IMAGING FEATURES OF OVARIAN METASTASES FROM COLONIC ADENOCARCINOMA INADOLESCENTS

This paper describes the imaging features of ovarian metastases from a denocarcinoma of the colon in adolescent females. We reviewed retrospe ctively abdominal and pelvic computed tomographic and pelvic ultrasoun d examinations, histologic slices, and clinical charts of six adolesce nt females with ovarian metastases secondary to adenocarcinoma of the colon. One patient had ovarian metastasis at presentation and was pres umed to have a primary ovarian tumor. The ovarian metastases were eith er solid (n = 3), complex with both solid and cystic components (n = 2 ), or multilocular cysts (n = 1). The ovarian lesions were large, rang ing from 6 cm to 18 cm in diameter. Colorectal carcinoma in adolescent females is frequently associated with ovarian metastases. One imaging characteristic differs in adult and adolescent ovarian metastases, al though they do have features in common: in adolescents, a smaller prop ortion of colorectal ovarian metastases are multicystic (17 %) compare d with the adult series (45 %). These lesions are frequently large and may be complex, multicystic, or solid. Although it is a rare disease, the differential dignosis of adnexal masses in adolescent females sho uld include ovarian metastases from adenocarcinoma of the colon.