OBGYN Quiz 2 — Ovarian Pathology Flashcards
What is a finding that is associated with true polycystic ovary disease?
Oligomenorrhea
The likelihood of ovarian torsion is greater with what type of mass?
Pedunculated
What sonographic finding is most suggestive of an ovarian malignancy?
Mural nodules
Which type of mass or syndrome is associated with virilization?
Sertoli-Leydig Cell Tumor
What is the most likely diagnosis for a large cyst that is situated in the broad ligament between the fallopian tube and ovary that arose from the Gartner’s duct remnants?
Paraovarian cyst
The following patient is a postmenopausal female that is not on hormone replacement therapy. Her physician ordered the pelvic ultrasound because of vaginal bleeding, an elevated estrogen level, and pelvic pressure. What is most likely her diagnosis?
Granulosa cell tumor
Which location of a Leiomyoma qould be most likely to cause infertility?
Submucosal
The following patient is 22-years-old with an elevated alpha-fetoprotein. It was found to be a germ cell tumor that has the tendency to grow rapidly and has a poor prognosis
Yolk sac tumor
What are three functional ovarian cysts?
Corpus luteum cysts
Theca tube in cysts
Follicular cysts
Note: NOT dermoid cysts (nonfunctional)
Metastasis to the ovary are most commonly from which primary site?
Gastrointestinal tract
A sexually active 28 year old woman is seen with symptoms of pelvic pain, vaginal discharge, dyspareunia, and pain during bowel movements. She relates a history of treatment for vaginal infection twice in the past year. She was treated again last month for the same type of symptoms. Laboratory values reveal some leukocytosis. Despite the patient’s pain you were able to complete the transvaginal exam.
There was mild hydrosalpinx with thin walls and pelvic structures displayed limited mobility with pressure.
What is the most likely diagnosis?
Chronic PID
Your next patient is a 27 year old female that presents with wild pelvic pain and a feeling of pressure/fullness in the pelvis. The mass was subsequently removed and found to be benign germ cell tumor. What is the most likely type?
Dermoid cyst
What would result in reversed rider of infectious spread in the case of PID?
LLQ abscess
What are three risk factors for ovarian cancer?
Infertility
Prolonged ovulatory activity
Postmenopausal
Note: NOT multiparity
What is the most common form of ovarian cancer?
serous cystadenocarcinoma
What are three symptoms of Meigs syndrome?
Solid tumor containing fibrous tissue
Right sided pleural effusion
Ascites
Note: NOT Solid tumor containing fatty tissue
Your next patient has recently started infertility medication and is coming in for a pelvic ultrasound due to pelvic pain. Large bilateral masses were palpated on the doctor’s physical exam. The image below is what was found on the left side. What does this most likely represent?
Theca lutein cyst
What is the most common form of endometriosis?
The diffuse form is the most common
Infertility or sterility would most likely result from which consequence of PID?
Salpingitis
Where is an ovarian fibroma located?
Stromal layer
Where is an ovarian dermoid cyst located?
Germ cell layer
Where is an ovarian mucinous cystadenoma located?
Epithelial layer
Where is an ovarian Brenner tumor located?
Epithelial layer
Struma ovarii are an uncommon type of teratoma. What type of tissue are they predominantly comprised of?
Thyroid tissue
