AJR
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Abstract Freely available
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Chang, W.-C.
Right arrow Articles by Coakley, F. V.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Chang, W.-C.
Right arrow Articles by Coakley, F. V.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?
Hotlight (NEW!)
Right arrow
What's Hotlight?

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.


Figure 1
View larger version (118K):

[in a new window]
  		Fig. 1 —49-year-old woman with widely disseminated breast cancer. Axial CT image shows bilateral solid enhancing metastases to ovaries (arrows).

 

Figure 2
View larger version (140K):

[in a new window]
  		Fig. 2 —44-year-old woman with large predominantly cystic metastasis (asterisk) to left ovary from sigmoid colon adenocarcinoma. Appearance on axial CT image mimics primary ovarian cancer.

 

Figure 3
View larger version (116K):

[in a new window]
  		Fig. 3A —37-year-old woman. Widespread adenopathy suggests diagnosis of lymphoma; otherwise, masses shown in A are relatively nonspecific. Axial CT image with bilateral solid lymphomatous masses (arrows) in ovaries.

 

Figure 4
View larger version (84K):

[in a new window]
  		Fig. 3B —37-year-old woman. Widespread adenopathy suggests diagnosis of lymphoma; otherwise, masses shown in A are relatively nonspecific. Coronal image from PET scan shows extensive increased nodal activity.

 

Figure 5
View larger version (161K):

[in a new window]
  		Fig. 4A —24-year-old woman with relapsed acute lymphocytic leukemia. Axial CT image shows bilateral adnexal masses (arrows) due to leukemia.

 

Figure 6
View larger version (182K):

[in a new window]
  		Fig. 4B —24-year-old woman with relapsed acute lymphocytic leukemia. Axial T2-weighted MR image shows leukemic masses (arrows) of generally low signal intensity.

 

Figure 7
View larger version (149K):

[in a new window]
  		Fig. 5 —17-year-old girl with widely disseminated melanoma. Axial CT image shows confluent and predominantly cystic bilateral adnexal metastases (arrows).

 

Figure 8
View larger version (149K):

[in a new window]
  		Fig. 6 —67-year-old woman with unilateral predominantly cystic metastasis (arrow) to ovary from pancreatic adenocarcinoma seen on axial CT image.

 

Figure 9
View larger version (126K):

[in a new window]
  		Fig. 7 —67-year-old woman with abdominal discomfort and elevated cancer antigen-125 levels. Axial CT image shows omental cake (asterisk) and normal-sized ovaries (arrows) adjacent to uterine fundus (UT). Findings suggest primary peritoneal cancer; diagnosis of poorly differentiated papillary serous carcinoma of peritoneum with no involvement of ovaries confirmed at surgery.

 

Figure 10
View larger version (153K):

[in a new window]
  		Fig. 8 —62-year-old woman with primary ovarian cancer. Axial CT image shows typical complex but predominantly cystic appearance of bilateral adnexal masses (arrows) due to cancer.

 

Figure 11
View larger version (133K):

[in a new window]
  		Fig. 9 —47-year-old woman with breast cancer. Axial CT image shows right adnexal mass with characteristic features of mature cystic teratoma (dermoid cyst), including tooth-like calcification (vertical arrow), adipose tissue (asterisk), and Rokitansky nodule (horizontal arrow).

 

Figure 12
View larger version (145K):

[in a new window]
  		Fig. 10A —45-year-old woman with colon cancer. Axial CT image shows bilateral predominantly cystic adnexal masses (arrows) are nonspecific in appearance.

 

Figure 13
View larger version (127K):

[in a new window]
  		Fig. 10B —45-year-old woman with colon cancer. T1-weighted axial MR image shows masses (arrows) of high signal intensity, suggesting presence of fat or blood products.

 

Figure 14
View larger version (131K):

[in a new window]
  		Fig. 10C —45-year-old woman with colon cancer. T1-weighted axial MR image with fat saturation shows masses (arrows) of high-signal-intensity masses remain, consistent with blood products rather than fat.

 

Figure 15
View larger version (124K):

[in a new window]
  		Fig. 10D —45-year-old woman with colon cancer. T2-weighted axial MR image shows masses (arrows) of generally intermediate signal intensity. Such "shading," in association with T1-weighted findings, suggests endometriosis; diagnosis confirmed at laparoscopy.

 

Figure 16
View larger version (128K):

[in a new window]
  		Fig. 11A —53-year-old woman with breast cancer. Axial T1-weighted image with fat saturation shows right adnexal mass (arrow) of low to intermediate signal intensity.

 

Figure 17
View larger version (137K):

[in a new window]
  		Fig. 11B —53-year-old woman with breast cancer. Axial T2-weighted image shows right adnexal mass (arrow) of low signal intensity.

 

Figure 18
View larger version (133K):

[in a new window]
  		Fig. 11C —53-year-old woman with breast cancer. Axial T1-weighted image with fat saturation after intravenous gadolinium shows mass (arrow) to be minimally enhancing. Fibrothecoma confirmed at resection.

 

Figure 19
View larger version (107K):

[in a new window]
  		Fig. 12A —42-year-old woman with history of ovarian transposition before administration of radiotherapy for cervical cancer. On transabdominal sonogram, large cystic mass (asterisk) is seen.

 

Figure 20
View larger version (152K):

[in a new window]
  		Fig. 12B —42-year-old woman with history of ovarian transposition before administration of radiotherapy for cervical cancer. T2-weighted sagittal MR image shows cyst conforms to outline of peritoneal cavity. Transposed but otherwise normal ovary (arrow) is abutting posterior wall of cyst. Findings are those of peritoneal inclusion cyst.

 

Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?



HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2006 by the American Roentgen Ray Society.