Malignant Ovarian Neoplasms Flashcards
___ cancer is the 5th leading cause of cancer dearth in women
ovarian
post menopausal ovarian should not exceed __ in any direction
2cm
what are the risk factors of ovarian cancer
- 50-59 years old
- nulliparity
- family history
- CA 125
what are some common signs of ovarian malignancy
- papillary excrescences
- mural nodule
- the more solid areas present the more concerning
- irregular walls
- thick septations
- can contain echogenci material
what are complex ovarian masses
- teratoma
- ectopic
- hemorrhagic cyst
- cystadenoma
- cystadenocarcinoma
- cystadenofibroma
- abscess
what are some solid ovarian masses
- solid teratoma
- fibroma
- brenner’s tumor
- dysgerminoma
- choriocarcinoma
- carcinoma
- adenocarcinoma
what re some cystic ovarian masses
- follicular
- corpus luteal
- paraovarian
- theca lutein
- PCOD
- Hemorrhagic
- endometriomas
- serous cystadenoma
what is the most rare GYN cancer
cancer of Fallopian tubes
S/S cancer of Fallopian tubes
- discharge
- bleeding
- elevated CA 125
S/A Fallopian tube cancer
- complex mass adjacent to ovary
- associated with hydrosalpinx
S/A krukenberg tumor
- bilateral solid masses
- necrotic changes
- ascites
- pelvic lymphadenopathy
___: GI tract cancer most common primary associated with ovarian metastasis
krukenberg tumor
which lab levels would be elevated with choriocarcinoma
HCG
what labs are elevated with mature teratoma
- AFP
- CA 125
- HCG
teratomas are most common in what age
adolescents
endodermal sinus tumor aka ____
yolk sac tumor
endodermal sinus tumor is benign or malignant
highly malignant
endodermal sinus tumor has an increase in what lab
AFP
What is the normal age range for malignant germ cell tumors
5-25
what are the 4 types of malignant germ cell tumors
- dysgerminoma
- endodermal sinus tumor
- solid teratoma
- choriocarcinoma
what is one of the most common ovarian malignancies seen with pregnancy
dysgerminoma
dysgerminoma can be compared to what in the testicels
seminoma
what labs are elevated with dysgerminoma
- CA 125
- HCG in non pregnant women
- LDH
dysgerminomas can be seen at what age
adolescence and those less than 30
mucinous cystadenocarcinoma is usually found in what age
postmenopausal
S/A mucinous cystuadenocarcinoma
- large cystic mass with septations
- thick septations
- nodules >5mm
what is the most common type of ovarian malignancy
epithelial stromal tumors
what are the 4 types of epithelial stromal tumors
- serous
- mcuinous
- transitional cell
- clear cell
what is the most common ovarian malignancy
serous cystuadenocarcinoma
S/A serous cystadenocarcinoma
- primarily cystic
- multiloculated
- usually unilateral
is the RI is usually higher or lower with malignant ovarian tumors
lower
with malignant ovarian tumors is there low or high velocity
high
