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DOI: 10.1148/rg.256055015
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Right arrow Obstetric/Gynecologic Radiology
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Borderline Papillary Serous Tumor of the Right Ovary1

Kimberly J. Burkholz, MD, Beverly P. Wood, MD and Craig Zuppan, MD

1 From the Departments of Radiology (K.J.B., B.P.W.) and Pathology (C.Z.), Loma Linda University Medical Center, 11234 Anderson St, Loma Linda, CA 92354. Received January 31, 2005; revision requested March 1 and received April 4; accepted April 5. All authors have no financial relationships to disclose.


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  		Figure 1.  Contrast-enhanced CT scan of the pelvis shows a complex right adnexal mass with multiple papillary projections (white arrows) that extends into the cul-de-sac and left adnexa and that is associated with ascites and a peritoneal lesion (black arrow). Neither ovary is discernible as a discrete structure. The right ureter (arrowhead) is opacified.

 


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  		Figure 2a.  (a) Transverse Doppler US image of the right ovary shows a partly cystic (arrowheads) and partly solid right adnexal mass anterior to the iliac vessels (arrow). There is prominent vascularity in the solid portion of the tumor, anterior to the cystic region. The fluid-filled bladder (B) is adjacent to the mass, and ascites (A) is visible laterally. (b) Sagittal US image of the left ovary shows the cystic mass (arrowheads) with a central area of echogenicity (small *) and a solid portion (large *) of tumor adherent to the left ovary. The uterus (arrow) and bladder (B) also are identifiable. At laparoscopic biopsy, histologic findings in the left and right ovarian masses were identical.

 


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  		Figure 2b.  (a) Transverse Doppler US image of the right ovary shows a partly cystic (arrowheads) and partly solid right adnexal mass anterior to the iliac vessels (arrow). There is prominent vascularity in the solid portion of the tumor, anterior to the cystic region. The fluid-filled bladder (B) is adjacent to the mass, and ascites (A) is visible laterally. (b) Sagittal US image of the left ovary shows the cystic mass (arrowheads) with a central area of echogenicity (small *) and a solid portion (large *) of tumor adherent to the left ovary. The uterus (arrow) and bladder (B) also are identifiable. At laparoscopic biopsy, histologic findings in the left and right ovarian masses were identical.

 


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  		Figure 3.  Digital photograph of a gross specimen obtained at resection shows the cauliflower-shaped mass with a central cystic component into which papillary projections intrude.

 


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  		Figure 4.  Photomicrograph (original magnification, x200; hematoxylin-eosin stain) shows exophytic papillary serous tumor with extensive micropapillae, or tufts, which are characteristic of a tumor with low malignant potential.

 




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