Ovary Business Flashcards
Corpus luteum cyst & hemorrhagicum
Functional ovarian cyst
Cyst= >3cm and persist >14d
Still make estrogen, progesterone so will delay menses
Unilateral pain
Hemorrhage= rapid enlarge, esp anticoagulant ppl
Thecal Lutein Cyst
Functional ovarian cyst Least common Large bilateral Assoc'd w/ molar pregnancy placenta release lots HCG Assoc'd w/ iatrogenic Clomid med
Benign epithel ovarian neoplasm
Cystadenomas
Serous- oviduct-ish w/ cilia; most common
Mucinous- cervix-ish w/ picket fence basal nuclei & get rly rly big!
Endometroid- ebdometrioma chocolate cyst
Brenner Cell Tumor- adenofibroma small and solid bladder related
Benign germ cell ovarian neoplasm
Cystic dermoid teratoma
3 germ layers, usu ectoderm skin, hair, nails, nervous tissue
HIGH FAT CONTENT!!
Ovary torsion
Struma Ovarii- thyroid tissue in ovary can produce hyperthyroid!
Benign stromal cell ovarian neoplasm
Granulosa/Sertoli-Leydig Tumor- release lots sex hormones
Ovarian Fibroma- from spindle cell collagen; if w/ ascites and R pleural effusion= Meigs Syndrome
Ovarian cancer background info
Deadliest gynecological cancer
High recurrence
Age 50-60
Not detected until advanced b/c very everyday symptoms & poor screening
1/70 risk incr until age 70
Nulliparity, infertile, BRCA, HNPCC Lynch Syndrome are risk factors b/c ovaries overworked w/ovulation
Better to get pregnant, take OCP
Need do pelvic exam, transvaginal ultrasound, CA125
Malignant epithel ovarian neoplasm
Cystadenocarcinona
Serous- PSAMOMMA BODIES calcification
Mucinous- PSEUDOMYXOMATOUS PERITONEI thick mucinous ascites likewise rly rly big
Malignant germ cell ovarian neoplasm
Most common women under 20
Bad prognosis
Dysgerminoma- very chemo&radioactive, clear cell
Immature Teratoma- good prognosis w/ oophorectomy
Endodermal Sinus Tumor- check AFP
Embryonal Cell Carcinoma- check AFP and HCG
These LAST TWO are rly fatal w/ kids and teens! :(
Malignant stromal cell ovarian neoplasms
Sertoli-Leydig Arrhenoblastoma- steroid testosterone secreting orange tumor cause hirsuitism, virilzation
Krukenberg Tumor
Metastatic to ovary
Bad prognosis
From GI or Breast
Fallopian tube tumor
Metastatic to ovary vice versa…
Grape-like stalk “Hydatid Cysts of Morgagni”
Rare
Hydrosalpinx blood-tinged yellow fluid dilated tubes (hydrotube profluens)
Follicular Cyst
Functional ovarian cyst
Follicle doesn’t rupture nor ovulate
Unilateral pain
Self resolves in 6wks
