermediate signal ,hypoinintense septa and hyperintense necrotic areas

T1W Gad homogenous enhancement with none in the septa and areas of necrosis

ENDODERMAL SINUS TUMOR

COMPLEX MASS with cystic and solid areas . Ascites seen(*) and elevated alpha fetoprotein

GRANULOSA CELL TUMOUR

CT Scan shows cystic areas with bunch of grapes appearance on the right(arrows) solid areas on the left(*)

MRI

SAGITTAL T2W se turbo shows multilobulated cystic mass

Gad enhanced T1W Spin echo FLASH sequence shows enhancing septa and walls and large cystic spaces indicative of macrofollicular pattern

FIBROMA

X Ray shows amorphous calcification in pelvis

MRI

Axial T1W turbo spin echo shows well defined mass with low signal indicating calcification

Axial T2W Mass shows low signal intensity with high signal intensity foci indicating calcification

FIBROTHECOMA

T1W Turbo se shows low signal intensity mass with displacement of uterus

T2W image with high signal intensity indicative of edema

T1W Gad enhancement in the periphery with central areas of edema

SERTOLI-LEYDIG CELL TUMOUR

Axial T1W image shows well defined low signal intensity mass

T2W SE image shows intermediate signal intensity with high signal intensity cysts

T1W Gd enhancedmass with low signal areas of cysts