Gynecology- Ovarian & other repro tract abnormalities Flashcards
What features of an adnexal mass would be concerning for malignancy
postmenopausal age
chronic or worsening pain
mass symptoms (bloating, constipation)
Best initial evaluation of an adnexal mass
pregnancy test and pelvic ultrasound
U/S findings for a malignant adnexal mass
Complex (solid and cystic)
Irregular
Thickened internal septations
U/S findings for a benign adnexal mass
simple ovarian cyst with normal Doppler flow
Physiologic corpus luteum cyst
Benign cyst related to recent ovulation in premenopausal women. Can present with mittelschmerz.
Best next step in management for a benign adnexal mass
physiologic ovarian cyst resolve spontaneously. Observation and repeat examination in 6wks.
ovarian cyst aspiration
ALWAYS WRONG ANSWER
cytology not diagnosis and spillage can increase cancer staging if malignant
Next step for malignant adnexal mass on u/s
Undergo CT to asses for mets.
Can guide use of adjuvant chemo prior to surgical staging.