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Metastatic Calcifying Ovarian Cystadenocarcinoma

Imaging findings

Serial CT scans over four years show progressive, dense calcification within cardiophrenic, extrapleural fat, paraspinal, and cervical lymph nodes. The patient had a history of low-grade ovarian cystadenocarcinoma.

Key takeaways

Low-grade/borderline serous ovarian cystadenocarcinomas can grow very slowly over years and form densely calcified metastases in atypical extrapleural, cardiophrenic, and abdominal nodes, mimicking benign granulomatous disease.

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