Ca.Ovary

Malignant Epithelial tumors

6-7th decade

Serous tumor

Mucinous tumor

Endometroid tumor

Clear cell tumor

Undifferentiated tumor

Brenner tumor

Malignant Germ cell tumors

20yrs

Mature teratoma

Immature teratoma

Dysgerginoma

Malignant mixed germ cell tumor

Embryonal Cancer

Choriocarcinoma

Endodermal sinus tumor

Sex cord tumors

Metstasis

Ca-125

USG

Thick irregular walls & thick septations

Doppler

Presence of color flow within thick wall, septa, papilla, solid inhomenous areas.

Low resistance Doppler waveform

CT

Primary tumor

Lesion >4cms

Enhancing papilla

Partially solid & cystic

Lobulated solid mass

Tumor vessels are enhanced

Septa & walls more than 3mm thickening

Local extension

Localised distortion of uterine contour

Irregular interfae between tumor & myometrial walls

Tumor distance from pelvic side wall <3mm

Iliac vessels surrounded/ displaced by tumor

Encasement of sigmoid colon

Secondary findings

Invasion of bowel

Bowel obstruction

Bowel wall thickening

Mesentry deposits

Round/ irregular mass in mesentry

Tethering of small bowel loops

Ascites

10mm nodular/plaque like peritoneal implants +- calcifications

Fat plane obscured between ant.abd. wall & intestinal wall

Pseudomyxoma peritonei