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Role of CT in the Management of Recurrent Ovarian Cancer

¹ Department of Radiology, Memorial Sloan-Kettering Cancer Center, 1275 York Ave., New York, NY 10021.
² Department of Surgery, Gynecology Service, Memorial Sloan-Kettering Cancer Center, New York, NY 10021.
³ Department of Epidemiology and Biostatistics, Memorial Sloan-Kettering Cancer Center, New York, NY 10021.

View larger version (145K): [in a new window]   Fig. 1. —Axial contrast-enhanced CT scan in 53-year-old-woman with recurrent ovarian cancer and pelvic sidewall invasion that was suboptimally cytoreduced shows bilateral masses invading pelvic side walls (piriform muscles) (arrows).

View larger version (8K): [in a new window]   Fig. 2. —Box-and-whisker plot shows cancer antigen–125 (CA-125) values according to resectability status. Whiskers represent entire range and box represents first and third quartiles. Line in middle of box represents median, and plus sign represents mean.

View larger version (120K): [in a new window]   Fig. 3. —Axial contrast-enhanced CT scan in 61-year-old woman with recurrent ovarian cancer that was suboptimally cytoreduced shows multiple intraabdominal tumor metastases (arrows) and mild ascites (arrowheads).

View larger version (115K): [in a new window]   Fig. 4A. —67-year-old woman with recurrent ovarian cancer that was suboptimally cytoreduced. Axial contrast-enhanced CT scans reveal calcified tumor metastasis in porta hepatis (arrow, A) and calcified interaortocaval lymph node (arrow, B).

View larger version (114K): [in a new window]   Fig. 4B. —67-year-old woman with recurrent ovarian cancer that was suboptimally cytoreduced. Axial contrast-enhanced CT scans reveal calcified tumor metastasis in porta hepatis (arrow, A) and calcified interaortocaval lymph node (arrow, B).

View larger version (90K): [in a new window]   Fig. 5. —Axial contrast-enhanced CT scan in 46-year-old woman with recurrent ovarian cancer that was optimally cytoreduced shows well-circumscribed complex cystic mass (arrow) that is inseparable from vagina, rectum, and bladder.

View larger version (98K): [in a new window]   Fig. 6A. —55-year-old woman with recurrent ovarian cancer that was suboptimally cytoreduced. Axial contrast-enhanced CT scan reveals infiltrative mass with central necrosis (arrow) that is inseparable from sigmoid colon, vagina, and bladder.

View larger version (110K): [in a new window]   Fig. 6B. —55-year-old woman with recurrent ovarian cancer that was suboptimally cytoreduced. Axial contrast-enhanced CT scan reveals left-sided hydronephrosis (arrow) and hepatic metastasis in segment VI (arrowhead).

View larger version (140K): [in a new window]   Fig. 7. —Axial contrast-enhanced CT scan in 49-year-old woman with recurrent ovarian cancer and pelvic sidewall invasion that was optimally cytoreduced shows heterogeneous mass (arrow) invading left pelvic sidewall (< 3 mm from piriform muscle) (arrowhead). Surgery required resection of piriform muscle and bone scraping.

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