ovarian pathology

Question 1

presentation of ovarian disease (3)

Answer 1

1. abd pain
2. abnormal uterine bleeding
3. bowel or bladder issues

Question 2

incidence of cancer

Answer 2

endometrial > ovarian > cervical

Question 3

which type of cancer has worst prognosis?

Answer 3

ovarian

Question 4

most common ovarian mass in young women

Answer 4

follicular cyst

Question 5

distension of unruptured graafian follicle, mulitple follicles

Answer 5

follicular cyst

Question 6

cystic enlargement of corpus luteum with central hemorrhage; may mimic endometriosis

Answer 6

corpus luteum cyst

Question 7

often bilateral, multiple, associated with choriocarcinoma & moles, gonadotropin stimulation

Answer 7

theca-lutein cyst

Question 8

most common ovarian tumor in women 20-30 yo

Answer 8

dermoid cyst

Question 9

when a dermoid cyst contains functional thyroid tissue

Answer 9

stuma ovarii

Question 10

endometriosis within ovary with cyst formation; varies with menstrual cycle

Answer 10

endometrioid cyst

Question 11

chocolate cyst

Answer 11

endometrioid cyst

Question 12

most common ovarian tumor

Answer 12

serous cystadenoma

Question 13

age 20-50, thin-walled, large single or multioculated cystic mass filled with serous fluid

Answer 13

serous cystadenoma

Question 14

thin, translucent wall lined with tall, cilitated fallopian like epithelium cells

Answer 14

serous cystadenoma

Question 15

linked to cervix, multiloculated, tall mucus secreting columnar epithelium

Answer 15

mucious cystadenoma

Question 16

presentation with pelvic pain, dysmenorrhea, dyspareunia, complex mass on U/S

Answer 16

endometrioma

Question 17

mass arising from growth of extopic endometrial tissue

Answer 17

endometrioma

Question 18

uncommon adenofibroma with noduels of transitional type epithelial cells in a dense fibrous stroma

Answer 18

brenner tumor

Question 19

pale yellow solid tumor with coffee bean nuclei on H&E

Answer 19

brenner tumor

Question 20

triad of ovarian fibroma + ascites + hydrothorax

Answer 20

meigs syndrome

Question 21

wat is meigs syndrome assc’d with?

Answer 21

fibroma

Question 22

benign tumor; abnormal bleeding in post menopausal woman

Answer 22

thecoma

Question 23

most common ovarian malignancy

Answer 23

serous cystadenocarcinoma

Question 24

psammoma bodies; malignant ovarian tumor

Answer 24

serous cystadenocarcinoma

Question 25

malignant; complex architecture, nuclear atypia, stromal invasion

Answer 25

mucinous cystadenocarcinoma

Question 26

intraperitoneal accumulation of mucious material from ovarian or appendiceal tumor

Answer 26

pseudomyxoma peritonei

Question 27

is granulosa cell tumor malignant or benign

Answer 27

malignant

Question 28

call-exner bodies assc’d with

Answer 28

granulosa cell tumor

Question 29

sheet of uniform friend egg cells, hCG+, elevated LDH

Answer 29

dysgerminoma

Question 30

abnormal BHCG, shortness of breath, hemoptysis due to hematogenous spread to lungs

Answer 30

choriocarcinoma

Question 31

which malignant tumor is very responsive to chemo?

Answer 31

choriocarcinoma

Question 32

most common tumor in male infant/children

Answer 32

yolk sac tumor

Question 33

schiller duval bodies that resemble glomeruli; AFP+

Answer 33

yolk sac tumor

Question 34

mucin secreting signet cell adenocarcinoma with GI origin

Answer 34

krukenberg tumor