EURORAD ESR

Case 891

Granulosa Cell Tumor of the Ovary

Author(s)
W. Volders, M. Billen, P. Claes, J. Gelin, Y. Palmers
 
Patient
female, 87 year(s)
 
 
  • Figure 1
    Plain film of the abdomen

    Plain film of the abdomen in upright position shows a large, homogeneous soft tissue mass, filling up most of the abdomen. No signs of pneumoperitoneum or bowel obstruction are noted.

     
    Area of Interest: unknown; Imaging Technique: Plain film of the abdomen;
     
     
  • Figure 2
    Ultrasonography of the abdomen

    Ultrasonography of the abdomen demonstrates the very hypoechoic aspect of the mass, consisting of multiple cavities, separated from each other by septations (arrowhead).

     
    Area of Interest: unknown; Imaging Technique: Ultrasonography of the abdomen;
     
     
  • Figure 3
    Contrast enhanced CT scans of the abdomen
     

    Contrast enhanced CT scans of the abdomen, at two levels confirm a huge mass, extending from the liver to the pelvis. The mass is homogeneous with density values of 20 HU. The lesion contains multiple septations and...

     
    Area of Interest: unknown; Imaging Technique: Contrast enhanced CT scans of the abdomen;

    Same as 3a

     
    Area of Interest: unknown; Imaging Technique: Contrast enhanced CT scans of the abdomen;
     
     
  • Figure 4
    Macroscopy of the resected specimen

    Macroscopy of the resected specimen reveals a huge encapsulated mass, measuring 32 x 27 x20 cm in size and weighting 10.9 kg. The mass was completely removed surgically and recovery was uneventful. Pathologic...

     
    Area of Interest: unknown; Imaging Technique: Macroscopy of the resected specimen;
     
     
Plain film of the abdomen in upright position shows a large, homogeneous soft tissue mass, filling up most of the abdomen. No signs of pneumoperitoneum or bowel obstruction are noted.
 
Ultrasonography of the abdomen demonstrates the very hypoechoic aspect of the mass, consisting of multiple cavities, separated from each other by septations (arrowhead).
 
Contrast enhanced CT scans of the abdomen, at two levels confirm a huge mass, extending from the liver to the pelvis. The mass is homogeneous with density values of 20 HU. The lesion contains multiple septations and a wall, which are focally irregularly thickened. Peripheral displacement of bowel loops due to the mass effect is noted.
 
Same as 3a
 
Macroscopy of the resected specimen reveals a huge encapsulated mass, measuring 32 x 27 x20 cm in size and weighting 10.9 kg. The mass was completely removed surgically and recovery was uneventful. Pathologic examination revealed a cystic granulosa cell tumor of the ovaries, of the adult type.
 
 
 
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