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Ovarian serous cystadenoma

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

Gradual abdominal distension.

Patient Data

Age: 45 years
Gender: Female
mri

There is a 90*170*180 mm large midline multiseptate cystic lesion that elicits low on T1 and bright T2 fat sequence without water restriction that extends superiorly above the level of the umbilicus

It shows internal enhancing septations (measuring about 3 mm thickness) with no evidence of papillary projection or soft tissue components

The right ovary couldn’t be defined separately than mentioned cystic lesion

There are no signs of local invasion to adjacent structures and no regional lymphadenopathies

The left ovary is unremarkable

No free fluid is seen in cul–de–sac space. 

Case Discussion

Pathology proved the case of ovarian serous cystadenoma which is a benign type of ovarian epithelial tumor at the benign end of the spectrum of ovarian serous tumors.

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