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Fig. 10 | Insights into Imaging

Fig. 10

From: Primary and secondary tumors of the peritoneum: key imaging features and differential diagnosis with surgical and pathological correlation

Fig. 10

Primary peritoneal serous carcinoma in a 73-year-old woman with abdominal pain. Axial (a–c) and coronal (d) CT images in the portal phase show ascites (white asterisk), stranding of the omental fat (white arrows) and nodular thickening of the pelvic peritoneum (red arrows), with no evidence of primary gastrointestinal or ovarian tumor. e Surgical specimen after cytoreductive surgery shows diffuse disease in the peritoneal cavity with multiple implants, resembling ovarian carcinomatosis. Note both ovaries are normal in size and show no measurable masses (yellow arrows). f H&E stain photomicrograph shows a high-grade serous carcinoma with a solid pattern

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