Ovarian serous cystadenoma

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Pelvic pain and palpable mass on physical exam.

Patient Data

Age: 65 years
Gender: Female
ct

A 125×90 mm unilocular cystic lesion without enhancing solid components is noted in the left adnexa. The left ovary couldn’t be defined separately.

A few gas containing stones are noted in the gallbladder.

A 5 mm stone is seen in the lower calyx of the left kidney. 

Case Discussion

Left adnexal cystic lesion; pathology proved ovarian serous cystadenoma, a type of benign ovarian epithelial tumor at the benign end of the spectrum of ovarian serous tumors.

On CT images, ovarian serous cystadenoma is often seen as a unilocular (typically) or multilocular cystic mass, with a thin regular wall or septum and no solid enhancing component.

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