Ovarian serous cystadenocarcinoma

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain


Abdominopelvic pain and progressive distention.

Patient Data

Age: 65 years
Gender: Female

Massive abdominopelvic ascites is present accompanied by omental thickening and strands. 
A (143 x 108 mm) cystic solid mass is present at left side of pelvis originated from the left ovary, without evidence of local invasion to adjacent pelvic structures. 
A few subcentimeter simple cortical cysts are seen at kidneys. 
Degenerative changes as osteophytosis are seen at the lumbar spine.
Lumbar scoliosis of left-sided convexity.

Case Discussion

Left ovarian complex cystic solid mass with massive ascites and omental thickening (peritoneal carcinomatosis),  pathologically proven as ovarian serous cystadenocarcinoma.

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