Boobies and Eggies.

Question 1

endometrioma

Answer 1

ectopic endometrial tissue –> complex mass on ultrasound.

presentation: pelvic pain, dysmenorrhea, dyspareunia

Question 2

brenner tumor of the ovary

Answer 2

resembles bladder: pale yellow-tan, with capsule

on histology: “coffee-bean”

Question 3

fibromas of the ovary:

Answer 3

bundles of spindle-shaped fibroblasts. creates pulling sensation in the groin.

Question 4

Meigs sydrome

Answer 4

triad of ovarian fibroma, ascites, hydrothroax.

Question 5

serous cystadenoma of the ovary

Answer 5

most common ovarian neoplasm.

frequently bilateral, lined with fallopian-like epithelium.

Question 6

granulosa cell tumor

Answer 6

most common sex cord stromal tumor.
functional: estrogen / progesterone –> bleeding

CALL-EXNER bodies (resemble primordial follicles)

Question 7

serous cystadenocarcinoma

Answer 7

most common ovarian neoplasm
bilateral
PSAMMOMA Bodies

Question 8

dysgerminoma

Answer 8

most common in adolescents.
uniform fried egg cells
hCG /LDH as tumor markers

Question 9

choriocarcinoma

Answer 9

pregnancy related.
malignancy of trophoblastic tissue (no chorionic villi present)
abnormal bHCG + hemoptysis

Question 10

yolk sac / endodermal sinus tumor

Answer 10

aggressive
most common tumor in male infants
yellow, friable hemorrhagic solid mass.

Schiller-Duval bodies that resemble glomeruli.

AFP as tumor marker.

Question 11

krukenberg tumor

Answer 11

GI malignancy metastasizing to ovaries –> mucin-secreting signet cell adenocarcinoma.

Question 12

intraductal papilloma of the breast (benign)

Answer 12

small tumor growing into lactiferous ducts.
serous / blood nipple discharge.
2x increased risk for carcinoma.

Question 13

malignant breast tumors

Answer 13

1) post-menopausal
2) over expression of estrogen/progesterone receptors (HER2)
3) triple negative = more aggressive
4) axillary lymph node involvement = most important prognostic factor