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ObGyn > Benign ovarian masses > Flashcards

Benign ovarian masses Flashcards

1
Q

3 surface epithelial masses

A

Serous cystadenoma
Mucinous cystadenoma
Brener cell tumor

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2
Q

3 functional non neoplastic masses

A

Follicular cysts
Theca luteal cysts
Corpus luteal cysts

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3
Q

2 pathological non neoplastic masses

A

Tubo ovarian abscess
Endometrioma

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4
Q

3 sex cord/stromal neoplastic benign masses

A

Sertoli Leydig cell tumors
Fibromas
Thecomas

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5
Q

Risk factors of ovarian masses x5

A

Tamoxifen
Family hx
Obesity
Early menarche
Hormone replacement therapy

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6
Q

Clinical presentation of benign ovarian masses x5

A

AUB
Chronic dull pain
Dysmenorrhea
Dyspareunia
Palpable pelvic mass

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7
Q

Investigations done for ovarian masses x5

A

Pregnancy test
Transvaginal USS
FBC, CA125
Endocervical swab
Laparotomy

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8
Q

Define halban syndrome and its consequences

A

Persistent corpus luteum without pregnancy
Mimics ectopic pregnancy

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9
Q

Which cysts can be bilateral

A

Theca luteal cysts

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10
Q

Pathophysiology of theca lutein cysts

A

Multiple gestation, GTD, Ovarian overstimulation > increased hCG stimulation of the theca lining > cyst formation

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11
Q

Triple antibiotic therapy for tubo ovarian abscess

A

Gentamicin
Ampicillin
Metronidazole

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12
Q

Presentation of tubo ovarian abscess x5

A

AVD
LAP
Fever
Palpable mass
Cervical motion tenderness

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13
Q

Describe primary and secondary TOA

A

1- Ascending from reproductive tract
2- Intraperitoneal spread from bowel perforation

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14
Q

Contents of endometrioma x3 and management x3

A

Blood, fluid, menstrual remains
Oral contraceptives, NSAIDs, GnRH analogues

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15
Q

2 distinguishing characteristics of endometrioma

A

Chocolate cyst
Ground glass appearance

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16
Q

Characteristics of Brenner cell tumor x4

A

Age 50+
Bilateral
Solid calcified mass
Composed of ovarian transition cells

17
Q

Which surface epithelial mass is unilocular and multilocular x2

A

Uni- serous cystadenoma
Multi- mucinous cystadenoma

18
Q

3 characteristics of Meigs syndrome

A

Ascites
Pleural effusion
Ovarian fibroma

19
Q

True of false, thecoma and fibroma are mostly in postmenopausal women

A

True

20
Q

What does sertoli leydic cell tumor secrete and their effects (2,4)

A

Estrogen> endometrial hyperplasia
Testosterone> acne, hirsutism, amenorrhea, infertility

ObGyn (34 decks)

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