Pelvic mass Flashcards
abdomino-pelvic vs pelvicabdominal
starting in the abdomen / pelvis and appearing in the other
is pelvic mass a diagnosis?
no it just describes the location
differential diagnoses of pelvic mass
pregnancy full bladder - e.g. retention fibroids Tubo ovarian abscess benign disease of ovary malignant disease of ovary
what is the first investigation in any female with a pelvic mass
pregnancy test
causes of full bladder in younger postpartum women
prolonged second stage
regional anaesthesia
causes of full bladder in older women
POP - cystocele
mass on the urethra
D.Dx of benign disease of the ovaries
physiological - follicular, luteal cysts
benign germ cell tumours - dermoid cyst, mature teratoma
benign epithelial cyst
what is important to rule out in an (ovarian) pelvic mass
metastasis
GI - stomach and bowel
Breast
eponymous name of secondary ovarian masses
Kruckenberg tumour
bilateral solid ovarian masses with ascites
serous carcinoma of the ovaries are usually multifocal, true or false
true
presenting features of ovarian malignancy
asymptomatic pain abdominal swelling - ascites early satiety pressure effects lymphadenopathy
types of fibroids
pedunculated
subserosal
intramural
submucosal - this one causes worse bleeding as it increases surface area
management of fibroids
tranexamic acid IUS GnRH analogues myomectomy hysterectomy ablation
