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Mucinous Ovarian Cystadenoma/Carcinoma
Priyanka Jha, MBBS
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Definitions

                • Mucinous epithelial neoplasms, categorized based on malignant potential
                  • Mucinous cystadenoma (benign)
                  • Borderline mucinous neoplasm (low malignant potential)
                  • Mucinous cystadenocarcinoma or mucinous cystic carcinoma (malignant)

              IMAGING

              • General Features

                • Ultrasonographic Findings

                  • CT Findings

                    • MR Findings

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Gross Pathologic & Surgical Features

                            • Microscopic Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Image Interpretation Pearls

                                        Selected References

                                        1. Taylor EC et al: Multimodality imaging approach to ovarian neoplasms with pathologic correlation. Radiographics. 41(1):289-315, 2021
                                        2. Chen YN et al: Ultrasound features improve diagnostic performance of ovarian cancer predictors in distinguishing benign and malignant ovarian tumors. Curr Med Sci. 40(1):184-91, 2020
                                        3. Flicek KT et al: Borderline epithelial ovarian tumors: what the radiologist should know. Abdom Radiol (NY). ePub, 2020
                                        4. Kaga T et al: Can MRI features differentiate ovarian mucinous carcinoma from mucinous borderline tumor? Eur J Radiol. 132:109281, 2020
                                        5. Shariff US et al: Mode of presentation in 1070 patients with perforated epithelial appendiceal tumors, predominantly with pseudomyxoma peritonei. Dis Colon Rectum. 63(9):1257-64, 2020
                                        6. Marko J et al: Mucinous neoplasms of the ovary: radiologic-pathologic correlation. Radiographics. 39(4):982-97, 2019
                                        7. Moro F et al: Ultrasound features and clinical outcome of patients with malignant ovarian masses diagnosed during pregnancy: experience of a gynecological oncology ultrasound center. Int J Gynecol Cancer. 29(7):1182-94, 2019
                                        8. Platero M et al: Early-stage mucinous carcinoma (infiltrative type) of the ovary and fertility preservation. Int J Gynecol Cancer. 29(4):835-9, 2019
                                        9. Timor-Tritsch IE et al: New sonographic marker of borderline ovarian tumor: microcystic pattern of papillae and solid components. Ultrasound Obstet Gynecol. 54(3):395-402, 2019
                                        10. Migda M et al: Diagnostic value of the gynecology imaging reporting and data system (GI-RADS) with the ovarian malignancy marker CA-125 in preoperative adnexal tumor assessment. J Ovarian Res. 11(1):92, 2018
                                        11. Moss HA et al: Estimating cost-effectiveness of a multimodal ovarian cancer screening program in the United States: secondary analysis of the UK Collaborative Trial of Ovarian Cancer Screening (UKCTOCS). JAMA Oncol. 4(2):190-5, 2018
                                        12. Peng Y et al: Ovarian collision tumors: imaging findings, pathological characteristics, diagnosis, and differential diagnosis. Abdom Radiol (NY). 43(8):2156-68, 2018
                                        13. Sayasneh A et al: The characteristic ultrasound features of specific types of ovarian pathology (Review). Int J Oncol. 46(2):445-58, 2015
                                        14. Ledermann JA et al: Gynecologic Cancer InterGroup (GCIG) consensus review for mucinous ovarian carcinoma. Int J Gynecol Cancer. 24(9 Suppl 3):S14-9, 2014
                                        15. Alcázar JL et al: Clinical and ultrasound features of type I and type II epithelial ovarian cancer. Int J Gynecol Cancer. 23(4):680-4, 2013
                                        16. Perlman S et al: "Onion skin" sign in an ovarian mucinous cyst. J Clin Ultrasound. 41(1):63-4, 2013
                                        17. Lalwani N et al: Histologic, molecular, and cytogenetic features of ovarian cancers: implications for diagnosis and treatment. Radiographics. 31(3):625-46, 2011
                                        18. Woodward PJ et al: From the archives of the AFIP: radiologic staging of ovarian carcinoma with pathologic correlation. Radiographics. 24(1):225-46, 2004
                                        19. Ronnett BM et al: Disseminated peritoneal adenomucinosis and peritoneal mucinous carcinomatosis. A clinicopathologic analysis of 109 cases with emphasis on distinguishing pathologic features, site of origin, prognosis, and relationship to "pseudomyxoma peritonei". Am J Surg Pathol. 19(12):1390-408, 1995
                                        Related Anatomy
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                                        Related Differential Diagnoses
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                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Terminology

                                          • Imaging

                                            • Top Differential Diagnoses

                                              • Pathology

                                                • Clinical Issues

                                                  • Diagnostic Checklist

                                                    TERMINOLOGY

                                                    • Definitions

                                                      • Mucinous epithelial neoplasms, categorized based on malignant potential
                                                        • Mucinous cystadenoma (benign)
                                                        • Borderline mucinous neoplasm (low malignant potential)
                                                        • Mucinous cystadenocarcinoma or mucinous cystic carcinoma (malignant)

                                                    IMAGING

                                                    • General Features

                                                      • Ultrasonographic Findings

                                                        • CT Findings

                                                          • MR Findings

                                                            DIFFERENTIAL DIAGNOSIS

                                                              PATHOLOGY

                                                              • General Features

                                                                • Gross Pathologic & Surgical Features

                                                                  • Microscopic Features

                                                                    CLINICAL ISSUES

                                                                    • Presentation

                                                                      • Demographics

                                                                        • Natural History & Prognosis

                                                                          • Treatment

                                                                            DIAGNOSTIC CHECKLIST

                                                                            • Image Interpretation Pearls

                                                                              Selected References

                                                                              1. Taylor EC et al: Multimodality imaging approach to ovarian neoplasms with pathologic correlation. Radiographics. 41(1):289-315, 2021
                                                                              2. Chen YN et al: Ultrasound features improve diagnostic performance of ovarian cancer predictors in distinguishing benign and malignant ovarian tumors. Curr Med Sci. 40(1):184-91, 2020
                                                                              3. Flicek KT et al: Borderline epithelial ovarian tumors: what the radiologist should know. Abdom Radiol (NY). ePub, 2020
                                                                              4. Kaga T et al: Can MRI features differentiate ovarian mucinous carcinoma from mucinous borderline tumor? Eur J Radiol. 132:109281, 2020
                                                                              5. Shariff US et al: Mode of presentation in 1070 patients with perforated epithelial appendiceal tumors, predominantly with pseudomyxoma peritonei. Dis Colon Rectum. 63(9):1257-64, 2020
                                                                              6. Marko J et al: Mucinous neoplasms of the ovary: radiologic-pathologic correlation. Radiographics. 39(4):982-97, 2019
                                                                              7. Moro F et al: Ultrasound features and clinical outcome of patients with malignant ovarian masses diagnosed during pregnancy: experience of a gynecological oncology ultrasound center. Int J Gynecol Cancer. 29(7):1182-94, 2019
                                                                              8. Platero M et al: Early-stage mucinous carcinoma (infiltrative type) of the ovary and fertility preservation. Int J Gynecol Cancer. 29(4):835-9, 2019
                                                                              9. Timor-Tritsch IE et al: New sonographic marker of borderline ovarian tumor: microcystic pattern of papillae and solid components. Ultrasound Obstet Gynecol. 54(3):395-402, 2019
                                                                              10. Migda M et al: Diagnostic value of the gynecology imaging reporting and data system (GI-RADS) with the ovarian malignancy marker CA-125 in preoperative adnexal tumor assessment. J Ovarian Res. 11(1):92, 2018
                                                                              11. Moss HA et al: Estimating cost-effectiveness of a multimodal ovarian cancer screening program in the United States: secondary analysis of the UK Collaborative Trial of Ovarian Cancer Screening (UKCTOCS). JAMA Oncol. 4(2):190-5, 2018
                                                                              12. Peng Y et al: Ovarian collision tumors: imaging findings, pathological characteristics, diagnosis, and differential diagnosis. Abdom Radiol (NY). 43(8):2156-68, 2018
                                                                              13. Sayasneh A et al: The characteristic ultrasound features of specific types of ovarian pathology (Review). Int J Oncol. 46(2):445-58, 2015
                                                                              14. Ledermann JA et al: Gynecologic Cancer InterGroup (GCIG) consensus review for mucinous ovarian carcinoma. Int J Gynecol Cancer. 24(9 Suppl 3):S14-9, 2014
                                                                              15. Alcázar JL et al: Clinical and ultrasound features of type I and type II epithelial ovarian cancer. Int J Gynecol Cancer. 23(4):680-4, 2013
                                                                              16. Perlman S et al: "Onion skin" sign in an ovarian mucinous cyst. J Clin Ultrasound. 41(1):63-4, 2013
                                                                              17. Lalwani N et al: Histologic, molecular, and cytogenetic features of ovarian cancers: implications for diagnosis and treatment. Radiographics. 31(3):625-46, 2011
                                                                              18. Woodward PJ et al: From the archives of the AFIP: radiologic staging of ovarian carcinoma with pathologic correlation. Radiographics. 24(1):225-46, 2004
                                                                              19. Ronnett BM et al: Disseminated peritoneal adenomucinosis and peritoneal mucinous carcinomatosis. A clinicopathologic analysis of 109 cases with emphasis on distinguishing pathologic features, site of origin, prognosis, and relationship to "pseudomyxoma peritonei". Am J Surg Pathol. 19(12):1390-408, 1995