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Ovarian metastases: computed tomographic appearances.

A J Megibow, D H Hulnick, M A Bosniak

    Radiology
    |July 1, 1985
    PubMed
    Summary
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    Computed tomographic (CT) scans revealed varied appearances of ovarian metastases from different primary cancers. Gastric cancer metastases often appeared solid, while others mimicked primary ovarian tumors.

    Area of Science:

    • Radiology
    • Oncology
    • Pathology

    Background:

    • Ovarian metastases represent secondary spread of cancer to the ovaries.
    • Accurate radiographic characterization is crucial for diagnosis and management.
    • Understanding imaging features can help differentiate metastatic disease from primary ovarian neoplasms.

    Purpose of the Study:

    • To review computed tomographic (CT) scan appearances of ovarian metastases.
    • To correlate radiographic features with the site of the primary neoplasm.
    • To assess the diagnostic utility of CT in identifying ovarian metastases.

    Main Methods:

    • Retrospective review of CT scans from 34 patients with confirmed ovarian metastases.
    • Analysis of radiographic features: cystic, mixed, or solid appearance.

    Related Experiment Videos

  • Correlation of imaging findings with primary tumor histology (colon, breast, stomach, etc.).

    • Main Results:

    • Ovarian metastases were predominantly cystic (14), mixed (12), or solid (7).
    • Metastases from gastric carcinoma were frequently solid (4/5 cases).
    • Other metastases exhibited variable appearances, often mimicking primary ovarian cancer.

    Conclusions:

    • CT scan findings of ovarian metastases vary depending on the primary cancer.
    • Gastric cancer metastases have a characteristic solid appearance on CT.
    • Radiographic features of ovarian metastases can simulate primary ovarian malignancies.