Gynaecology - Neoplasm of ovary Flashcards
Adnexal mass
D/dx
Ovarian cyst
Clinical presentation
Follicular cyst
Cause
US findings
Management
Corpus luteal cyst
Cause
US findings
Mx
Theca lutein cyst
Cause
US finding
Mx
Serous cystadenoma
Cause
US findings
Mx
Mucinous cystadenoma
Cause
US findings
Mx
Endometriotic cyst
Cause
US findings
Mx
Dermoid cyst
Cause
US features
Mx
Ddx benign pathological cysts
Serous cystadenoma
Mucinous cystadenoma
Endometriotic cyst
Dermoid cyst
Ovarian cyst
Pre-menopausal woman investigations
Ovarian cyst
Post-menopausal woman investigation
Ovarian cyst
Ultrasound features to note
Ovarian cyst
3 risk stratification systems
International Ovarian Tumor Analysis (IOTA) US rules: US features
Risk of malignancy index (RMI): incl US features, age, CA-125
Risk of malignancy algorithm (ROMA): incl HE4, CA125 (not involve US features)
IOTA rules
Outline B and M rules
Interpretation
CA-125
Normal expression
Cut-off
Confounding factors
Clinical use
RMI
Outline index
Adnexal mass
Management in pre-menopausal women
Adnexal mass
Management in post-menopausal women
Ovarian cyst torsion
Pathogenesis
Types of cyst most commonly complicated
Ovarian cyst torsion
Clinical features
Investigations
Diagnosis
Ovarian cyst torsion
Management
Ovarian cyst rupture
Clinical presentation
Ix
Management
Ovarian cancer
Epidemiology
Ovarian cancer
Risk factors
Ovarian cancer
Clinical presentation
Ovarian cancer
Histological subtypes
Ovarian cancer
Epithelial tumor subtypes
Most common type of ovarian tumour in reproductive age women
Ovarian cancer
Non-epithelial tumor subtypes
Ovarian cancer
Secondary tumor subtypes
Ovarian cancer
Investigations
Ovarian cancer
Staging
Ovarian cancer
Surgical staging procedure
Ovarian cancer
Adjuvant chemotherapy indication, choice of chemotherapy
Ovarian cancer
Standard post-op follow-up
Management of advanced ovarian cancer at presentation
Management of borderline tumors
Management of recurrent/ resistant ovarian cancer
Management of non-epithelial ovarian cancer
Prognosis of ovarian cancer