Pathology Of The Pediatric Ovary Flashcards

0
Q

Ovarian cysts normally measure what?

A

3-7 mm

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1
Q

Ovarian cysts may form when?

A

In utero but may spontaneously resolves

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2
Q

What are the characteristics of a cyst?

A

Round, well defined borders, smooth & thin edges, anechoic, through transmission

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3
Q

Ovarian cysts occur more often in who?

A

Neonates of mothers with toxemia, diabetes, Rh isoimmunization because there is a greater than normal release of placental chorionic gonadotropin

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4
Q

What are common complications of ovarian cysts?

A

Hemorrhage, torsion, rupture

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5
Q

What are sonographer findings of an ovarian cyst?

A

Anechoic structure adjacent to, or within ovary; may have debris if hemorrhage

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6
Q

When can an ovarian torsion occur?

A

At any age

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7
Q

What symptom will occur with an ovarian torsion?

A

Sudden onset of severe pain

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8
Q

What are ovarian torsional associated with?

A

Ovarian cyst or mass

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9
Q

What is compromised with an ovarian torsion?

A

Arterial and venous blood flow; venous first

Little to no blood flow when color Doppler is applied

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10
Q

What does an ovary that is twisted look like?

A

Enlarged and edematous

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11
Q

Ovarian teratomas are uncommon in who?

A

Adolescences and Neonates

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12
Q

Ovarian teratomas are what percentage of germ cells?

A

60%

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13
Q

Ovarian teratomas can be _________ or _________

A

Benign or malignant

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14
Q

What are some types of malignant ovarian teratomas?

A

Dysgerminoma, embryonal carcinoma, endodermal sinus tumor, immature teratoma, chorocarcinoma

Mixed tumors

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15
Q

What is the most common ovarian teratoma in pediatrics?

A

A benign mature teratoma or a dermoid (mixed tissue) cyst

16
Q

Dermoid cysts are usually asymptomatic until when?

A

They get very large

17
Q

What is the most frequency complication with a dermoid cyst?

A

Torsion - 16% to 40%

18
Q

What is the sonographic appearance of a dermoid cyst?

A

Complex heterogeneous mass
Frequent echogenic foci with shadowing
**less shadowing in Neonates
“Tip of the iceberg” means a dermoid