Recurrent ovarian malignancy: patterns and spectrum of imaging findings.
Ovarian carcinoma is the most common cause of death from a gynecologic malignancy. The most important prognostic factors are the presence and magnitude of residual or recurrent disease after therapy. Recurrent ovarian malignancy usually manifests as pelvic masses in the surgical bed, peritoneal seeding, nodal recurrence and pleuropulmonary lesions, and liver metastasis. Pelvic recurrence involves the vaginal stump, parametria, urinary bladder, and/or bowel adjacent to the surgical bed. Peritoneal seeding presents as nodules on the peritoneal surface, most commonly around the liver or cul-de-sac, and mesenteric infiltration. Pseudomyxoma peritonei is the other form of peritoneal seeding. Nodal recurrence appears as enlarged paraaortic nodes, especially at the renal hilar level. Unusual manifestations include metastasis in the extrahepatic abdominal solid organs, bone metastasis, and abdominal wall lesion involving subcutaneous fat or muscle. Familiarity with the patterns and spectrum of imaging findings of recurrent ovarian malignancy will facilitate accurate diagnosis and prompt treatment.
Department of Radiology, Seoul National University College of Medicine, SNUMRC, Clinical Research Institute, Seoul National University Hospital, 28 Yongon dong, Chongno-gu, Seoul 110-744, Korea.
C M
CM
Park
S H
SH
Kim
S H
SH
Kim
M H
MH
Moon
K W
KW
Kim
H J
HJ
Choi
D000008:Abdominal Neoplasms / Q000556:secondary; D000328:Adult; D001859:Bone Neoplasms / Q000556:secondary; D016543:Central Nervous System Neoplasms / Q000556:secondary; D005260:Female; D005770:Gastrointestinal Neoplasms / Q000556:secondary; D006801:Humans; D008207:Lymphatic Metastasis; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D018365:Neoplasm, Residual; D010051:Ovarian Neoplasms / Q000175:diagnosis* / Q000473:pathology*; D010386:Pelvic Neoplasms / Q000556:secondary; D010534:Peritoneal Neoplasms / Q000556:secondary; D013899:Thoracic Neoplasms / Q000556:secondary; D014057:Tomography, X-Ray Computed