Pelvic mass Flashcards
most common pelvic mass
pregnancy
most common pelvic mass in middle compartment
uterine fibroids
pain as a main symptom of pelvic mass - what is the origin likely to be?
ovarian
bleeding as a main symptom of pelvic mass - what is the origin likely to be?
uterine
pressure symptoms as a main symptom of pelvic mass - what is the origin likely to be?
uterine or ovarian
long term symptoms of pelvic mass - what is the origin likely to be?
benign
on bimanual examination - midline, lobulated mass, moves with cervical motion, nontender.
What is the likely origin?
uterine
on bimanual examination - lateral, occupying fornices, no movement with cervical motion, can be tender.
What is the likely origin?
ovarian
what investigation is done for all uterine masses
USS
tumour markers for premenopausal ovarian cysts
CA-125, AFP,HCG,LDH
what tumour marker is raised in choriocarcinoma?
HCG
what is risk of malignancy index (RMI) used for? What is the formula?
suspected ovarian cancer
It combines three pre-surgical features: serum CA125 (CA125), menopausal status (M) and ultrasound score (U). The formula is RMI = U x M x CA125
functional cysts
related to ovulation
Basically they are enlarged graafian follicles or corpus luteal cysts
functional cysts management
usually resolve spontaneously. Need surgery only if acute abdomen and pain is not settling with regular analgesics
borderline ovarian tumour management
Young women – unilateral cystectomy/oopherectomy with close follow up
Postmenopausal women – pelvic clearance
