Presentation
Pelvic discomfort.
Patient Data
Age: 30 years
Gender: Female
From the case:
Ovarian serous cystadenofibroma
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/12555/annotated_viewer_json?iframe=true\u0026lang=us"}
There is a multilocular thin walled septated ovarian cystic mass.
From the case:
Ovarian serous cystadenofibroma
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/12556/annotated_viewer_json?iframe=true\u0026lang=us"}
Sagittal T2WI MR through the pelvis demonstrates a multilocular cystic mass with areas of low signal intensity in the posterior solid component in the ovary. Post-contrast images demonstrate enhancement of the solid components of the cystic mass.
Case Discussion
Given its size, solid components, and enhancement characteristics, surgical excision was recommended.
Differential considerations
- Ovarian cystadenofibroma
- Ovarian cystadenocarcinoma
- Sclerosing stromal tumor of the ovary
- Ovarian masses with fibrous components
- Metastatic ovarian tumors
Pathology: Ovarian serous cystadenofibroma.