Ovarian metastases: computed tomographic appearances.

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Abstract
Computed tomographic scans of 34 patients with ovarian metastases were reviewed to assess the radiographic appearances and to correlate these with the primary neoplasms. Primary neoplasms were located in the colon (20 patients), breast (6), stomach (5), small bowel (1), bladder (1), and Wilms tumor of the kidney (1). The radiographic appearance of the metastatic lesions could be described as predominantly cystic (14 lesions), mixed (12 lesions), or solid (7 lesions). There was 1 false-negative examination which showed no ovarian enlargement, although neoplastic deposits were found on the ovary at laparotomy. The cystic and mixed lesions tended to be larger in overall diameter than the solid. The metastases from gastric carcinoma appeared solid in 4 of 5 cases. The metastases from the other neoplasms had variable appearances simulating primary ovarian carcinoma.

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