The objective of this video is to present two cases of ovarian metastases, examined at the Gynecologic Oncology Unit of the Fondazione Policlinico Universitario Agostino Gemelli, IRCCS, in Rome, Italy. The frst case is a 79-year-old patient with no family history of cancer and a past medical history of cholangiocarcinoma and left oophorectomy for ovarian metastasis. She was referred to our center for omental cake and a right adnexal mass detected at CT scan during oncological follow-up. The patient was asymptomatic and serum levels of oncological markers were: CA 19.9 155 U/mL (reference range 0 37 U/mL), CEA 1.4 ng/mL (reference range 0 5 ng/mL). Transvaginal ultrasound examination performed at our center showed a right multilocular solid tumor (>10 locules) of 96×113×94 mm, with low-level content and irregular internal walls with a solid component of 38×22×23 mm in size.1 The mass showed rich vascularization at color Doppler examination. IOTA ADNEX2 showed an increased risk of malignancy, with highest relative risk either for stage II IV ovarian cancer or for metastatic cancer to the adnexa (link to the IOTA ADNEX model calculator: https://www.iotagroup.org/sites/default/fles/adnexmodel/IOTAADNEXmodel.html). Moreover, the tumor was classifed as OvarianAdnexal Reporting and Data System (O-RADS)5.
Ultrasound, macroscopic and histological features of malignant ovarian tumors. Metastatic tumors to the ovary: Ovarian metastases from biliary tract and ovarian metastases from colon cancer
Moro, Francesca
2021-01-01
Abstract
The objective of this video is to present two cases of ovarian metastases, examined at the Gynecologic Oncology Unit of the Fondazione Policlinico Universitario Agostino Gemelli, IRCCS, in Rome, Italy. The frst case is a 79-year-old patient with no family history of cancer and a past medical history of cholangiocarcinoma and left oophorectomy for ovarian metastasis. She was referred to our center for omental cake and a right adnexal mass detected at CT scan during oncological follow-up. The patient was asymptomatic and serum levels of oncological markers were: CA 19.9 155 U/mL (reference range 0 37 U/mL), CEA 1.4 ng/mL (reference range 0 5 ng/mL). Transvaginal ultrasound examination performed at our center showed a right multilocular solid tumor (>10 locules) of 96×113×94 mm, with low-level content and irregular internal walls with a solid component of 38×22×23 mm in size.1 The mass showed rich vascularization at color Doppler examination. IOTA ADNEX2 showed an increased risk of malignancy, with highest relative risk either for stage II IV ovarian cancer or for metastatic cancer to the adnexa (link to the IOTA ADNEX model calculator: https://www.iotagroup.org/sites/default/fles/adnexmodel/IOTAADNEXmodel.html). Moreover, the tumor was classifed as OvarianAdnexal Reporting and Data System (O-RADS)5.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
