Benign Dx Of The Ovary Flashcards

1
Q

Goal of management of benign doc of ovary

A

Exclude Malignancy
Ovarian cyst accident prevention

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2
Q

Benign ovarian tumors are classified into

A

Physiological cysts
Benign Epithelial tumors
Benign Germ cell tumors
Benign Sex cord/ Stromal tumors

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3
Q

Benign Epithelial tumors include

A

Serous Cystadenoma
Mucinous Cystadenoma
Breeder Tumor
Endometriod cystadenoma
Clear cell Tumor

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4
Q

Benign Germ cell Tumors are

A

Demoid cyst
Teratoma

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5
Q

Benign Sex cord/Stromal tumors include

A

Sertoli-leydig cell Tumor
Fibroma
Granulosa cell Tumor

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6
Q

Persistent follicular cyst may cause

A

Menstrual Disturbances
Endometrial Hyperplasia

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7
Q

Luteal cysts are more common in the

A

Right Ovary

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8
Q

What’s the most common type of ovarian tumour

A

Benign Epithelial Ovarian Tumors

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9
Q

The most common subtype of benign Epithelial Ovarian Tumors

A

Serous Cystadenoma

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10
Q

Features of serous Cystadenoma

A

Unilocular
Unilateral
Contains serous fluid that have psammoma bodies

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11
Q

What type of benign epithelial ovarian tumors has a Ground-glass appearance on ultrasound.

A

Endometriod Cystadenoma

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12
Q

What type of benign Epithelial ovarian tumor have transitional epithelium, and mostly in women over 40yrs and may secret oestrogen causing abnormal vaginal bleeding.

A

Brenner tumours-

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13
Q

What type of Benign sex cord tumor is solid, unilateral, benign tumor occurring in the 6th decade of life.
They also cause precocious puberty, PMB, endometrial hyperplasia and endometrial ca due to large quantities of oestrogen production

A

Theca cell tumors-

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14
Q

Call-Exner bodies are pathognomonic to

A

Granulosa cell tumor

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15
Q

What is Meig’s Syndrome(

A

Ascites, pleural effusion in association with ovarian fibroma

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16
Q

Germ cell tumors are commonest in

A

younger women

17
Q

Epithelial cell tumours are the commonest in

A

Older women

18
Q

What are the pressure symptoms of ovarian tumors

A

urinary frequency, leg swelling, varicose veins, haemorrhoids, uterine prolapse may be the presenting complaints.

19
Q

Oestrogen effects symptoms of ovarian tumors

A

menorrhagia, precocious puberty, breast enlargement and post menopausal bleeding

20
Q

Androgen Effects of ovarian tumors

A

hirsutism, acne, virilism with voice changes, clitoral hypertrophy and very rarely thyrotoxicosis.

21
Q

What is the Tumour Markers for epithelial ovarian cancers (serous)

A

Ca-125

22
Q

What is the Tumour Marker for epithelial ovarian cancers (mucinous)

A

Ca 19-9

23
Q

What is the tumor marker for granulosa cell tumor

A

Inhibin

24
Q

•B-Hcg is a tumor marker for

A

Dysgerminoma, choriocarcinoma

25
Q

•B-Hcg is a tumor marker for

A

Dysgerminoma, choriocarcinoma

26
Q

•AFP is a tumor marker for

A

Endodermal yolk sac, teratoma