Ca.Ovary
CT
Secondary findings
Pseudomyxoma peritonei
Fat plane obscured between ant.abd. wall & intestinal wall
10mm nodular/plaque like peritoneal implants +- calcifications
Ascites
Mesentry deposits
Tethering of small bowel loops
Round/ irregular mass in mesentry
Invasion of bowel
Bowel wall thickening
Bowel obstruction
Local extension
Encasement of sigmoid colon
Iliac vessels surrounded/ displaced by tumor
Tumor distance from pelvic side wall <3mm
Irregular interfae between tumor & myometrial walls
Localised distortion of uterine contour
Primary tumor
Septa & walls more than 3mm thickening
Tumor vessels are enhanced
Lobulated solid mass
Partially solid & cystic
Enhancing papilla
Lesion >4cms
USG
Doppler
Low resistance Doppler waveform
Presence of color flow within thick wall, septa, papilla, solid inhomenous areas.
Thick irregular walls & thick septations
Ca-125
Metstasis
Sex cord tumors
Malignant Germ cell tumors
Endodermal sinus tumor
Choriocarcinoma
Embryonal Cancer
Malignant mixed germ cell tumor
Dysgerginoma
Immature teratoma
Mature teratoma
20yrs
Malignant Epithelial tumors
Brenner tumor
Undifferentiated tumor
Clear cell tumor
Endometroid tumor
Mucinous tumor
Serous tumor
6-7th decade
