REPRO 2.5 Flashcards
types of ovarian cancer
epithelial
germ cell
sex cord/stromal
epithelial ovarian cancer types
serous mucinous endometriod clear cell brenners
serous ovarian cancer
serous tubal intraepithelial carcinoma precursor
high grade
endometriod/clear cell ovarian cancer
strong associated with Lynch/endometriosis
primary dx usually made on ascitic fluid
Brenners ovarian cancer
tumour of transitional type epithelium
usually benign
Germ cell ovarian cancer Dermoid cyst
what is in it
and what is it
95% of GCT
sebum/hair/teeth. commonest benign tumour in females under the age of 30
Other GCT ovarian cancer
immature teratoma, yolk sac, choriocarcinoma, mixed
dysgerminoma ovarian cancer
most common what
who
most common malignant GCT. 1-2% of all malignant ovarian tumours. children and young women around 22yo
ovarian cancer sex cord/stromal
fibroma/thecoma
benign
oestrogen producing
ovarian cancer sex cord/stromal
granulosa
all potentially malignant
associated with oestrogen manifestations
ovarian cancer sex cord/stromal
sertoli/lydic cell
rare
androgen producing
ovarian mets
breast. GI. stomach. pancreas
FIGO staging
1A 1B 1C 2A 2B 3A 3B 3C 4
1A 1 ovary 1B both 1C ovarian surface/rupture 2A uterus/fallopian tubes 2B other pelvic intraperiotneal 3A retroperitoneal LN microscopic extra pelvic 3B macro peritoneal mets up to 2cm beyond pelvis 3 >2cm 4 distant mets
symptoms of ovarian cancer
ascites, bloating, pelvic mass/bladder dysfunction. pleural effusion/SOB
incidental
ix for ovarian cancer
exam
USS/CT
cytology of ascitic fluid
