Ovarian Cancer

Question 1

What is seen macroscopically in endometriosis?

Answer 1

Peritoneal spots/nodules
Fibrous adhesions
Chocolate cysts

Question 2

What is seen microscopically in endometriosis?

Answer 2

Endometrial glands and stroma
Haemorrhage, inflammation, fibrosis

Question 3

Complications of endometriosis

Answer 3

Pain
Cysts
Adhesions
Infertility
Ectopic pregnancy
Malignancy (endometrioid carcinoma)

Question 4

Serous carcinoma - two types

Answer 4

High grade (95%) = serous tubal intraepithrlial carcinoma
Must remove ovaries + tubes

Low grade serous carcinoma (5%) = serous borderline tumour

Question 5

Brenner tumour

Answer 5

A tumour of transitional-type epithelium, usually benign

Question 6

Germ cell tumours

Answer 6

Teratoma
Mature, benign cyst (v rarely becomes malignant)
Can differentiate into different structures - teeth, hair, sebum, respiratory epithelium

Question 7

Staging system for cancer in the gynae tract

Answer 7

Figo staging

Question 8

Commonest site of ectopic pregnancy implantation

Answer 8

Fallopian tube