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