Conditions of the Ovaries

Question 1

What does the Adnexa include?

Answer 1

Ovaries
Fallopian tubes
Mesosalpinx
Upper broad ligament

Question 2

What does the Adnexa include?

Answer 2

Ovaries
Fallopian tubes
Mesosalpinx
Upper broad ligament

Question 3

How common are anomalies of the ovaries and fallopian tubes and why?

Answer 3

RARE

– need both X chromosomes for normal development

Question 4

When does a Follicular cyst of the ovary develop?

Answer 4

When an ovarian follicle fails to rupture

Question 5

What cell type lines Follicular cysts of the ovary?

Answer 5

Granulosa cells

Question 6

Follicular cysts of the ovary are asymptomatic unless?

Answer 6

Enlarge => pain

Question 7

How does a Corpus Luteum cyst of the ovary occur?

Answer 7

Corpus luteum becomes cystic and does NOT regress

Question 8

How does a Hemorrhagic cyst of the ovary occur?

Answer 8

Hemorrhage in the corpus luteum 2-3 days after ovulation

Question 9

If there is hemorrhage in the corpus luteum 2-3 days after ovulation, what type of ovarian cyst may develop?

Answer 9

Hemorrhagic

Question 10

Which ovarian cyst is more likely to cause symptoms?

Answer 10

Hemorrhagic

Question 11

Size and location of Theca-Lutein ovarian cysts?

Answer 11

LARGE and Bilateral

Question 12

Color of Luteoma of pregnancy (ovarian cyst)?

Answer 12

Reddish-brown

Question 13

Reddish brown ovarian cyst?

Answer 13

Luteoma of pregnancy

Question 14

Which 2 ovarian cysts can develop with high levels of hCG?

Answer 14

Theca-Lutein

Luteoma of pregnancy

Question 15

The Ovarian tumors in this deck are ____

Answer 15

Benign

Question 16

What is the most common group of Benign Ovarian Tumors?

Answer 16

Epithelial

Question 17

What are the 3 common types of Epithelial Ovarian Tumors?

Answer 17

• Serous cystadenoma
• Mucinous cystadenoma
• Brenner Tumor

Question 18

What is the most common Epithelial Ovarian tumor?

Answer 18

Serous Cystadenoma

Question 19

What histo item can be seen with Serous Cystadenomas?

Answer 19

Psammoma bodies

Question 20

What is the treatment for Serous Cystadenomas?

Answer 20

Surgery

Question 21

How do Mucinous Cystadenomas look compared to serous?

Answer 21

Multiloculated

Question 22

What are Mucinous Cystadenomas associated with?

Answer 22

Appendiceal mucocele

Question 23

What size are Mucinous Cystadenomas?

Answer 23

Can attain a HUGE size and fill pelvis/abdomen

Question 24

Which type of Epithelial tumor is small, smooth and solid?

Answer 24

Brenner tumor

Question 25

The Brenner tumor of the ovary has epithelium that resembles what type?

Answer 25

Transitional cells of the bladder

Question 26

What are the 3 common types of Sex Cord-Stromal Ovarian tumors?

Answer 26

- Granulosa-theca - Fibroma - Sertoli-leydig

Question 27

If the sex cord stromal tumor cells undergo feminine differentiation, what tumor type will arise?

Answer 27

Granulosa-theca

Question 28

If the sex cord stromal tumor undergoes masculinization, what tumor type will arise?

Answer 28

Sertoli-leydig

Question 29

What do Granulosa-theca tumor produce?

Answer 29

Estrogen

Question 30

Symptoms of Granulosa-theca tumors?

Answer 30

Feminine signs/symptoms | -- produce estrogen

Question 31

What do Sertoli-leydig tumors produce?

Answer 31

Testosterone

Question 32

Symptoms of Sertoli-leydig tumors?

Answer 32

Virilization (male characteristics) | -- produce testosterone

Question 33

What is the most common SOLID ovarian tumor?

Answer 33

Fibroma | sex cord stromal

Question 34

What is a syndrome that can occur with an Ovarian Fibroma?

Answer 34

Meigs Syndrome | = ovarian fibroma, ascites, right sided pleural effusion

Question 35

Ascites, right sided pleural effusion and an ovarian _____ is Meigs syndrome

Answer 35

Fibroma

Question 36

What is the most common Ovarian Tumor that can be found at ALL AGES?

Answer 36

Cystic Teratoma | germ cell

Question 37

What is a common Germ Cell Ovarian tumor?

Answer 37

Cystic Teratoma

Question 38

What do Cystic Teratomas contain?

Answer 38

Tissue types from all 3 germ cell layers | -- especially the ectoderm

Question 39

If a Cystic Teratoma ruptures, what can occur?

Answer 39

Chemical peritonitis

Question 40

Benign Ovarian tumors have what symptoms and outlook usually?

Answer 40

Usually asymptomatic or vague symptoms - - enlarge slowly - - outlook depends on the age/desire for pregnancies