T3 L6 ovarian cysts Flashcards

1
Q

What is the 4th most common cause of gynaecological admission?

A

Ovarian cysts

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2
Q

What % of women will be admitted due to an ovarian cyst by 65?

A

4%

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3
Q

What percentage of ovarian cysts are benign?

A

90%

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4
Q

What percentage of tumours are malignant in those who have them surgically managed?

A

13% in premenopausal

45% in post-menopausal

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5
Q

What are the 4 complications of an ovarian cyst?

A

Torsion
Rupture
Haemorrhage
Infection

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6
Q

What is ovarian torsion?

A

Ovary becomes twisted around supporting tissues causing the blood supply to be cut off

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7
Q

How can an ovarian cyst rupture?

A

Spontaneous

Traumatic

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8
Q

What is the management if a ruptured ovarian cyst is only causing mild symptoms?

A

Conservative management

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9
Q

What could a ruptured ovarian cyst lead to?

A

Peritonitis

Pseudomyxoma peritonei

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10
Q

How can an ovarian cyst become infected?

A

STIs
Spread from bowel
Spread from blood

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11
Q

How does a haemorrhage into an ovarian cyst cause a tender mass?

A

bleeding into a cyst stretches the capsule causing a tender mass

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12
Q

How will the patient present if they have a haemorrhage out of a cyst?

A

The patient would become very sick due to frank peritonitis

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13
Q

What is a salpingo-oophorectomy?

A

Usual surgical treatment for a haemorrhaged ovarian cyst

Removes ovaries and fallopian tubes

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14
Q

What are ovaries prone to cyst formation?

A

Due to their dynamic nature

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15
Q

Describe a dermoid

A

Comes from germ cells

Have a characteristic appearance, often with teeth or bones

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16
Q

What would be the results of the tumour markers if the cyst was malignant?

A

Raised beta hCG
Raised alpha feta protein
Raised LDH

17
Q

Why is a sertoli-leydig tumour hormone producing?

A

Because of stromal origin

18
Q

What are the 3 types of epithelial ovarian tumours?

A

Benign
Borderline
Malignant

19
Q

How is the risk malignancy index calculated?

A

MS x USSS X CA125

20
Q

What types of cancer are more common than epithelial ovarian cancer?

A

Breast
Colon / rectum
Lung

21
Q

What types of cancer are less common than epithelial ovarian cancer?

A

Uterus

Cervix

22
Q

What is the 5 year survival rate of stage 1 epithelial ovarian cancer?

A

70-100%

23
Q

What is the 5 year survival rate of stage 4 epithelial ovarian cancer?

A

3-15%

24
Q

Where does epithelial ovarian cancer spread to?

A
Contralateral spread
Small bowel
Large bowel
Omentum
Diaphragm
Liver
Pleural cavity
25
Q

How does epithelial ovarian cancer present?

A

Silent disease
Symptoms of abdominal involvement
Symptoms from distant metastases
General malaise, weight loss