Listen "Ultrasound of Ovarian Serous Cystadenocarcinoma"
Episode Synopsis
In this radiology lecture, we review the ultrasound appearance of ovarian serous cystadenocarcinoma!
Key teaching points include:
Serous cystadenocarcinoma is the common ovarian malignancy and most common ovarian epithelial tumor
High-grade and low-grade types
Peak incidence 6th-7th decades
Ultrasound appearance: Mixed cystic and solid mass with papillary projections and thick septations
Elevated CA-125 in greater than 90%
Serous tumors are more commonly bilateral than other tumors
Four main categories of ovarian neoplasms: Epithelial (most common), germ cell (second most common), sex cord-stromal and metastases
Epithelial ovarian tumors are thought to originate outside the ovary (within fallopian tube or endometrium) and involve ovary secondarily
Epithelial ovarian tumor types: Serous, mucinous, endometrioid, clear cell and Brenner
60% of epithelial tumors are benign: Unilocular with thin wall or thin septations (less than 3 mm in thickness)
40% of epithelial tumors are malignant or borderline: Papillary projection (distinctive feature of epithelial tumors) with thick, irregular wall or septations (greater than 3 mm in thickness). Can also present as a large soft tissue mass with necrosis. Advanced findings include peritoneal implants, pelvic wall invasion, adenopathy and ascites
To learn more about the Samsung RS85 Prestige ultrasound system, please visit: https://www.bostonimaging.com/rs85-prestige-ultrasound-system-4
Click the YouTube Community tab or follow on social media for bonus teaching material posted throughout the week!
Website: https://radquarters.com/
Instagram: https://www.instagram.com/radquarters/
Facebook: https://www.facebook.com/radquarters/
X (Twitter): https://twitter.com/radquarters
Reddit: https://www.reddit.com/user/radiologistHQ/
Key teaching points include:
Serous cystadenocarcinoma is the common ovarian malignancy and most common ovarian epithelial tumor
High-grade and low-grade types
Peak incidence 6th-7th decades
Ultrasound appearance: Mixed cystic and solid mass with papillary projections and thick septations
Elevated CA-125 in greater than 90%
Serous tumors are more commonly bilateral than other tumors
Four main categories of ovarian neoplasms: Epithelial (most common), germ cell (second most common), sex cord-stromal and metastases
Epithelial ovarian tumors are thought to originate outside the ovary (within fallopian tube or endometrium) and involve ovary secondarily
Epithelial ovarian tumor types: Serous, mucinous, endometrioid, clear cell and Brenner
60% of epithelial tumors are benign: Unilocular with thin wall or thin septations (less than 3 mm in thickness)
40% of epithelial tumors are malignant or borderline: Papillary projection (distinctive feature of epithelial tumors) with thick, irregular wall or septations (greater than 3 mm in thickness). Can also present as a large soft tissue mass with necrosis. Advanced findings include peritoneal implants, pelvic wall invasion, adenopathy and ascites
To learn more about the Samsung RS85 Prestige ultrasound system, please visit: https://www.bostonimaging.com/rs85-prestige-ultrasound-system-4
Click the YouTube Community tab or follow on social media for bonus teaching material posted throughout the week!
Website: https://radquarters.com/
Instagram: https://www.instagram.com/radquarters/
Facebook: https://www.facebook.com/radquarters/
X (Twitter): https://twitter.com/radquarters
Reddit: https://www.reddit.com/user/radiologistHQ/
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