Epithelial ovarian tumors differential diagnosis
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hannan Javed, M.D.[2]
Overview
On the basis of age of onset, vaginal discharge, and constitutional symptoms, ovarian cancer must be differentiated from tubo-ovarian abscess, ectopic pregnancy, hydrosalpinx, salpingitis, fallopian tube carcinoma, uterine leiomyoma, choriocarcinoma, leiomyosarcoma, pregnancy, appendiceal abscess, appendiceal neoplasm, diverticular abscess, colorectal cancer, pelvic kidney, advanced bladder cancer, and retroperitoneal sarcoma.
Differentiating ovarian cancer from other Diseases
Differentiating ovarian cancer from other diseases on the basis of age of onset, vaginal discharge and constitutional symptoms
On the basis of age of onset, vaginal discharge, and constitutional symptoms, ovarian cancer must be differentiated from tubo-ovarian abscess, ectopic pregnancy, hydrosalpinx, salpingitis, fallopian tube carcinoma, uterine leiomyoma, choriocarcinoma, leiomyosarcoma, pregnancy, appendiceal abscess, appendiceal neoplasm, diverticular abscess, colorectal cancer, pelvic kidney, advanced bladder cancer, and retroperitoneal sarcoma.
| Diseases | Clinical manifestations | Para-clinical findings | Gold standard | Additional findings | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age of onset | Symptoms | Physical examination | |||||||||||
| Lab Findings | Imaging | Immunohistopathology | |||||||||||
| pelvic/abdominal pain or pressure | vaginal bleeding/discharge | GI dysturbance | Fever | Tenderness | CT scan/US | MRI | |||||||
| Gynecologic | |||||||||||||
| Ovarian | Follicular cysts [1] |
|
+/– | – | – | – | +/– |
References
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