gynae cont'd Flashcards
USS appearance corpus luteum
“ring of fire” appearance on doppler
USS appearance hydrosalpinx
- tubular or cogwheel
- thick walls and incomplete septation
USS appearance TOA
- unable to distinguish from ovary
- thick walls
- mixed echogenicity with inhomogenous appearance
IOTA B rules
- unilocular cyst
- solid component <7mm,
- acoustic shadowing
- smooth multilocular <100mm
- no blood flow
IOTA M rules
- irregular solid tumour
- ascites
- 4 or more papillary structures
- irregular multilocular >100mm
- strong blood flow
RMI U score factors
- multilocular cyst
- solid area
- metastasis
- ascites
- b/l lesions
which port to remove benign ovarian masses through
umbilical
simple cysts in PM women are benign in what proportion
95-99%
Ca125 is raised in what % of epithelial ovarain ca
> 80%
USS features of simple cyst
- round or oval shape
- thin wall
- posterior acoustic enhancement
- anechoic fluid
- no septations or nodules
95-99% benign PM women
who operates if low risk ovarian malignancy (RMI<200)
general gynaecologist (or conservative management)
who operates if moderate risk ovarian malignancy
lead clinician in cancer unit
who operates if high risk ovarian malignancy
gynae oncologist
exercise for PCOS weight loss
150 min regular exercise/week, including 90 minutes moderate aerobic
PCOS - when to consider bariatric surgery
if BMI>40, or BMI>35 and risk factors
