more ovary stuff Flashcards
ovarian remnant syndrome patient has already undergone
bilateral oophorectomy
ovarian remnant syndrome what may havve developed
cystic mass
ovarian remnant syndrome caused by
residual tissue left beginf
ovarian remnant syndrome can cause (2)
pain and compression of distal ureter
ovarian remnant syndrome sono appearance
thin rim of ovarian tissue
small to large cyst
simple to complex
surface epithelial inclusion cyst functioning?
no
surface epithelial inclusion cyst in what group of women
postmeno
surface epithelial inclusion cyst sono apperance
tiny foci but can grow
three types of extraovarian cysts
paraovarian cysts, paratubal cysts, peritoneal inclusion cysts
what cyst found in broad ligament
paraovarian cysts and paratubal cysts on ipsilateral side
paraovarian cysts and paratubal cysts found what age group
30-40
paraovarian cysts and paratubal cysts symptoms
asymptomatic
paraovarian cysts and paratubal cysts % of all adnexal masses
10-20
2 type of peritoneal inclusion cysts
benign systic mesothelioma or benign encycted fluid
peritoneal inclusion cysts have history of (4)
abdo surgery, trauma, PID, endometriosis
peritoneal inclusion cysts symptoms
pain and pelvic mass
what is main producer of peritoneal fluid
ovary –> builds up around the ovary
treatment of peritoneal inclusion cysts
oral contraception to suppress or fluid aspiration
peritoneal inclusion cysts sono appearance
multioculared cystic adnexal masses, bizzare shape
Diff D of peritoneal inclusion cysts
paraovian cyst or hydrosalphinx
pregnancy associated ovarian lessions (4)
theca luteal cyst
ovarian hyperstimulation syndrome
hyperreactio luteinalis
luteoma
theca luteal cyst can gro in response to
HCG
ovarian hyperstimulation syndrome (OHSS) results from
fertility drugs
ovarian hyperstimulation syndrome (OHSS) measures of stage
mild <5cm
moderate 5-12cm
severe >12cm
severe ovarian hyperstimulation syndrome (OHSS) associated with
ascites and pleural effusions
ovarian hyperstimulation syndrome (OHSS) resolves in
2 to 3 weeks needs to be treated not spontaneous
ovarian hyperstimulation syndrome (OHSS) is multiple
theca luteal cysts
hyperreactio luteinalis (HL) is response to
abnormal response from theca luteal to cirulating hCG
hyperreactio luteinalis usually occurs in _____ trimester
3rd
hyperreactio luteinalis (HL) more likely to occur in a patient that has
polycystic ovarian disease
hyperreactio luteinalis sono appearnace
bilateral enarged ovaries, multiple cysts
difference between hyperreactio luteinalis and OHS
occurs in 3rd trimeste, vary not as big, resolves sponatenous
luteoma symptoms
asymptomatic
luteoma cause
luteninize stromal cells produce andorgens, 30% experience maternal virilization (male traits)
most common cause of maternal virilization
luteomas
luteoma sono appearance
heterogenous, hypoechoic mass , highly vascular