Ovarian Mass

Question 1

what is the leading cause of death from reproductive tract cancers?

Answer 1

ovarian tumors

Question 2

what types of women have an increase risk for ovarian cancer?

Answer 2

women with BRCA mutation

Question 3

signs and sx of ovarian tumors?

Answer 3

advance disease may experience abdominal pain, bloating, and palpable abdominal mass.

usually experience either only mild nonspecific GI sx or pelvic pressure.

Question 4

how are ovarian masses categorized once they have been identified?

Answer 4

functional, benign neoplastic, or potentially malignant

Question 5

What are some labs we are running for an ovarian Mass:

Answer 5

Tumor markers (serum)

cancer antigen 125
HCG
Lactate dehydogenase
Alpha fetoprotein

Question 6

Why is transvaginal ultrasound useful imaging for ovarian masses?

Answer 6

helps differentiate between malignancy and benign. Solid vs Cystic

Color doppler further enhances specificity

Question 7

what is the treatment for ovarian mass that is a malignant tumor?

Answer 7

surgical evaluation by gynecologic oncologist.

hysterectomy/bi lat salpingo-oophorectomy with omentectomy and selective lymphadenectomy.

Post operative chemo.