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Serous Ovarian Cystadenoma/Carcinoma
Priyanka Jha, MBBS
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Abbreviations

                • Low-grade serous ovarian cancer (LGSC)
                • Serous tubal intraepithelial carcinoma (STIC)
                • Epithelial inclusion cyst (EIC)
              • Definitions

                • Serous epithelial neoplasm
                  • Benign (serous cystadenoma)
                  • Low malignant potential (borderline serous and LGSC)
                  • Malignant (high-grade serous ovarian neoplasm)
                    • Distinct histopathologic entity from benign, borderline serous, and LGSC
                    • Hence, serous cystadenocarcinoma terminology is going out of favor

              IMAGING

              • General Features

                • Ultrasonographic Findings

                  • CT Findings

                    • MR Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            CLINICAL ISSUES

                            • Presentation

                              • Demographics

                                • Natural History & Prognosis

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Consider

                                      • Image Interpretation Pearls

                                        Selected References

                                        1. An H et al: CT texture analysis in histological classification of epithelial ovarian carcinoma. Eur Radiol. ePub, 2021
                                        2. Basha MAA et al: Comparison of O-RADS, GI-RADS, and IOTA simple rules regarding malignancy rate, validity, and reliability for diagnosis of adnexal masses. Eur Radiol. 31(2):674-84, 2021
                                        3. Bourdel N et al: Borderline ovarian tumors: guidelines from the French National College Of Obstetricians and Gynecologists (CNGOF). Eur J Obstet Gynecol Reprod Biol. 256:492-501, 2021
                                        4. Reinhold C et al: Ovarian-Adnexal Reporting Lexicon for MRI: a white paper of the ACR Ovarian-Adnexal Reporting and Data Systems MRI Committee. J Am Coll Radiol. ePub, 2021
                                        5. Shanbhogue KP et al: Hereditary ovarian tumour syndromes: current update on genetics and imaging. Clin Radiol. 76(4):313.e15-26, 2021
                                        6. Taylor EC et al: Multimodality imaging approach to ovarian neoplasms with pathologic correlation. Radiographics. 41(1):289-315, 2021
                                        7. Yu XP et al: MDCT-based radiomics features for the differentiation of serous borderline ovarian tumors and serous malignant ovarian tumors. Cancer Manag Res. 13:329-36, 2021
                                        8. Chung SH et al: BRCA and beyond: comprehensive image-rich review of hereditary breast and gynecologic cancer syndromes. Radiographics. 40(2):306-25, 2020
                                        9. Flicek KT et al: Borderline epithelial ovarian tumors: what the radiologist should know. Abdom Radiol (NY). ePub, 2020
                                        10. O'Neill AC et al: Patterns and prognostic importance of hepatic involvement in patients with serous ovarian cancer: a single-institution experience with 244 patients. Radiology. 282(1):160-70, 2017
                                        11. Trillsch F et al: Surgical staging and prognosis in serous borderline ovarian tumours (BOT): a subanalysis of the AGO ROBOT study. Br J Cancer. 112(4):660-6, 2015
                                        12. Prat J et al: Staging classification for cancer of the ovary, fallopian tube, and peritoneum. Int J Gynaecol Obstet. 124(1):1-5, 2014
                                        13. 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
                                        14. Xie M et al: Application of real-time ultrasound elastography for discrimination of low- and high-grade serous ovarian carcinoma. J Ultrasound Med. 32(2):257-62, 2013
                                        15. Barton SE et al: Recurrent bilateral serous cystadenomas in a premenarchal girl: a case report and literature review. J Pediatr Adolesc Gynecol. 23(1):e27-9, 2010
                                        16. Diamantopoulou S et al: Serous cystadenoma with massive ovarian edema. A case report and review of the literature. Clin Exp Obstet Gynecol. 36(1):58-61, 2009
                                        17. Woodward PJ et al: From the archives of the AFIP: radiologic staging of ovarian carcinoma with pathologic correlation. Radiographics. 24(1):225-46, 2004
                                        18. Wagner BJ et al: From the archives of the AFIP. Ovarian epithelial neoplasms: radiologic-pathologic correlation. Radiographics. 14(6):1351-74; quiz 1375-6, 1994
                                        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

                                                    • Abbreviations

                                                      • Low-grade serous ovarian cancer (LGSC)
                                                      • Serous tubal intraepithelial carcinoma (STIC)
                                                      • Epithelial inclusion cyst (EIC)
                                                    • Definitions

                                                      • Serous epithelial neoplasm
                                                        • Benign (serous cystadenoma)
                                                        • Low malignant potential (borderline serous and LGSC)
                                                        • Malignant (high-grade serous ovarian neoplasm)
                                                          • Distinct histopathologic entity from benign, borderline serous, and LGSC
                                                          • Hence, serous cystadenocarcinoma terminology is going out of favor

                                                    IMAGING

                                                    • General Features

                                                      • Ultrasonographic Findings

                                                        • CT Findings

                                                          • MR Findings

                                                            • Imaging Recommendations

                                                              DIFFERENTIAL DIAGNOSIS

                                                                PATHOLOGY

                                                                • General Features

                                                                  CLINICAL ISSUES

                                                                  • Presentation

                                                                    • Demographics

                                                                      • Natural History & Prognosis

                                                                        • Treatment

                                                                          DIAGNOSTIC CHECKLIST

                                                                          • Consider

                                                                            • Image Interpretation Pearls

                                                                              Selected References

                                                                              1. An H et al: CT texture analysis in histological classification of epithelial ovarian carcinoma. Eur Radiol. ePub, 2021
                                                                              2. Basha MAA et al: Comparison of O-RADS, GI-RADS, and IOTA simple rules regarding malignancy rate, validity, and reliability for diagnosis of adnexal masses. Eur Radiol. 31(2):674-84, 2021
                                                                              3. Bourdel N et al: Borderline ovarian tumors: guidelines from the French National College Of Obstetricians and Gynecologists (CNGOF). Eur J Obstet Gynecol Reprod Biol. 256:492-501, 2021
                                                                              4. Reinhold C et al: Ovarian-Adnexal Reporting Lexicon for MRI: a white paper of the ACR Ovarian-Adnexal Reporting and Data Systems MRI Committee. J Am Coll Radiol. ePub, 2021
                                                                              5. Shanbhogue KP et al: Hereditary ovarian tumour syndromes: current update on genetics and imaging. Clin Radiol. 76(4):313.e15-26, 2021
                                                                              6. Taylor EC et al: Multimodality imaging approach to ovarian neoplasms with pathologic correlation. Radiographics. 41(1):289-315, 2021
                                                                              7. Yu XP et al: MDCT-based radiomics features for the differentiation of serous borderline ovarian tumors and serous malignant ovarian tumors. Cancer Manag Res. 13:329-36, 2021
                                                                              8. Chung SH et al: BRCA and beyond: comprehensive image-rich review of hereditary breast and gynecologic cancer syndromes. Radiographics. 40(2):306-25, 2020
                                                                              9. Flicek KT et al: Borderline epithelial ovarian tumors: what the radiologist should know. Abdom Radiol (NY). ePub, 2020
                                                                              10. O'Neill AC et al: Patterns and prognostic importance of hepatic involvement in patients with serous ovarian cancer: a single-institution experience with 244 patients. Radiology. 282(1):160-70, 2017
                                                                              11. Trillsch F et al: Surgical staging and prognosis in serous borderline ovarian tumours (BOT): a subanalysis of the AGO ROBOT study. Br J Cancer. 112(4):660-6, 2015
                                                                              12. Prat J et al: Staging classification for cancer of the ovary, fallopian tube, and peritoneum. Int J Gynaecol Obstet. 124(1):1-5, 2014
                                                                              13. 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
                                                                              14. Xie M et al: Application of real-time ultrasound elastography for discrimination of low- and high-grade serous ovarian carcinoma. J Ultrasound Med. 32(2):257-62, 2013
                                                                              15. Barton SE et al: Recurrent bilateral serous cystadenomas in a premenarchal girl: a case report and literature review. J Pediatr Adolesc Gynecol. 23(1):e27-9, 2010
                                                                              16. Diamantopoulou S et al: Serous cystadenoma with massive ovarian edema. A case report and review of the literature. Clin Exp Obstet Gynecol. 36(1):58-61, 2009
                                                                              17. Woodward PJ et al: From the archives of the AFIP: radiologic staging of ovarian carcinoma with pathologic correlation. Radiographics. 24(1):225-46, 2004
                                                                              18. Wagner BJ et al: From the archives of the AFIP. Ovarian epithelial neoplasms: radiologic-pathologic correlation. Radiographics. 14(6):1351-74; quiz 1375-6, 1994