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MALIGNANT OVARIANTUMOURS
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ULTRASOUND
TVS Hypoechoic mass with
papillary excrescencecharacteristic of ovarian
neoplasm
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USG of stage I ovariancancer
Cystic mass with irregular andthickened walls
Doppler shows low
impedence in the wallsindicating Malignant Ovariancancer.
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Color Doppler lowimpedence flow indicative of
ovarian cancer
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CT AND MRI
SEROUS CYSTADENOMA
Water Density mass withimperceptible walls and no
excresence
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MUCINOUS CYSTADENOMA
Mass with soft tissue densityin the pelvis
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SEROUS
CYSTADENOCARCINOMA
B/L Cystadenocarcinoma
with septa and mural nodules
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MUCINOUSCYSTADENOCARCINOMA
(Ruptured)
Sagittal T1W turbo spin echo
Mixed signal intensity mass
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Axial T2W turbo spin echo
shows high signal(mucin)honeycombing
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GAD enhanced Turbo SET1W image shows
enhancement of walls andsepta
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PAPILLARY SEROUS
CYSTADENOCARCINOMA
T2W TURBO SE showsmultiloculated (solid arrows)
mass , solid areas (openarrows) and papillary
structures(arrowhead)
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GAD enhanced T1W turbosequence shows
enhancement of solid and
papillary component .Fibrouspart non enhancing.
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ENDOMETROID TUMOUR
CT Scan shows cystic n solid
tumour with solid part , thickirregular enhancing walls
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CT scan shows dilated
endometrial cavity withenhancing solid part
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CLEAR CELL CARCINOMA
T2W turbo se sagittal imageshows hypointense peripheral
solid areas
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GAD enhaced T1W turbo seaxial image shows
enhancement of the solidperipheral component
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CLEAR CELL TUMOUR
USG image with hyperechoicmass with areas of sound
attenuation
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CT - Cystic tumour with fat
and calcification
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XRAYS Fat like opacity andtooth like calcification
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MRI
T1W Turbo se mass with
hyperintense signal ,hypointense calcification and
a mural nodule
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Sagittal T2W turbo spin echoshows mass isointense to soft
tissue , hypointensecalcification and hyperintense
rokitansky protuberance
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GAD enhanced fat supressedFLASH T1W image shows
hypointensity due tosupression of fat and
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IMMATURE TERATOMA
CT scan shows solid + cysticmass with foci of fat andscattered calcification
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Section at the level of renalhilum demonstrates
retroperitoneal adenopathy
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Dysgerminoma
CT Solid tumour with cysticcomponent (arrowhead) and
enhancing septa
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MRI
T2W se turbo sequenceshows multilobulated mass of
intermediate signal,hypoinintense septa and
hyperintense necrotic areas
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T1W Gad homogenousenhancement with none in the
septa and areas of necrosis
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ENDODERMAL SINUS
TUMOR
COMPLEX MASS with cystic
and solid areas . Ascitesseen(*) and elevated alpha
fetoprotein
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GRANULOSA CELL
TUMOUR
CT Scan shows cystic areaswith bunch of grapesappearance on the
right(arrows)
solid areas on the left(*)
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MRI
SAGITTAL T2W se turboshows multilobulated cystic
mass
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Gad enhanced T1W Spinecho FLASH sequence
shows enhancing septa andwalls and large cystic spacesindicative of macrofollicular
pattern
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FIBROMA
X Ray shows amorphouscalcification in pelvis
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MRI
Axial T1W turbo spin echoshows well defined mass with
low signal indicating
calcification
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Axial T2W Mass shows low
signal intensity with highsignal intensity foci indicatingcalcification
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FIBROTHECOMA
T1W Turbo se shows lowsignal intensity mass with
displacement of uterus
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T2W image with high signalintensity indicative of edema
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T1W Gad enhancement in theperiphery with central areas
of edema
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SERTOLI-LEYDIG CELL
TUMOUR
Axial T1W image shows well
defined low signal intensitymass
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T2W SE image showsintermediate signal intensity
with high signal intensity
cysts
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T1W Gd enhancedmasswith low signal areas of cysts
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