Abstract
Epithelial tumors are the most common type of ovarian tumors. They are primarily cystic and, if malignant, are associated with solid components. Papillary projections are a distinctive feature of epithelial tumors. Profuse papillary projections are highly suggestive of borderline malignant or malignant epithelial tumors. In this chapter, we review and discuss US, CT, and MRI features of the spectrum of epithelial ovarian tumors, which are classified into six categories: serous, mucinous, endometrioid, clear cell, Brenner, and undifferentiated tumors. Furthermore, we can indicate a specific diagnosis or allow substantial narrowing of the differential diagnosis.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Suggested Reading
Byun JY. MR imaging findings of ovarian cystadenofibroma: clues for making the differential diagnosis from ovarian malignancy. Korean J Radiol. 2006;7:153–5.
Cho SB, Park CM, Park SW, et al. Malignant mixed müllerian tumor of the ovary: imaging findings. Eur Radiol. 2001;11:1147–50.
Cho SM, Byun JY, Rha SE, et al. CT and MRI findings of cystadenofibromas of the ovary. Eur Radiol. 2004;14:798–804.
Choi HJ, Lee JH, Lee JS, et al. CT findings of clear cell carcinoma of the ovary. J Comput Assist Tomogr. 2006;30:875–9.
Chopra S, Laurie LR, Chintapalli KN, et al. Primary papillary serous carcinoma of the peritoneum: CT-pathologic correlation. J Comput Assist Tomogr. 2000;24:395–9.
de Souza NM, O’Neill R, McIndoe GA, et al. Borderline tumors of the ovary: CT and MRI features and tumor markers in differentiation from stage I disease. AJR Am J Roentgenol. 2005;184:999–1003.
Fleischer AC, Javitt MC, Jeffrey RB, et al. Clinical gynecologic imaging. Philadelphia: Lippincott-Raven; 1997. p. 43–136.
Ghossain MA, Buy JN, Ligneres C, et al. Epithelial tumors of the ovary: comparison of MR and CT findings. Radiology. 1991;181:863–70.
Granberg S, Wikland M, Jansson I. Macroscopic characterization of ovarian tumors and the relation to the histological diagnosis: criteria to be used for ultrasound evaluation. Gynecol Oncol 1989; 35:139–44.
Granberg S. Relationship of macroscopic appearance to the histologic diagnosis of ovarian tumors. Clin Obstet Gynecol. 1993;36:363–74.
Jang YJ, Kim JK, Park SB, et al. Variable CT findings of epithelial origin ovarian carcinoma according to the degree of histologic differentiation. Korean J Radiol. 2007;8:120–6.
Jeong YY, Outwater EK, Kang HK. Imaging evaluation of ovarian masses. Radiographics. 2000;20:1445–70.
Jung DC, Kim SH, Kim SH. MR imaging findings of ovarian cystadenofibroma and cystadenocarcinofibroma: clues for the differential diagnosis. Korean J Radiol. 2006;7:199–204.
Kawamoto S, Urban BA, Fishman EK. CT of epithelial ovarian tumors. Radiographics. 1999;19:S85–102.
Kim SH, Yang DM. Borderline serous surface papillary tumor of the ovary: MRI characteristics. AJR Am J Roentgenol. 2005;184:1898–900.
Kim SH, Cho JY, Park IA, et al. Radiological findings in serous surface papillary carcinoma of the ovary. Case reports. Acta Radiol. 1997;38:847–9.
Kim HJ, Kim JK, Cho KS. CT features of serous surface papillary Âcarcinoma of the ovary. AJR Am J Roentgenol. 2004;183:1721–4.
Komatsu T, Konishi I, Mandai M, et al. Adnexal masses: transvaginal US and gadolinium-enhanced MR imaging assessment of intratumoral structure. Radiology. 1996;198:109–15.
Levy AD, Shaw JC, Sobin LH. Secondary tumors and tumorlike lesions of the peritoneal cavity: imaging features with pathologic correlation. Radiographics. 2009;29:347–73.
Matsuoka Y, Ohtomo K, Araki T, et al. MR imaging of clear cell carcinoma of the ovary. Eur Radiol. 2001;11:946–51.
Mitchell DG, Hill MC, Hill S, et al. Serous carcinoma of the ovary: CT identification of metastatic calcified implants. Radiology. 1986;158:649–52.
Moon WJ, Koh BH, Kim SK, et al. Brenner tumor of the ovary: CT and MR findings. J Comput Assist Tomogr. 2000;24:72–6.
Outwater EK, Mitchell DG. Normal ovaries and functional cysts: MR appearance. Radiology. 1996;198:397–402.
Semelka RC, Lawrence PH, Shoenut JP. Primary ovarian cancer: Âprospective comparison of contrast-enhanced CT and pre- and Âpostcontrast, fat-suppressed MR imaging, with histologic correlation. J Magn Reson Imaging. 1993;3:99–106.
Sutton CL, McKinney CD, Jones JE, et al. Ovarian masses revisited: radiologic and pathologic correlation. Radiographics. 1992;12:853–77.
Togashi K. MR imaging of the ovaries: normal appearance and benign disease. Radiol Clin North Am. 2003;41:799–811.
Wagner BJ, Buck JL, Seidman JD, et al. From the archives of the AFIP. Ovarian epithelial neoplasms: radiologic-pathologic correlation. Radiographics. 1994;14:1351–74.
Wolf SI, Gosink BB, Feldesman MR, et al. Prevalence of simple Âadnexal cysts in postmenopausal women. Radiology. 1991;180:65–71.
Zissin R, Gayer G, Fishman A, et al. Synchronous mucinous tumors of the ovary and the appendix associated with pseudomyxoma peritonei: CT findings. Abdom Imaging. 2000;25:311–6.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2012 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Park, S.B., Moon, M.H. (2012). Introduction. In: Kim, S. (eds) Radiology Illustrated: Gynecologic Imaging. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-05325-2_27
Download citation
DOI: https://doi.org/10.1007/978-3-642-05325-2_27
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-05323-8
Online ISBN: 978-3-642-05325-2
eBook Packages: MedicineMedicine (R0)