27) Benign Ovarian Tumors - Dx, Tx Flashcards
1
Q
What are the Types of BENIGN Ovarian Tumours?
A
1) Functional
2) Pathological
3) Benign NEOPLASTIC
2
Q
What are Functional?
A
- follicular cyst
- corpus luteum cyst
3
Q
What are Pathological?
A
- theca luteal cyst - molar pregnancy
- endometriomas - chocolate cyst
- Polycystic Ovaries (PCOS)
4
Q
What is a Theca Luteal Cyst?
A
- Pathological Type - originates from corpus luteum
- thin brown-yellow capsule, filled with fluid
- Around 4 - 6cm
- DUE to = ovarian hyperstimulation - most commonly seen in Trophoblastic Disease
5
Q
What are Benign Neoplastic Tumors?
A
Epithelial
- Serous Cystadenoma
- Papillary Cystadenoma
- Mucinous Cystadenoma
Germ Cell - mature teratoma / dermoid cyst
Sex Cord Stroma - Fibromas
6
Q
Describe the Epithelial Tumors
A
(a) SEROUS - Filled with translucent fluid; is 5 - 15cm
(b) PAPILLARY - Found in 40 - 60 Year Olds; is 5 - 30cm
(c) MUCINOUS - LARGEST Tumor, 50cm; A *Multi-Chamber Cystic Formation
7
Q
Describe the Germ Cell - mature teratoma / dermoid cyst
A
- Found anteriorly to Uterus
- Lined with keratinised squamous epithelium, containing sebaceous + sweat glands
- Smooth + Rounded
8
Q
What is the Diagnosis / Treatment?
A
DIAGNOSIS
- Gynecological Exam
- US / MRI
- Assess tumor markers
- Laparoscopy
TREATMENT
- Surgical
- Cryosection
- Laparotomy
- Ovariectomy, Adnexetomy, Kystectomy
