Ovarian malignancy

Case contributed by Maulik S Patel
Diagnosis almost certain

Presentation

Lower abdominal pain. Weight loss with distension of abdomen.

Patient Data

Age: 60 years
Gender: Female
ultrasound

Solid cystic mass in pelvis which demonstrates vascularity on doppler. The uterus is normal.

Another solid hypoechoic hepatic nodule in segment V with ascites.

Case Discussion

US - Solid - cystic mass in pelvis with vascularity. Uterus is normal. Ovaries are not seperately seen.

        -Ascites.

        -Solitary hepatic nodule in segment V - Hypoechoic.

CT performed the following day (not shown) - Similar findings of Ovarian tumor and hepatic solitary metastasis.

Ascites fluid tapping - Malignant cells.

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