Ovaries And Fallopian Tubes Path Flashcards
Failed Graafian follicle—
Follicular cyst
Results from the rupture of a Graafian follicle
- produces estrogen
Corpus Luteum cyst
Most common pelvic mass seen during 1st trimester pregnancy
Corpus luteum
Corpus luteum resolves by week __
16
Largest and least common functional cyst
Theca lutein cyst
Cyst found in the presence of elevated HCG
Theca lutein cyst
Cyst that is commonly found with gestational triphoblastic disease(molar pregnancy) and ovarian hyper stimulation, twin pregnancy
Theca lutein cyst
High levels of hCG may cause the clinical sign of
Hyperemesis
Theca lutein cysts are often (unilateral or bilateral)?
Bilateral
Small cysts adjacent to ovary
Paraovarian cyst
Paraovarian cysts more likely arise from the ____ or _____
Fallopian tubes or broad ligament
If parapelvic cyst is large enough, patient may present with
Increased lower abdominal girth
Most common benign ovarian tumor
Cystic teratoma/dermoid
Visualization of HAIR within the dermoid
Dermoid mesh
Various tissues that will be a source of posterior shadowing in a dermoid:
Dermoid plug
- Benign ovarian sex cord-stroma tumor
- meigs syndrome
- estrogen producing
- unilateral
Thecoma
Sonographic appearance of thecoma
Hypoechoic, posterior attenuation. Similar to fibroid
Most common estrogenic tumor
Granulosa Cell Tumor
Granulosa cell tumor aka
Granulose Theca cell tumor
- Benign sex cord-stromal tumor
- estrogenic tumor
- unilateral
- adolescents may present with pseudo precocious puberty
Granulosa cell tumor
- Benign sex cord-stromal tumor
- not associated with estrogen production
- Meigs syndrome
Fibroma
Fibromas are most often found in _____ age
Middle age women
Benign blood containing tumor associated with endometriosis
Endometrioma
Endometrioma aka
Chocolate cyst
Endometriomas most common location:
Ovary
- small transitional cell tumors
- unilateral
- signs of Meigs syndrome
- may contain calcifications
Brenner tumor
Meigs syndrome:
- benign ovarian tumor, ascites, pleural effusion
- most commonly occurring in women 40-50 and in pregnant women
- bilateral
- contains septations and/or papillary projections
Serous cystadenoma
- can be up to 50 cm
- unilateral
- contain internal debris
Mucinous cystadenoma
Most common malignancy of ovary
Serous Cystadenocarcinoma
Serous Cystadenocarcinoma is usually ___lateral
Bilateral
Serous Cystadenocarcinoma may have elevated
CA 125
Associated with pseudomyxoma peritonei
Mucinous Cystadenocarcinoma
Mucinous Cystadenocarcinoma is often ___lateral
Unilateral
Difference between serous/mucinous Cystadenocarcinoma and serous/mucinous cystademona
More prominent papillary projections and thicker septations
Malignant ovarian tumor metastases from the GI tract
Krukenberg tumor
Krukenberg tumor most commonly originates from
Stomach
Sex cord-stromal ovarian neoplasm associated with virillization and hirsutism
Sertoli leydig cell tumors/ androblastoma
Sertoli leydig cell tumor aka
Androblastoma
Androblastoma more often found in ____ women
Younger than 30
Most common malignant germ cell tumor of ovary
Dysgerminoma
Dysgerminomas most commonly affect women aged:
Under 30
Most frequent ovarian malignancy found in childhood
Dysgerminoma
Tumor marker for dysgerminoma
LDH
Dysgerminoma is equivalent to the ____ in testicle
Seminoma
Second most common malignant germ cel tumor
Yolk sac tumor
Yolk sac tumor aka
Endodermal sinus tumor
Lab value for yolk sac tumor
AFP
Yolk sac tumor occurs in women age:
Under 20
- women 50-60
- history of endometrial cancer, endometriosis, endometrial hyperplasia
Endometrioid tumor
Most common cancer to originate within an endometrioma
Endometrioid tumor
Doppler of malignant ovarian masses show ____ resistance
Low
RI of malignant tumors
< 0.4
Pulsatility index of malignant neoplasm
< 1.0
Ovarian torsion most commonly affect what side
Right
Most common cause of torsion
Cyst/mass
Sign indicating torsed pedicle adjacent to ovary
Whirlpool sign
“Moth eaten” appearance
Krukenberg tumor
