Type:
Educational Exhibit
Keywords:
Abdomen, Oncology, CT, Imaging sequences, Neoplasia
Authors:
H. W. Utama, L. Mardiyana, H. Nugroho, G. A. Sugianto
DOI:
10.26044/ecr2022/C-11590
Findings and procedure details
We report a case series of three patients who underwent abdominal CT after presenting with an abdominal mass.
Case 1
A 49-year-old woman presented with a 3-year history of abdominal mass. On physical examination, a palpable mass in the pelvic area of the abdomen was detected. CT revealed a solid, multilobulated mass, smooth margins measuring 16.8 x 28.4 x 26.2 cm on the right ovary that showed multiple calcifications within the mass. Ascites was also found in the pelvic cavity (Figure 1).
Case 2
A 57-year-old woman presented with a 2-year history of abdominal mass. On physical examination, a palpable mass in the abdomen was detected. CT revealed a solid mass with smooth margins measuring 13.8 x 13.7 x 26.2 cm on the left ovary, with small calcifications within the mass. In addition, ascites was found in both the perihepatic-perisplenic space and the pelvic cavity. Furthermore, right pleural effusion was detected (Figure 2).
Case 3
A 54-year-old woman presented with an 11-year history of abdominal mass. The patient had been diagnosed with diabetes 5 years earlier. Upon physical examination, a palpable mass in the pelvis was detected. CT revealed a solid mass with a cystic component within the mass measuring +/- 16.8 x 14.5 x 18.6 cm. Ascites was also found in the abdominal cavity, pelvic cavity, and recto-uterine pouch region. Bilateral pleural effusions were also observed (Figure 3).
We also observed the contrast enhancement in each phase (represented in Hounsfield units) and found that all three cases have the same enhancement pattern. Contrast gradually fill in the solid part of the mass with the most enhanced phase was on the delayed phase (Figures 4 and 5).
The histopathology finding using hematoxylin-eosin showed various cellular spindle-shaped cells without any sign of malignancy suggesting fibroma (Figure 6).
Findings from the three cases described above are summarised in Table 1.