Case challenge · Imaging / Gynecologic oncology / CT · teaching

Ovarian Cancer Imaging Staging and Resectability · case challenge

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← View the full flowchartBased on FIGO / ESUR

Case #1Imaging / Gynecologic oncology / CT

📋 Case data

Staging and resectability assessmentExtrapelvic peritoneal implants/retroperitoneal nodes, imaging suggests satisfactory debulking achievable (III)

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Step 1 / 1 · Staging and resectability assessment

Confirmed/suspected ovarian cancer — imaging staging and resectability?

💡 Epithelial ovarian/tubal/peritoneal cancer. Abdominopelvic CT is preferred for staging (disease distribution/burden, resectability assessment; ultrasound is for diagnosis/characterization, not staging — Doppler sensitivity for peritoneal metastasis only 69% vs CT 92%/MRI 95%); MRI/DWI (including whole-body) for peritoneal disease/PCI, PET-CT for nodes/distant disease. Signs: omental cake, peritoneal nodules/implants, ascites, right subdiaphragmatic predilection (peritoneal flow).

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.