Benign tumours Flashcards
common complaints of a benign tumour of uterus (uterine leiomoyma)
- Lower abdominal discomfort
- Dyspareunia (painful sex)
- menorrhagia (heavy periods)
- Dysmenorrhea (painful periods)
- Infertility
- Urinary complications
- Fibroids in pregnancy
Treatment options for a benign tumour of uterus
No treatment, await menopause
Hormonal shrinkage
Hysterectomy
-Ask if patient wants to preserve ovaries
What does the histology of a benign tumour of a uterus look like
Normal tissue of origin
What are some presentations of a benign tumour of colon
Unexplained iron deficiency anaemia
Mild alteration of bowel habit ie diarrhoea
Occult blood found in faecal specimen sent to lab
Tired and lethargic for a long time
Faeces sometimes very dark, nearly black
No weight loss, appetite normal
No abdominal pain
Investigations when given symptoms of a benign tumour of colon
Full blood count
Faecal exam
Barium enema (colon xray)
Liver and abdominal ultrasound
In a full blood count, what would suggest a recent blood loss
Moderate iron deficiency anaemia
High reticulocyte count
Polychromasia (abnormal number of immature red blood cells in blood)
What is a tubular adenoma
a benign tumour of colonic mucosa; grows out into bowel lumen as a polypoid protrusion with a stalk of normal mucosa
Management of if a benign tumour of the colon is found
Regular faecal examination for occult blood. Check colonoscopies (eg every 2 days), and earlier if occult blood is found
What is a benign tumour of glandular epithelium
Adenoma
What are some common common complaints of a benign tumour of an endocrine gland
- Sporadic headaches which are severe and sometimes with vomiting.
- Tiredness which affects everyday life
- Blurring of vision
- Menstrual and libido changes which have lasted a while
If there is blurring of optic disc-early papilloedema and bitemporal hemianopia on testing visual fields, what tests would be ordered
MRI scan of pituitary fossa
What would a removal of a benign tumour of an endocrine gland do
Curative
What are the symptoms of a benign inter cranial tumour (meningioma)
- Admitted following an epileptic fit
- Acting ‘strange’ for a while
- Socially embarrassing
- anosmia (loss of smell)
What would you do if you suspect a benign inter cranial tumour
CT scan
What do meningiomas arise from
Arachnoidal epithelial cells
