The 53-year-old woman with right-sided pelvic pain, bloating, and imaging findings of a 7cm right ovarian mass has ovarian cancer which is specifically known as epithelial ovarian carcinoma.
Epithelial ovarian carcinoma is a type of ovarian cancer that affects older women. It often presents with nonspecific symptoms such as pelvic pain, bloating, and abdominal discomfort. The presence of a 7cm ovarian mass with solid components and thick septations on ultrasound imaging is concerning for malignancy.
The moderate peritoneal fluid is suggestive of peritoneal involvement which is a common finding in advanced ovarian cancer. Ovarian cancer often spreads within the abdominal cavity leading to the accumulation of peritoneal fluid.
The development of ovarian cancer is thought to involve abnormal proliferation of the epithelial cells that line the surface of the ovaries. The doctor will evaluate and stage this condition through additional imaging and biopsies to determine the extent of disease and plan appropriate treatment which may include surgery, chemotherapy etc.