Pelvic Mass Flashcards
What is the most common benign neoplasm of the female genital tract?
Leiomyoma of the uterus (fibroid tumor)
What are discrete, round, firm, often multiple, uterine tumor that’s composed of smooth muscle and connective tissue that may cause miscarriages and pregnancy complications because they interfere with implantation?
Leiomyoma of the uterus (fibroid tumor)
Leiomyomas of the uterus often present asymptomatically but what are some symptoms for females who seek treatment?
- pelvic pressure
- abnormal uterine bleeding
- pain
What kind of imaging can confirm the presence and help monitor for the growth of leiomyomas of the uterus?
Transvaginal ultrasound
What imaging can help assess the location of leiomyomas within the muscle and blood flow to the tumor?
MRI with contrast
What may be required for the acute torsion of a pedunculated myoma?
Surgery
What is the definitive and curative treatment for leiomyomas of the uterus?
Surgical therapy
True or False
Pelvic Mass
Any patients with symptomatic (anemia, pain, AUB) fibroids should be referred to gynecologists
True
What is the disposition for a patient with suspected torsion of fibroid and hemorrhage?
MEDEVAC
Abnormal uterine bleeding is the presenting sign in 90% of the cases of what?
Carcinoma of the endometrium
all post menopausal bleeding requires evaluation
Are pap smears frequently negative in patients with carcinoma of the endometrium?
yes
What is the second most common cancer of the female reproductive tract and most often occurs in women aged 50-70 years of age?
Adenocarcinoma of the endometrium
These are some risk factors of what?
- obesity
- nulliparity (unopposed estrogen)
- diabetes
- polycystic ovaries with prolonged anovulation (unopposed estrogen)
- Unopposed estrogen therapy
- extended use of tamoxifen for the treatment of breast cancer (estrogen blocker)
- Family history of colorectal cancer
Carcinoma of the endometrium
When does pain usually present in patients with suspected carcinoma of the endometrium?
late in the disease, with metastases or infection
What labs should be done for a patient with suspected carcinoma of the endometrium?
- biopsy of the endometrial tissue
2. pap smear
