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Gynecology > Ovaries > Flashcards

Ovaries Flashcards

1
Q

Mobile
Cystic
Smooth
Unilateral

A

Benign

Ben’s Smooth Mobile UniCycle was Repossessed

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2
Q

Fixed
Solid
Irregular
Bilateral

A

Malign

Mali ang mag Fix ng Solid Irregular Bill ng Old, young and taking OCPs

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3
Q

Size differentiating Benign from Malignant

A

8
<8 Benign
>8 Malignant

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4
Q

Benign or Malignant ovarian mass: associated with calcifications

A

Benign

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5
Q

Benign or Malignant ovarian mass: associated with ascites and lymphadenopathy

A

Malignant

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6
Q

Benign or Malignant ovarian mass: nodular and papillary on UTZ

A

Malignant

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7
Q

Benign or Malignant ovarian mass: multilocular and multicystic on UTZ

A

Malignant

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8
Q

Comprise 75% of ovarian masses in women in reproductive age

Most common cause of simple cystic adenexal mass in the reproductive age

A

Functional Cyst

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9
Q

Most common cause of complex adnexal mass

A

Benign cystic teratoma

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10
Q

Most common cause of pelvic mass

A

Pregnancy

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11
Q

Benign cyst that can rupture and can cause mild-moderate intraperitoneal bleeding

A

Corpus Luteum

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12
Q

Benign cyst that can become very large and cause adnexal/ovarian torsion and massive bleeding

A

Theca lutein cyst

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13
Q

Functional ovarian cyst that results from the persistence of a dominant follicle (failure of a follicle to rupture during the follicular maturation phase)

A

Functional cyst

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14
Q

Functional ovarian cyst that results from the failure of the corpus luteum cyst to regress during the luteal phase

A

Corpus luteum cyst

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15
Q

Spotting with delay in menses
Unilateral pelvic pain
Small, tender adnexal mass (CL cyst)

A

Halban’s Triad

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16
Q

Functional ovarian cyst that results from prolonged or excessive stimulation by endo/exogenous gonadotropins (hCG)

A

Theca lutein cyst

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17
Q

Functional ovarian cyst with honeycomb appearance and (+) straw colored fluid grossly

A

Theca lutein cyst

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18
Q

Functional ovarian cyst that is translucent and thin walled

A

Functional cyst

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19
Q

Functional ovarian cyst: multicystic and bilateral

A

Theca lutein cyst

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20
Q

Functional ovarian cyst: regresses after pregnancy

A

Theca lutein cyst

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21
Q

Adnexal Torsion management

A

Exploratory laparotomy

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22
Q

Adnexal mass management: Premenarchal < 2 cm

A

Exploratory laparotomy

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23
Q

Adnexal mass management: Reproductive <6 cm

A

Observe -> repeat UTZ

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24
Q

Adnexal mass management: Reproductive 6-8 cm

A

UTZ -> (Observe if Unilocular, Exlap if Multilocular)

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25
Q

Adnexal mass management: Reproductive > 8 cm

A

Ex lap

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26
Q

Adnexal mass management: Post mens, palpable

A

Ex Lap

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27
Q

WHO classification of Ovarian tumors

A

Epithelial
Sex Cord
Germ Cell

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28
Q

M/C classification of Ovarian tumors

A

Epithelial

29
Q

Most frequent ovarian epithelial tumor

Ovarian epithelial tumor that resembles fallopian tubes

A

Serous cystadenoma

30
Q

Ovarian epithelial tumor that resembles endocervix/GIT

Ovarian epithelial tumor that is multilocular with mucoid substance within and can reach enormous size

A

Mucinous cystadenoma

31
Q

Ovarian epithelial tumor that resembles the transitional cells of the urinary bladder

Ovarian epithelial tumor that has epithelial cells with “coffee-bean” appearing nucleus

A

Brenner’s Tumor

32
Q

Ovarian epithelial tumor with cells resembling the endometrium

A

Endometroid

33
Q

Most common neoplasm in prepubertal females

Dermoid Cyst/ Mature Teratoma

80% Occur in reproductive life

A

Benign cystic teratoma

34
Q

Most common benign solid tumor of the ovary

Whorled pattern in cross section

A

Fibroma

35
Q

Meig Syndrome

A

HAFi
Hydrothorax
Ascites
Fibroma

36
Q

Ovarian stromal tumor that is extremely slow growing and unilateral

A

Fibroma

37
Q

Tumor markers for Ovarian Epithelial tumors

A

CA - 125

CEA

38
Q

Tumor markers for Germ cell tumors

A

LDH
hCG
AFP

39
Q

Tumor markers for Sex cord tumors

A

Estrogen

Testosterone

40
Q

Stage of Ovarian Tumors: Confined to the ovaries or Fallopian tubes

A

1

41
Q

Stage of Ovarian Tumors: with pelvic extension (below brim) or primary peritoneal cancer

A

2

42
Q

Stage of Ovarian Tumors: spread to peritoneum outside the pelvis and/or mets to retroperitoneal LN

A

3

43
Q

Stage of Ovarian Tumors: Distant metastases excluding peritoneal surfaces

A

4

44
Q

Ovarian epithelial tumor containing cells with abundant glycogen (Hobnail cells)

A

Clear Cell

45
Q

Ovarian epithelial tumor associated with DES exposure

A

Clear Cell

46
Q

Analogous to seminoma of the testes

A

Dysgerminoma

47
Q

Tumor marker for Dysgerminoma

A

LDH

48
Q

Most common malignant germ cell tumor

A

Dysgerminoma

49
Q

Primary tool for evaluation of Pelvic mass

A

Pelvic Ultrasound

50
Q

Pelvis and abdomen to assess the spread of the disease

A

MRI/ CT Scan

51
Q

Distinguishes primary or secondary ovarian CA

A

Barium Enema and Intravenous Pyelogram

52
Q

Tx for Ovarian CA

A

Desires pregnancy - USO/BSO + Completes Surgical Staging

Uterus not Needed - TAHBSO + Completes Surgical Staging

Stage IC-IV = + Chemo Tx (Paclitaxel + Carbaplatin)

St. IV = (-) Surgical Staging, (+) Surgical debulking

53
Q

Most common ovarian malignancy in women <30 y/o

A

Germ Cell Ovarian Tumor

54
Q

Germ cell stroma infiltrated with lymphocytes
TM: LDH

Analogous to Seminoma

A

Dysgerminoma

55
Q

Schiller Duval Bodies

TM: AFP

A

Endometrial sinus Tumor/ Yolk Sac Tumor

56
Q

Highly malignant cytotrophoblast and syncitiotrophoblast

TM: hCG

A

Choriocarcinoma

57
Q

Immature embryonic structures mixed with mature elements

TM: AFP

A

Immature teratoma

58
Q

Call Exner bodies (cells w/ coffee-bean nuclei arranged in small clusters around a central cavity)

Ovarian tumor that is functionally estrogenic

Ovarian tumor that may manifest with precocious puberty in children

A

Granulosa Theca Cell

Gran torino’s Ex coffee is precious to children

59
Q

Nipple projections in dermoids

A

Tubercle of Rokitansky

60
Q

Ovarian tumor that is functionally testosterogenic

Resembles Fetal Testes

A

Sertoli Leydig Cell Tumor

61
Q

Most common tumor in less than 30 y/o

A

Dermoid cyst

62
Q

Schiller Duval Bodies

A

Yolk Sac Tumor

63
Q

Call Exner Bodies

A

Granuloma Theca Tumor

64
Q

Nipple projection in dermoids

A

Tubercle of Rokitansky

65
Q

Presents as virilization

A

Sertoli Leydig tumor

66
Q

Presents as Hyaline Droplets

A

Schiller Duval of Yolk Sac Tumor

67
Q

Presence of Thyroid tissue in the ovary

A

Struma ovarii

68
Q

Presents as Vagina Bleeding in Adults

A

Sertoli Leydic

69
Q

Eosinophilic Bodies surrounded by Granulosa cells

A

Granulos Theca

Gynecology (8 decks)

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