Abnormal Pelvis Pt. 4 Flashcards
What serum tumor marker is used for epithelial ovarian cancer?
CA 125
What are the classifications of ovarian neoplasms?
germ cell
epithelial
sex-cord stromal
“Tip of the iceberg” sign refers to?
dermoid plug/teratoma
Dermoid plug is also referred to as? (rare, starts with an R)
Rokitansky nodule
Brenner’s tumors are also known as
transitional cell tumors
What is the most common cause of ovarian enlargement in premenopausal women?
follicular cysts
What types of cysts respond to hCG?
theca lutein
Chocolate cyst aka
endometrioma
Functional cysts:
respond to cyclical hormonal changes
Follicular cysts:
dominant follicle fails to regress
Hemorrhagic cysts:
bleeding within the cyst
Paraovarian cysts:
located in broad ligament
Non-functional cysts:
does not respond to hormonal changes
Corpus luteal cysts:
ruptures about the time of menstruation
Peritoneal inclusion cyst:
caused by adhesions
Clinical symptoms of severe acute pain, nausea + vomiting, and a palpable mass is associated with?
ovarian torsion
Torsion often occurs when?
childhood and during the reproductive years
What are the two most common types of ovarian tumors (germ cell)?
benign cystic teratoma
surface epithelial-serous cystadenoma
Epithelial tumors are more commonly found in women in their:
fourth and fifth decade of life
The most common component of a teratoma is what?
ectoderm
People with benign cystic teratomas are commonly asymptomatic. True or false
true
Maligneant ovarian tumors discovered during pregancy are typically:
dysgerminomas
What is the most common ovarian tumor among women 50 years or older and account for the most malignant ovarian neoplasms?
epithelial ovarian tumors
What are the most common types of epithelial neoplasms?
**serous + mucinous cystadenoma
or
cystadenocarcinoma
Serous cystadenoma’s occur in women:
40-50yrs old
Serous cystadenocarcinoma’s occur in women:
perimenopausal and postmenopausal
What is the most predictive sonographic feature for malignancy in a serous cystadenocarcinoma?
cystic mass that contains a solid area w/ detectable flow
Rupture of the tumor (cystadenocarcinomas) capsule may cause spillage of the gelatinous contents into the abdomen resulting in a condition
pseudomyxoma peritonei
Older or younger women are likely to present with a mucinous cystadenocarcinoma?
older
Endometrioid tumors usually are seen in women:
in their 50’s and 60’s
This is not helpful so imma stop here
sorry
