Ovarian Disorders Flashcards
MCC simple cystic adnexal mass in reproductive age
Functional cysts
MC ovarian mass in women of reproductive age
Function cysts
MCC complex adnexal mass
Benign cystic teratoma
MCC pelvic mass
Pregnancy
Vague pelvic pain Unilateral cystic movable mass Translucent thin walled Less than 8 cm Solitary
Follicular cyst
Persistent dominant follicle
Vague pelvic pain
Unilateral cystic movable mass
Smooth red brown if acute or gray if chronic
Solitary
Corpus luteum cyst
Failure of corpus luteum to regress
Vague pelvic pain Unilateral cystic movable mass Multiple leutinized follicular cyst or hyperreactio lutealis Honeycomb appearance Straw colored fluid Bilateral
Theca lutein cyst
Prolonged excessive stimulation of gonadotropins
Management of ovarian cyst
Premenarcheal
Reproductive
Post menopausal
> 2 cm EL
8 cm EL
PALPABLE EL
Fixed solid irregular bilateral adnexal masses
Prepubertal postmenopausal OCP
On ultrasound: >8 cm solid or mixed multilocular multicystic nodular masses with ascites peritoneal masses and lymphadenopathy
Malignant tumor
Adnexal mass with calcifications on utz
Benign tumor
MC ovarian epithelial tumor
Serous cystadenoma
Epith
Resembles cells of endocervix or intestines
Large multilocular mass with mucoid substance
Mucinous cystadenoma
Epith
Transitional cell tumor
Coffee bean appearing nucleus
Brenner tumor
Epith
MC neoplasm in prepubertal female
Benign Cystic teratoma
Germ cell
MC benign solid tumor of ovary
Whorled pattern
Fibroma
Stromal
Meig’s syndrome
Ovarian fibroma
Ascites
Hydrothorax
Benign ovarian tumor tx
Tumor resection or USO
Cells with abundant glycogen
DES exposure
Hobnail cells
Clear cell
Epith
Tumor markers for epithelial ovarian ca
CA 125
CEA
Tumor markers for germ cell tumor
LDH dysgerminoma
AFP endodermal sinus or yolk sac, immature teratoma (benign)
hCG choriocarcinoma
Tumor markers for stromal
Estrogen granulosa theca
Testosterone sertoli leydig
Ovarian ca staging 1 2 3 4
Ovaries
Pelvis
Peritoneum, regional LN, liver capsule
Distant
MC ovarian malignancy in women <30
Rapid growth
Pelvic pain and pressure sx
Germ cell tumors
Schiller Duval bodies with hyaline droplets
Endodermal sinus or yolk sac tumor
Germ cell
Hemorrhagic
Highly malignant
Choriocarcinoma
Germ cell
Call Exner bodies Coffee bean nuclei Pre menarcheal precocious puberty Pre menopausal menstrual irregularities Post menopausal bleeding
Granulosa theca
Sex cord stromal
Resemble fetal testes
Sertoli leydig
Sex cord stromal
