PMC5499952_01
Bilateral cystic adnexal mass (A) with a solid region (B) and low-resistance neo-vascularization on ultrasound (C).. Note: The yellow circles highlight the whole cystic adnexal mass (A) and the solid region (B). The pink circle highlights the low resistance neovascularization (C).
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The mass had low-resistance blood flow into the solid region (resistance index 0.19), supporting the suspected diagnosis of a malignant bilateral cystic ovarian neoplasm (Figure 1).
CT scan findings of a lobulated cystic mass with septation (A) and papillary projections on the left adnexum (B).. Note: Yellow circles highlight the cystic mass (A) and papillary projections (B).
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Neither lymphadenopathy nor intra-abdominal metastases were found (Figure 2).
Intra-operative findings of a normal uterus and both ovaries, with enlargement of both fallopian tubes.
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The uterus and both ovaries were within normal size parameters (Figure 3).
(A) Macroscopic appearance of both fallopian tubes, (B) solid tubal mass after bisection.
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Tubal specimens are shown in Figure 4.