Chapter 42 Pathology of the Ovaries Flashcards Preview

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Flashcards in Chapter 42 Pathology of the Ovaries Deck (31):
1

In the anteflexed midline uterus, the ovaries are usually identified ______ or ________.

laterally, posterolaterally

2

Following hysterectomy, the ovaries tend to located more _______ and directly superior to the vagina cuff.

medially

3

The normal ovary has a(n) ________ echotexture, which may exhibit a central, more echogenic medulla with small anechoic or cystic follicles seen in the cortex.

homogeneous

4

Small anechoic or cystic follicles may be seen __________ in the cortex.

periplerally

5

During the early _______ phase, many follicles develop and increase in size until about day 8 or 9 of the menstrual cycle.

proliferative

6

The ________ may occasionally be detected as an eccentrically located, cystlike, 1-mm internal mural protrusion.

cumulus oophorus

7

If the fluid in the nondominant follicles is not reabsorbed, a(n) _______ cyst develops.

follicular

8

The occurrence of fluid in the cul-de-sac is commonly seen after ovulation and peaks in the early ______ phase.

luteal

9

Following ovulation in the luteal phase, a mature _________ develops and may be identified sonographically as a small hyopechoic or isoechoic structure peripherally within the ovary.

corpus luteum

10

Any simple ________ that hemorrhages may appear as a complex mass.

cyst

11

The more sonographically complex the tumor, the more likely it is to be _______, especially if associated with ascites.

malignant

12

Patients with normal menstrual cycles are best scanned in the first ______ days of the cycle; this prevents confusion with normal changes in intraovarian blood flow because high diastolic flow occurs in the luteal phase.

10

13

A mass showing complete absence of or very little diastolic flow (very elevated RI and PI values) is usually ________.

benign

14

Duplex Doppler reveals prominent _______ flow in corpus luteum cysts. This low-velocity waveform is present throughout the luteal phase of the cycle.

diastolic

15

Echogenic, free intraperitoneal fluid in the cul-de-sac can help confirm the diagnosis of a ________ or leaking hemorrhagic cyst.

ruptured

16

The largest of the functional cysts are _________ and appear as very large, bilateral, multiloculated cystic masses. This mass is associated with high levels of human chorionic gonadotropin (hCG) and is seen most frequently in association with gestational trophoblastic disease.

theca-lutein cysts

17

A frequent iatrogenic complication of ovulation induction is __________. The ovaries are enlarged but measure less than 5cm in diameter.

Ovarian Hyperstimulation Syndrome

18

An endocrinologic disorder associated with chronic anovulation with an imbalance of LH and FSH resulting in abnormal estrogen and androgen production is _________.

polycystic ovarian syndrome

19

Paraovarian cysts account for approximately 10% of adnexal masses; they arise from the _________ ligament and usually are of mesothelial paramesonephric origin.

broad

20

Endometriosis is a common condition in which functioning __________ tissue is present outside the uterus

endometrial

21

The localized form consists of a discrete mass called an endometrioma, or _________.

Chocolate Cyst

22

Endometriosis may appear as bilateral or unilateral ovarian cysts with patterns ranging from anechoiic to solid, depending on the amount of _______ and its organization.

blood

23

Torsion of the ovary is caused by a partial or _________ rotation of the ovarian pedicle on its axis

complete

24

Ovarian torsion produces an enlarged ________ ovary, usually greater than 4cm in diameter.

edematous

25

Unilocular or thinly septated cysts are more likely to be ______.

benign

26

Multilocular thickly septated masses and masses with solid nodules are more likely to ________.

malignant

27

Ovarian cancer can present as a complex, cystic, or solid mass, but it is more likely preponderantly ________.

cystic

28

The incidence of ovarian cancer is greatly ________ in women who have had breast or colon cancer.

increased

29

Malignant tumor growth is dependent on ___________ with the development of abnormal tumor vessels. This leads to decreased vascular resistance and higher diastolic flow velocity.

angiogenesis

30

Sonography may demonstrate one of several patterns: (1) a completely cystic mass; (2) a cystic mass with a very echogenic nodule along the mural wall representing a _________; (3) a ____________ level; (4) high-amplitude echos with __________ (e.g., teeth or bone); or (5) a complex mass with ________ septations.

demoid plug, fat-fluid level, shadowing, internal

31

The _______ are more involved with metastatic disease than any other pelvic organ.

ovaries