Ovarian Cancer An Ovarian Tumour with an Initial Presentation of RIF Pain Estimated reading: 2 minutes 203 views Contributors Clinical History A 76-year old lady presented with a few weeks history of right sided abdominal pain, tenderness, and bloating. Although the blood results were normal, the patient was referred to have an ultrasound of the abdomen and pelvis to rule out cholelithiasis or ovarian abnormality. Case Description Ultrasound (TA and TV) revealed a large heterogeneous mass in the right adnexa with cystic and solid components and some internal vascularity. The right renal pelvis was also mildly dilated at 10 mm in AP calibre, suggesting mass effect on the right ureter by the mass. Diagnosis/ Discussion/ Treatment/ Follow up The patient was referred to have a pelvic MRI then whole body CT scan for staging prior to surgery. Subsequently, the patient had a total abdominal hysterectomy with bilateral salpingo oophorectomy. Future MRI scans revealed no evidence of disease recurrence. The post-operative histology analysis of the right ovary revealed a low grade serous carcinoma (Ovarian Tumour) arising in a borderline serous tumour. Sonograms TVUSS showing a cystic mass in the right adnexa with some solid components PDI of the right adnexal complex cystic mass showing some internal vascularity B Mode showing the right adnexal mass with its cystic component Axial CT image of the right adnexal complex cystic mass T1 axial MRI of the right adnexal mass Tagged:GynaecologyOvarian CancerOvarian TumourRIF Pain An Ovarian Tumour with an Initial Presentation of RIF Pain - Previous Ovarian Cancer Next - An Ovarian Tumour with an Initial Presentation of RIF Pain Complex Ovarian Cyst Published on: September 19, 2024
