Ovarian disorders Flashcards
- Too much LH
- Insulin resistance
- Hirtuisum
- obesity
- acne
PCOS
- Infertility
- Amenorrhea
- Hirutisim
- obesity
- acne
- male baldness
PCOS
string of perls on abdominal US
- PCOS
what is the measure of testoserone with PCOS
Increased
treatment for PCOS
- weight loss
- OCP
- Metformin
- spirolactone
5 PCOS risks:
- endometrical cancer
- DM II
- HTN
- Hyperlipedemia
- Infertility
4 findings for benign oocytes
- < 3 cm
- Hyperechoic w/ distal shadowing
- network of leiner pattern
- homogenous echos
Hyperechoic w/ distal shadowing (finding)
beign terotoma
network of leiner pattern (finding)
hemorragic cyst
homogenous echos (finding)
endometrioma
3 findings of malignant tumor
- Thick walled
- solid component
- blood flow
3 types of functional cysts
- follicular cysts
- corpus luteum cysts
- theca lutein cysts
3 main types of non functional cysts
- epithelial
- germ
- Stromal
3 subtypes of epithilial functional cysts
- Serous
- mucinous
- endometroid
1 subtype of germ cell cyst
beign cystic terotoma (dermoid cyst)
3 subtypes of stomal cell tumor
- Granulosa, theca
- sertoli leydig
- ovarian fibroma
what are the most common type of functional cysts
Follicular
- these are non malignant - regress after 1-2 cycles
what type of cysts have an increase in HcG
- Theaca Lutein
what type of eputhlial cyst is most common
serous
what type of epithelial cyst is most malignant
endometroid
what type of non functional cysts have hair and teeth
- germ cell: benign terotoma
what is the primary risk for ovarian cancer
prolonged estrogen exposure
what are the four types of germ cell TUMORS not cysts
- dysgeminoma (high AFP, High HcG)
- endometrial sinus (High AFP)
- Immature terotoma (high AFP)
- Mixed
what is the name of the tumor that mets to the ovaries
kurkenburg tumor
physical exam for ovarian cancer
- ascites
- inguinal lymphadenopathy
- pelvic mass
