Speakers - CWC 2023

Abstract

Objective The study aims to describe the radiological spectrum of appearances of ovarian lymphoma (OL). The manuscript describes the radiological aspects of OL to assist the radiologist in achieving the correct orientation of the diagnosis.

Methods We conducted a retrospective evaluation of imaging studies of 98 cases of non-Hodgkin’s lymphoma, with extranodal localisaƟon (ovaries) in three cases (1 primary, 2 secondary). A literature review was also performed.

Results Of the three evaluated women, one had a primary ovarian involvement, and two had a secondary ovarian involvement. The most common lesion characteristics were a well-defned, solid homogeneous, and hypoechoic mass in the US. CT depicts OL as a well-defned, non-infltraƟng, homogeneous hypodense solid mass with mild contrast enhancement. On T1-weight MRI, OL appears as a homogeneous mass of low signal intensity, which enhances avidly following intravenous gadolinium. Conclusion Clinical and serological presentaƟon of OL can be similar to that of primary ovarian cancer. As imaging plays a central role in the diagnosis of OL, the radiologist should be familiar with US, CT, and MRI appearances of this condition to orient the diagnosis correctly and so avoid unnecessary adnexectomy. Keywords Ovarian lymphoma · Ovarian neoplasms · Lymphoma · Lead vessel