Ovarian Neoplasms with Calcifications

• Serous carcinoma (shown above): Often exhibit papillary histology, which is associated with psammoma calcification. The calcification is typically punctate, but can be amorphous.
• Fibrothecoma: Dense calcifications are often seen.
• Teratoma: Calcifications in mature teratomas (dermoid cysts) are localized to mural nodules, while those of immature teratomas have a more scattered distribution.
• Brenner tumor: Can have extensive amorphous calcification within the solid component
• Dysgerminoma: The ovarian counterpart to the seminoma. Can contain calcifications in a speckled pattern.

References

• Burkill GJ, Allen SD, A'hern RP, Gore ME, King DM. Significance of tumour calcification in ovarian carcinoma. Br J Radiol. 2009 Aug;82(980):640-4.
• Jung SE, Lee JM, Rha SE, Byun JY, Jung JI, Hahn ST. CT and MR imaging of ovarian tumors with emphasis on differential diagnosis. Radiographics. 2002 Nov-Dec;22(6):1305-25.
• Moon WJ, Koh BH, Kim SK, Kim YS, Rhim HC, Cho OK, Hahm CK, Byun JY, Cho KS, Kim SH. Brenner tumor of the ovary: CT and MR findings. J Comput Assist Tomogr. 2000 Jan-Feb;24(1):72-6.