Cysts

Question 1

Ovarian cancer

Answer 1

Older age
Vague abdo pain and weight loss
Elevated CA215
US: complex cyst with mixed echogenicity

Question 2

Torsion of dermoid cyst

Answer 2

Sudden onset of iliac fossa pain
Elevated WCC and ESR
US: ovarian mass with mixed echogenicity and reduced blood flow to ovary

Question 3

Functional ovarian cyst

Answer 3

Intermittent unilateral pain
CA125 normal
US: cyst of unilateral adnexa with normal blood flow to ovary

Question 4

Endometrioma

Answer 4

Vague abdominal pain in someone with Hx of dysmenorrhoea
CA125 slighly raised
US: ovarian mass with low echogenicity