Female repro anatomy + pelvic mass Flashcards Preview

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Flashcards in Female repro anatomy + pelvic mass Deck (26):
1

Suspensory ligament of ovary

peritoneal fold
attaches to lateral wall of pelvis
contains ovarian vessels

2

Ligament of the ovary

band of CT and SM extending from ovary to lateral margin fo uterus, below uterotubal jxn
remnant of gubernaculum

3

Infundibulum of Fallopian tube

each uterine tube has an expanded trumpet-shaped end
curves around superolateral pole of related ovary
lumen opens into peritoneal cavity at narrowed end of infundibulum

4

Fimbriae

Fingerlike projections rimming margins of infundibulum

5

Ampulla of oviduct

expansion medial to infundibulum
usually the site of fertilization

6

Isthmus of oviduct

narrow part btw ampulla and intramural part

7

Intramural part of oviduct

passes through wall of uterus and opens into uterine cavity

8

Fundus of uterus

upper rounded part above entrance of uterine tubes

9

Body of uterus

tapering intermediate part
normally the site of implantation of blastocyst

10

Uterus-cervix angle

Flexion

11

Uterus-vagina angle

Version

12

Normal positions of uterus

Anteflexed
Anteverted

13

Other positions of uterus

Retroflexed
Retroverted
Prolapsed

14

Douglas pouch

aka recto-uterine pouch

15

Pelvic mass DDx

ovarian
Fallopian tube
GI
Paratubal - embryologic remnants
Uterine
Urologic

16

Pelvic mass in reproductive age group

Physiologic cysts: up to 8 cm, cycle-dependent
Repeat exam in follicular phase
Should not develop on OCP or during pregnancy
>90% in this age group benign
>90% in pregnancy benign

17

Adnexal mass potential for malignancy

age most important factor
Pre-menarchal/postmenopausal masses are abnormal, investigate in a timely fashion
Postmenopausal ovaries should not be palpable

18

Symptomatic pelvic mass SSx

Torsion
bleeding
enlargement
compression of acjacent structures - bowel, bladder, ureter

19

Post menopausal pelvic mass investigations

US pelvis
Tumour markers: any suspicion
CT scan: suspicious of advanced stage
Chest X-ray: preop ? effusion
Colonoscopy/gastroscopy if GI suspicions

20

alpha FP

tumour marker for germ cell, liver

21

LDH

marker of hemolysis and tissue breakdown, lymphoma

22

betaHCG marker

seminoma
choriocarcinoma
germ cell
hydratidiform mole

23

Ca-125

ovarian ca marker

24

CEA

colorectal cancer marker

25

Ca-19.9

pancreatic ca marker

26

Ca-15.3

breast ca marker