40. Ovary Path I

Question 1

A 55 year old woman comes to see her doctor complaining of discomfort and swelling on the right side of her abdomen. Physical examination was performed and a mass was detected. Further tests were done and showed a jelly like mucinous material within the abdomen. A malignancy in what other organ can also cause this same observation? (MG)

A. Bladder
B. Uterus
C. Small Intestine
D. Appendix
E. Colon

Answer 1

D. Appendix

Dx is mucinous cystadenocarcinoma

Question 2

A 32 year-old female reports to the hospital for her annual well-woman checkup, where she complains of slight pain around her left pelvic region. She denies any other symptoms. Vitals are WNL and PMHx is unremarkable. LMP was 1 week ago and unremarkable. A pelvic USR and XR are ordered, which reveal small cysts on the surface of her left ovary compressing surrounding tissue. What are these cysts most likely to originate from? (MG)

A. Precancerous stromal cells
B. Metastasized lobular carcinoma
C. Ectopic pregnancy implantation
D. Graafian follicles
E. Local tumours of ovarian parenchyma

Answer 2

D. Graafian follicles

Dx is follicular cyst