Ovarian cysts

Question 1

What are the different physiological cysts?

Answer 1

Follicular cysts.
Corpus luteum cyst

Question 2

Describe features of follicular cysts

Answer 2

Commonest type of ovarian cyst.
Occurs due to non-rupture of dominant follicle or failure of atresia in non-dominant follicle.
Commonly regresses after several cycles

Question 3

Describe features of corpus luteum

Answer 3

Failure of corpus luteum to breakdown. More likely to present with intraperitoneal bleeding

Question 4

Describe features of a dermoid cyst

Answer 4

Benign germ cell tumour. May contain skin, hair and teeth
Most common benign ovarian tumour in women < 30 years old.
Usually asymptomatic but torsion is more likely than with other tumours.

Question 5

What are some benign epithelial tumours of the ovary

Answer 5

Serous cystadenoma - most common. Bilateral in 20%.
Mucinois cystadenoma -Typically large (may become massive). If ruptures then it may cause psudomyxoma peritonei