Overian Disorders Flashcards
What are the 3 types of ovarian cyst?
Follicular cyst
Corpus luteum cyst
Theca lutein cyst
What type of cyst occurs when an overian follicle fails to rupture or ovulate
Follicular cyst
What cyst is most common to have
Follicular cyst
What is the treatment for follicular cyst
Normally spontaneously regress within 6 weeks
If it does not consider malignancy or a different cyst
At what size is a corpus luteum considered a cyst
> 3cm
If a patient has recurrent corpus luteum cyst what can you do to help treat
Put on OCPs
What is a complication of a corpus luteum cyst
Corpus hemorrhagicum-fills with blood and ruptures.
Will cause severe pain and hypotension
If you have a corpus luteum cyst what hormone may be continually secreted leading to delayed menstrual cycles
Progesterone-cycles normally start when progesterone level drops
What is the least common cyst that is associated with pregnancy
Theca lutein cyst
What is the treatment of a theca lutein cyst
Most regress spontaneously without intervention
Are most overian tumors benign or malignant
Benign
What are the 3 types of overian tumors
Surface epithium
Stroma
Germ-cells
What is the most common overian tumor
Surface epithium
If an overian tumor is cystic and <10cm what can you do next
Monitor with repeat US
What overian tumor tends to occur in teens/20’s and is most likely benign
Germ cell tumor
What lab can help determine the type of overian tumor present
Alpha fetoprotein
What is the treatment of a germ cell tumor
Oophorectomy
What are the 2 types of sex cord stromal tumors
- Granulosa theca cell tumor
2. Sertoli-Lydig cell tumor
What sex cord stromal tumor is most common
Granulosa theca cell
What sex cord stromal tumor resemble the overies and produces estrogen
Granulosa theca cell tumor
What sex cord stromal tumor resembles the testes and produces testosterone and other androgens
Sertoli-leydig
What is the treatment of a sex-cord stromal tumor
TAH-BSO
What cancer has the highest mortality rate of all gyn cancers
Overian cancer
What can decrease your risk of delvoping ovarian cancer
OCP’s
What tumor marker is elevated in most cases of overian cancer
CA-125
What labs can help identify type of tumor present
LDH, HCG, and alpha fetoprotien
Where can ovarian cancer spread to
Into peritoneal cavity and lymph nodes
What is the treatment of ovarian cancer
Abdominal hysterectomy + bilateral salpingo-oophrectomy + omentectomy + lymphadenectomy for early stage
What mutations do you want to screen for because of a possiblilty of them developing overian cancer
BRCA 1 and BRCA2
When should women with BRCA mutation have a transvaginal US and CA-125 testing
Every 6 months starting at 35 y/o earlier if 1st degree relative diagnosed with cancer
When is an oophorectomy recommended in a patient with a BRCA mutation
Age 35 or as soon as done with childbearing
