Ovarian cysts

Question 1

types

Answer 1

1. physiological
2. benign germ cell tumurs
3. benign epithelial tumours
4. benign sex cord stromal tumours

Question 2

which cysts should be biopsied?

Answer 2

Complex (i.e. multi-loculated) ovarian cysts

Question 3

types of physiological cysts/functional cysts

Answer 3

1. follicular - most common
2. corpus luteum cyst

Question 4

What type of benign germ cell tumours?

Answer 4

dermoid cyst = teratomas

Question 5

median age of dermoid cyst

Answer 5

30 years old

Question 6

how common is torsion in benign germ cell tumours?

Answer 6

more likely tan other ovarian tumours

Question 7

where do benign epithelia tumours arise from?

Answer 7

ovarian surface epithelium

Question 8

what type of benign epithelial tumours are there?

Answer 8

1. serous cystadenoma - most common
2. mucinous cystadenoma - massive

Question 9

what may cause a psudomyxoma peritonea if it ruptures?

Answer 9

mucinous cystadenoma

Question 10

Ix

Answer 10

US

Question 11

what are features of a simple benign cyst or physiological cyst?

Answer 11

unilocular cyst

Question 12

what are features of a complex/malignant ovarian cyst?

Answer 12

multilocular, more likely to be malignant

Question 13

what does mx depend on?

Answer 13

age - whether pre or post menopausal

Question 14

mx in pre-menopausal

Answer 14

conservative

US - repeat in 8-12 weeks

Question 15

mx in post-menopausal

Answer 15

refer to gynae

unlikely to be physiological