Imaging features of ovarian metastases from colonic adenocarcinoma in adolescents

This paper describes the imaging features of ovarian metastases from adenocarcinoma of the colon in adolescent females. We reviewed retrospectively abdominal and pelvic computed tomographic and pelvic ultrasound examinations, histologic slices, and clinical charts of six adolescent females with ovar...

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Bibliographic Details
Published in:Pediatric radiology 1995-06, Vol.25 (4), p.286-288
Main Authors: KAUFFMAN, W. M, JENKINS, J. J, HELTON, K, RAO, B. N, WINER-MURAM, H. T, PRATT, C. B
Format: Article
Language:English
Subjects:
Adenocarcinoma - diagnostic imaging
Adenocarcinoma - pathology
Adolescent
Biological and medical sciences
Child
Colonic Neoplasms - pathology
Diagnosis, Differential
Female
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Medical sciences
Ovarian Neoplasms - diagnostic imaging
Ovarian Neoplasms - pathology
Pelvis - diagnostic imaging
Retrospective Studies
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Tomography, X-Ray Computed
Tumors
Ultrasonography
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Summary:This paper describes the imaging features of ovarian metastases from adenocarcinoma of the colon in adolescent females. We reviewed retrospectively abdominal and pelvic computed tomographic and pelvic ultrasound examinations, histologic slices, and clinical charts of six adolescent females with ovarian metastases secondary to adenocarcinoma of the colon. One patient had ovarian metastasis at presentation and was presumed to have a primary ovarian tumor. The ovarian metastases were either solid (n = 3), complex with both solid and cystic components (n = 2), or multilocular cysts (n = 1). The ovarian lesions were large, ranging from 6 cm to 18 cm in diameter. Colorectal carcinoma in adolescent females is frequently associated with ovarian metastases. One imaging characteristic differs in adult and adolescent ovarian metastases, although they do have features in common: in adolescents, a smaller proportion of colorectal ovarian metastases are multicystic (17%) compared with the adult series (45%). These lesions are frequently large and may be complex, multicystic, or solid. Although it is a rare disease, the differential diagnosis of adnexal masses in adolescent females should include ovarian metastases from adenocarcinoma of the colon.
ISSN:0301-0449
1432-1998
DOI:10.1007/BF02011103