When Ovarian Carcinoma on Biopsy Isn't Ovarian: A Pelvic Imaging Challenge

Biopsy-proven 'ovarian' carcinoma may originate elsewhere; in ascites and peritoneal nodules, scrutinize the pelvis for non-ovarian primaries.

• Targeted at radiology trainees and practicing radiologists, this educational case emphasizes considering alternative primary sites (e.g., gastrointestinal) when peritoneal carcinomatosis is present with biopsy suggesting ovarian cancer.
• The short video challenges viewers to look beyond the ovaries, teaching that the key diagnosis may lie outside the adnexa.

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