endo/ ovarian cysts Flashcards
causes of thick endo (4)
pregnancy, endometriosis, hyperplasia, polyps
causes of bleeding (5)
polyps, fibroids, cancer, hyperplasia, atrophy
two types of biopsy
direct and blind
when is the best time to evaluate the endo
when its is thinest so early proliferative
indications for ovarian US (4)
pain, palpable mass, bleeding, family history
in ovary exam what are we looking for (5)
ectopic, cyst, tumor, appenicitis, IBD
nonneoplastic lesions of ovaries aka
functional cysts
3 types of functional cyst
follicular
corpus luteal
most common cause of ovarian enlargement in young women
functional cysts
normal follicle measures
2.5 cm
follicular cyst caused by
mature follicle fails to ovulate or involute
follicular cyst known as
simple cyst
follicular cyst size
> 3 cm
follicular cyst appearance
thin wall, anechoic, posterior enhancement
follicular cyst uni or bi laterl
uni
follicular cyst symptoms
usually asymptomatic
corpus luteal cyst cause
after ovulation failur of absorption or excessive bleeding into corpus luteum
corpus luteal cyst size
> 4-5cm
corpus luteal cyst bi or unilateral
uni
corpus luteal cyst prone to
rupture
corpus luteal cyst symptom
pain
corpus luteal cyst diff D
ectopic pregnancy
how to tell between corpus luteum and corpus luteal cyst
corpus luteum has ring of fire
theca luteal cyst known for
largest functional cyst
theca luteal cyst associated wit hhigh level of
hCG
theca luteal cyst occur mostly with
gestational trophoblastic disease and ovarian hyper stimulation syndrome
theca luteal cyst bi or unilateral ***
bilateral
theca luteal cyst are multiocular meaning
they make up several compartments
theca luteal cyst look like
hypersimulated ovary
theca luteal cyst complications (4) and leads to
hemorrhage, enlargement, rupture, torsion
leads to pain
which functional cyst most likely to rupture
corpus luteal cyst
hemorragic cyst appearance
hyperechoic and may mimic solid mass, smooth posterior wall
heorragic cyst important patten
reticular pattern
what could free fluid in the pelvis indicate
hemorrhagic cyst
diff D of hemorragic cyst
ruptured ectopic, corpus luteum, endometrioma
hemorragic cyst may see _____ level
fluid level
how long for functional cysts to resolve
1 to 2 menstrual cycles
follow up for large functional cysts
6 weeks
if cyst larger that _______ surgery or MRI may be required
> 7cm
