Gynecology- Ovarian & other repro tract abnormalities Flashcards

1
Q

What features of an adnexal mass would be concerning for malignancy

A

postmenopausal age
chronic or worsening pain
mass symptoms (bloating, constipation)

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2
Q

Best initial evaluation of an adnexal mass

A

pregnancy test and pelvic ultrasound

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3
Q

U/S findings for a malignant adnexal mass

A

Complex (solid and cystic)
Irregular
Thickened internal septations

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4
Q

U/S findings for a benign adnexal mass

A

simple ovarian cyst with normal Doppler flow

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5
Q

Physiologic corpus luteum cyst

A

Benign cyst related to recent ovulation in premenopausal women. Can present with mittelschmerz.

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6
Q

Best next step in management for a benign adnexal mass

A

physiologic ovarian cyst resolve spontaneously. Observation and repeat examination in 6wks.

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7
Q

ovarian cyst aspiration

A

ALWAYS WRONG ANSWER

cytology not diagnosis and spillage can increase cancer staging if malignant

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8
Q

Next step for malignant adnexal mass on u/s

A

Undergo CT to asses for mets.

Can guide use of adjuvant chemo prior to surgical staging.

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