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- Title
Bilateral large ovarian neoplasm: the case series.
- Authors
Mardiyana, Lies; Nababan, Gideon Thurman; Nugroho, Hari; Askandar, Brahmana
- Abstract
Radiology imaging (e.g., computed tomography [CT] or magnetic resonance imaging [MRI]) often shows similarities among ovarian neoplasms, meanwhile, the differentiations between benign, malignant, and metastasis are important in selecting the most appropriate treatment. Age, size, laterality, and tumor marker such as cancer antigen 125 serum level are indications to determine the malignancy of ovarian neoplasm. Most of the ovarian neoplasms grow unilaterally, bilaterality is rare for both benign and malignant cases and is usually considered as secondary neoplasm caused by the metastatic process of nonovary neoplasms from another organ. We present 10 cases of bilateral ovarian neoplasms with malignant characteristics on CT scan or MRI, but histopathology showed 7 cases of bilateral primary epithelial ovarian cancer, 1 case of mucinous benign ovarian tumor, 1 case of bilateral mature teratoma coexisting endometrioid carcinoma of the uterus and 1 case of colorectal carcinoma metastasize to bilateral ovaries. Bilaterality and large size of ovarian neoplasms remain as challenge for physicians especially radiologists in differentiating the origin (secondary or primary) and predicting the malignancy behavior because of their similarities. The challenge is getting more meticulous because the silent growth of the tumors is often neglected.
- Subjects
OVARIAN tumors; EPITHELIAL tumors; OVARIAN epithelial cancer; MAGNETIC resonance imaging; TUMOR growth; COLORECTAL cancer; COMPUTED tomography
- Publication
Journal of Gynecologic Oncology, 2024, Vol 35, p59
- ISSN
2005-0380
- Publication type
Article
- DOI
10.3802/jgo.2024.35.S2.P78