varian carcinoma

  

HISTORY: 64-year-old female with known ovarian carcinoma.

FINDINGS: Images 1-3 are longitudinal and transverse scans of the liver.

Image 4 is a sagittal scan of the spleen.  Note that Images 1-3

demonstrate a complex cystic mass along the edge of the liver surface.

It contains irregular septations and mural nodules.  Image 1

demonstrates that the mass extends exophytically from the liver surface.

Image 4 is a sagittal scan of the spleen demonstrating a hypoechoic, but

predominantly solid lesion near the diaphragm.

DIAGNOSIS: Ovarian carcinoma with cystic metastases to the liver and

spleen.

DISCUSSION: Ovarian carcinoma may produce cystic metastases in the

liver, spleen, peritoneal cavity, and omentum.  The appearance of the

hepatic lesion is not unlike the appearance of the primary tumor,

demonstrating a complex cystic mass with mural nodules and irregularly

thickened septations.  When the lesions are located along the peripheral

margin of the liver, it is often difficult to know whether the lesion

originates within the hepatic parenchyma or is located along the

peritoneal surface of the liver with simple mass effect on the liver.