Ovarian Mass Flashcards

1
Q

True/False
Ovarian tumors are common. Most are benign.

A

True

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2
Q

What is the leading cause of death from reproductive tract
cancer.

A

Malignant ovarian tumors

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3
Q

Women with what gene mutation have increase risk for ovarian cancer?

A

BRCA

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4
Q

S/S of what issue?
(1) Most women with both benign and malignant neoplasms are either symptomatic or experience only mild nonspecific gastrointestinal symptoms or pelvic pressure.
(2) Women with advanced malignant disease may experience abdominal pain and bloating, and a palpable abdominal mass with ascites is often present

A

Ovarian tumor

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5
Q

Once an ovarian mass has been detected, it must be categorized as one of what 3 things?

A

functional,
benign neoplastic,
potentially malignant

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6
Q

Labs for Ovarian Tumor
Tumor markers (Serum) covers what?

A

(a) Cancer antigen 125
(b) HCG
(c) Lactate dehydrogenase
(d) Alpha fetoprotein

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7
Q

What imaging modality is helpful in differentiating ovarian masses that are benign and those with malignant potential? Solid vs Cystic is important

A

Transvaginal ultrasound
-Color Doppler imaging may further enhance specificity

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8
Q

Treatment
(1) Malignant ovarian mass

A

(a) Surgical evaluation and staging by a gynecologic oncologist
(b) Followed by combinations of hysterectomy and bilateral salpingooophorectomy with omentectomy and selective lymphadenectomy
(c) Postoperative chemotherapy. Or watchful waiting

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9
Q

Treatment
(2) Benign neoplasms

A

Tumor removal or unilateral oophorectomy

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10
Q

Ovarian cancer is usually diagnosed after advanced disease is present (75% of the time)
5- year survival
1) Early disease- __%
2) Local spread- __%
3) Distant metastases- __%

A

1) 89%
2) 26%
3) 17

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11
Q

If malignant mass is suspected, surgical evaluation should be
performed by a ________.

A

gynecologic oncologist

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12
Q

True/False
There is decreased risk for ovarian torsion with mass

A

FALSE
Increased

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