EURORAD ESR

Case 10638

An uncommon adnexal tumour

Author(s)
Dulce Antunes1, Teresa Margarida Cunha2

(1) Hospital Santa Maria, Lisbon, Portugal
(2) Instituto Português de Oncologia de Lisboa Francisco Gentil, Lisbon, Portugal
Email:dulceantu@gmail.com
 
Patient
female, 48 year(s)
 
 
  • Figure 1
    Contrast enhanced pelvic CT

    Homogeneous hypodense solid tumour with a focus of calcification located anteriorly to the uterus. Small quantity of peritoneal fluid and an intra-uterine device were also noted.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: CT; Procedure: Education; Special Focus: Pathology;
     
     
  • Figure 2
    Pelvic MR

    Axial T1 (a) and T2 (b) and sagittal T2 (c). The tumour showed low signal intensity on T1WI and areas of high signal intensity on T2WI. Small volume of intra-peritoneal fluid.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Education; Special Focus: Pathology;
     
     
  • Figure 3
    Pelvic MR

    Right para-median sagittal (a) and axial (b) T2 showing the contiguity of the tumour with the anterior face of the right ovary with absence of beak sign. Small amount of ascites.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Education; Special Focus: Pathology;
     
     
  • Figure 4
    Resected tumour on cut section

    Macroscopic appearance of the resected tumour on cut section.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: MR; Procedure: Education; Special Focus: Pathology;
     
     
Homogeneous hypodense solid tumour with a focus of calcification located anteriorly to the uterus. Small quantity of peritoneal fluid and an intra-uterine device were also noted.
 
Axial T1 (a) and T2 (b) and sagittal T2 (c). The tumour showed low signal intensity on T1WI and areas of high signal intensity on T2WI. Small volume of intra-peritoneal fluid.
 
Right para-median sagittal (a) and axial (b) T2 showing the contiguity of the tumour with the anterior face of the right ovary with absence of beak sign. Small amount of ascites.
 
Macroscopic appearance of the resected tumour on cut section.
 
 
 
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