Ovarian Mass Flashcards
True/False
Ovarian tumors are common. Most are benign.
True
What is the leading cause of death from reproductive tract
cancer.
Malignant ovarian tumors
Women with what gene mutation have increase risk for ovarian cancer?
BRCA
S/S of what issue?
(1) Most women with both benign and malignant neoplasms are either symptomatic or experience only mild nonspecific gastrointestinal symptoms or pelvic pressure.
(2) Women with advanced malignant disease may experience abdominal pain and bloating, and a palpable abdominal mass with ascites is often present
Ovarian tumor
Once an ovarian mass has been detected, it must be categorized as one of what 3 things?
functional,
benign neoplastic,
potentially malignant
Labs for Ovarian Tumor
Tumor markers (Serum) covers what?
(a) Cancer antigen 125
(b) HCG
(c) Lactate dehydrogenase
(d) Alpha fetoprotein
What imaging modality is helpful in differentiating ovarian masses that are benign and those with malignant potential? Solid vs Cystic is important
Transvaginal ultrasound
-Color Doppler imaging may further enhance specificity
Treatment
(1) Malignant ovarian mass
(a) Surgical evaluation and staging by a gynecologic oncologist
(b) Followed by combinations of hysterectomy and bilateral salpingooophorectomy with omentectomy and selective lymphadenectomy
(c) Postoperative chemotherapy. Or watchful waiting
Treatment
(2) Benign neoplasms
Tumor removal or unilateral oophorectomy
Ovarian cancer is usually diagnosed after advanced disease is present (75% of the time)
5- year survival
1) Early disease- __%
2) Local spread- __%
3) Distant metastases- __%
1) 89%
2) 26%
3) 17
If malignant mass is suspected, surgical evaluation should be
performed by a ________.
gynecologic oncologist
True/False
There is decreased risk for ovarian torsion with mass
FALSE
Increased
