Screening and diagnosis in ovarian cancer

Dysgerminoma of the ovary in association with XY gonadal dysgenesis

A case is reported of an adolescent presenting with primary amenorrhea. On pelvic examination a large unilateral ovarian tumor was palpated. Microscopic examination of the tumor removed at laparotomy revealed a pure dysgerminoma. Further gynecological-endocrinological investigations and chromosome analysis showed an XY gonadal dysgenesis. A review of current approaches to diagnosis, prognosis and especially to the controversial therapeutic modalities is presented.

Computed tomography in ovarian carcinoma: patterns of disease and limitations

Between June 1977 and July 1980, a mixed group of 46 patients with ovarian carcinoma was examined by computed tomography (CT). CT was useful for demonstration of extent of disease within the abdomen and pelvis and may be used to provide an objective means for assessing response to treatment. The limitations of CT include failure to detect peritoneal deposits less than 2-3 cm in diameter, bowel infiltration and minor residual or recurrent disease. The patterns of disease as seen on CT are illustrated and its potential role is discussed.