Which imaging studies are performed in the workup of ovarian cancer?

Updated: Aug 10, 2020
  • Author: Andrew E Green, MD; Chief Editor: Yukio Sonoda, MD  more...
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Answer

Imaging studies

Routine imaging is not required in all patients in whom ovarian cancer is highly suggested. In cases in which the diagnosis is uncertain, consider the following imaging studies:

  • Pelvic ultrasonography [6, 7] : Warranted

  • Pelvic and abdominal computed tomography (CT) scanning [6, 7] : Warranted

  • Pelvic and abdominal magnetic resonance imaging: Increases specificity of imaging when sonography findings are indeterminate [8]

  • Chest radiography: Routine imaging to exclude lung metastases

  • Mammography: Part of preoperative workup for women older than 40 years who have not had one in the preceding 6-12 months; estrogen-producing tumors may increase the risk of breast malignancies, and breast cancers can metastasize to the ovaries and are often bilateral


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