Pelvic Mass Flashcards
What is the investigation of choice for suspected fibroids?
Ultrasound
What investigation would you do if you wanted better localisation of fibroids?
MRI
What is the treatment for a women with symptomatic fibroids who has completed her family
Hysterectomy
What kind of fibroids can you remove by hysteroscopic myomectomy?
Submucosal
Pedunculated
What kind of fibroids can only be removed by laproscopy or open surgery?
Intramural
Subserosal
What is the best imaging modality for assessing ovarian cancer that has spread outwith the ovary?
CT especially for omental and peritoneal disease
What type of ovarian tumour is the Ca125 most raised in?
Mucinous
What signs on US would make you suspicious of an ovarian cancer?
Complex mass with solid and cystic area Multi loculated Thick septations Ascites Bilateral disease
What do you do if you suspect an ovarian cancer?
Open surgery (laparotomy)
What are the symptoms of endometrial polyps?
Heavy but regular periods
Post menopausal bleeding
Mild cramping pain
Polyp may be visible at cervical os
What causes a placental polyp?
Survival of chorionic tissue from a recent pregnancy. The tissue remains adherent to the uterine wall and enlarges with the accretion of fibrin and fibrous tissue.
What is a polyp?
Discrete outgrowths of endometrium attached by a pedicle.
What is ashermans syndrome?
Irreversibel damage to the basal layer of the endometrium (most commonly during a dilatation and curettege) results in irreversible adhesions and fibrosis in the uterus.
What is a fibroid?
Benign tumour of uterine smooth muscle
