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DOI:10.2214/AJR.04.0997
AJR 2006; 186:1039-1045
© American Roentgen Ray Society

Pictorial Essay

CT and MRI of Adnexal Masses in Patients with Primary Nonovarian Malignancy

Wei-Chao Chang1, Maya D. Meux1, Benjamin M. Yeh1, Aliya Qayyum1, Bonnie N. Joe1, Lee-may Chen2 and Fergus V. Coakley1

1 Department of Radiology, University of California San Francisco, Box 0628, M-372 505 Parnassus Ave., San Francisco, CA 94143-0628.
2 Department of Gynecologic Oncology, University of California San Francisco, San Francisco, California 94143-0628.

OBJECTIVE. The purpose of this pictorial essay is to review the differential considerations when an adnexal mass is detected on CT or MRI in a patient with a primary nonovarian malignancy.

CONCLUSION. Such adnexal masses may be metastases to the ovaries, primary ovarian malignancy, or incidental benign disorders. Solid masses are more likely metastases, but metastases can be predominantly cystic and primary ovarian cancers can be solid. MRI may help characterize incidental benign entities such as endometriosis, fibroma, and peritoneal inclusion cysts.

Keywords: abdominal imaging • CT • genitourinary tract imaging • MRI • oncologic imaging


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