Radiology Quiz: Ovarian Cancer and Fibroids in MRI

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11 Questions

What percentage of patients with ovarian cancer present with advanced disease?

65%

What is the primary role of MRI in ovarian cancer?

To characterize indeterminate adnexal masses

What features suggest a malignant lesion in ovarian cancer on MRI?

Solid enhancing component, intra-lesional necrosis, ascites, or peritoneal nodularity

What is the most common location for peritoneal implants in ovarian cancer?

The pouch of Douglas

What is the most common subtype of epithelial ovarian cancer?

Serous tumors

What percentage of malignant ovarian tumors are of epithelial origin?

Approximately 90%

What is the characteristic appearance of serous cystadenocarcinomas on imaging?

Mixed solid and cystic masses

What is the typical presentation of mucinous cystadenocarcinomas?

Large, multiloculated cystic mass containing mucin-rich fluid

Which types of carcinomas are associated with endometriosis?

Clear cell carcinoma and endometrioid carcinoma

What is the age group most commonly affected by malignant germ cell tumors?

Younger patients

What are the common sources of metastases to the ovaries?

Gastric cancer, colon cancer, pancreatic cancer, breast cancer, and melanoma

Identify and diagnose ovarian cancer and fibroids using MRI scans, including axial T2-weighted fat suppressed MRI, axial post-contrast T1-weighted fat suppressed MRI, and sagittal T2-weighted fat suppressed MRI.

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