Ovarian Cysts Flashcards
What does stroma do?
Produces hormone
Where can tumours arise?
Germinal epithelium
From where can cysts develop?
In follicles and corpus luteum
How many women have a cyst?
10%
What percent of cysts are benign?
90%
Tumour markers?
Beta hcg
Alpha fetoprotein
Ldh (lactate dehydrogenase)
Which stromal tumour is most common?
Granulosa tumour -looks gelatinous yellow pus like
Has sertoli leydig tumour
Borderline tumour is not ?
Cancer and can not spread to other organs
Which marker is used to differenitate between benign and cancer?
CA 125 really high- malignant
But can go up with many things
Risk of malignancy index?
Menstrual x usss x CA125
What present of women present at advances stage of ovarian cancer?
60-80%
Treatment for ovarian cancer?
bevacizumab (targeting VEGF, chemotherapy (carboplatin +/-taxol), surgery
What type of cysts are there?
Follicular cyst and luteal cyst
What percent of all women in UK will be admitted by age of 65 with an ovarian cyst?
4
What percent of cyst are malignant, surgically managed?
13% in premenopausal and 45% in post menopausal
Symptoms of ovarian cysts?
Asymptomatic
Pain
Menstrual disruption
Pressure
What length would you allow before reacting?
For premenopausal women- 8cm
Post menopausal- 5cm
Complexity of cyst on ultrasound?
Solid
Septae
Bilateral
Free fluid
Gravado 0 Parus 0?
No pregnancies no babies
What can happen after rupture of ovarian cyst?
Peritonitis, but if its mucus cyst the pseudomyxoma peritonei
What does haemorrhage into a cyst look like on an ultrasound?
Bad tv service, mostly in a specific region
Blood supply for ovary comes from?
Renal vessels
Which cells do dermoid cyst come from?
Germ cells
If you get a cancer in germ cell normally happens what age women?
Under 30
