Ovarian Pathology Flashcards

1
Q

cause of a follicular cyst?

A

when ovulation doesnt occur eg in PCOS so follicle grows and becomes cystic

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2
Q

what is the wall of a follicular cyst like?

A

thin

lined by granulosa cells

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3
Q

macroscopic appearance of ovarian endometriosis?

A

peritoneal spots/nodules
fibrous adhesions
chocolate cysts

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4
Q

microscopic appearance of ovarian endometriosis?

A

endometrial glands and stroma
haemorrhage
inflammation
fibrosis

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5
Q

complications of endometriosis?

A
pain 
cyst formation
adhesions
infertility
ectopic pregnancy
endometrioid carcinoma
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6
Q

epithelial ovarian tumours are divided into what categories?

A

benign
borderline
malignant

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7
Q

what classifies an epithelial ovarian tumour as malignant?

A

stromal invasion

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8
Q

where do most high grade serous carcinomas arise from?

A

tubal region

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9
Q

what 2 cancers are associated with ovarian endometriosis?

A

endometrioid carcinoma

clear cell carcinoma

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10
Q

what 2 ovarian cancers are associated with lynch syndrome?

A

endometrioid

clear cell

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11
Q

why do you get ascites in ovarian cancer?

A

cancer cells spread to the lining of the peritoneum and irritate it causing fluid to build up

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12
Q

a brenner tumour is a tumour of what kind of epithelium?

A

transitional epithelium

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13
Q

germ cell tumours of the ovary are called…

A

teratomas

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14
Q

most common malignant germ cell tumour? who gets it?

A

dysgerminoma

children and young women

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15
Q

inflammation of the fallopian tube is called..

A

salpingitis

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16
Q

most common cancer involving the fallopian tube?

A

serous tubal intraepithelial carcinoma

17
Q

young woman with amenorrhea, acute hypotension and an acute abdomen…

A

ectopic pregnancy

18
Q

Tx endometriosis

A
  1. painkillers
  2. hormonal contraception eg COCP/IUS
  3. laparoscopic removal
  4. hysterectomy