Surface derived tumors Flashcards
What are the different types of surface derived ovarian tumors?
- Serous cystadenoma 2. Serous cystadenocarcinoma 3. Mucinous cystadenoma 4. Mucinous cystadenocarcinoma 5. Brenner tumour
Which are the two malignant tumors?
- Serous cystadenocarcinoma 2. Mucinous cystadenocarcinoma
Clinical features of epithelial ovarian cancer
- Persistent pelvic and abdominal pain 2. Increased abdominal size or bloating 3. Difficulty eating/feeling full quickly
Serous cystadenoma
- Most common benign ovarian tumour, often bilateral
- Cyst lined by ciliated cells (similar to Fallopian tube)
Which is the most common type of epithelial ovarian cancer?
Serous cystadenocarcinoma
Which is the most common benign epithelial tumor?
Serous cystadenoma
Serous cystadenocarcinoma - defining feature on histology
Often bilateral Psammoma bodies seen (collection of calcium)
Mucinous cystadenoma
Cyst lined by mucous-secreting epithelium
they are typically large and may become massive
Mucinous cystadenocarcinoma
May be associated with pseudomyxoma peritonei
Pelvic examination
Hard mass arising from the pelvis
Differentials for palpable pelvic mass
- Ovarian cancer 2. Endometriomas 3. Fibroids
Bloods to be done
- FBC 3. U & E 4. LFTs 5. CA125
Ix for ovarian cancer
- Chest Xray - for pleural effusion 2. Ultrasound
What is Surface derived tumors also known as
Epithelial ovarian cancer
What other cancer in Epithelial ovarian cancer associated with?
10% of women with epithelial ovarian cancer also have endometrial cancer