Female repro anatomy + pelvic mass Flashcards Preview

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

Suspensory ligament of ovary

A

peritoneal fold
attaches to lateral wall of pelvis
contains ovarian vessels

2
Q

Ligament of the ovary

A

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

3
Q

Infundibulum of Fallopian tube

A

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
Q

Fimbriae

A

Fingerlike projections rimming margins of infundibulum

5
Q

Ampulla of oviduct

A

expansion medial to infundibulum

usually the site of fertilization

6
Q

Isthmus of oviduct

A

narrow part btw ampulla and intramural part

7
Q

Intramural part of oviduct

A

passes through wall of uterus and opens into uterine cavity

8
Q

Fundus of uterus

A

upper rounded part above entrance of uterine tubes

9
Q

Body of uterus

A

tapering intermediate part

normally the site of implantation of blastocyst

10
Q

Uterus-cervix angle

A

Flexion

11
Q

Uterus-vagina angle

A

Version

12
Q

Normal positions of uterus

A

Anteflexed

Anteverted

13
Q

Other positions of uterus

A

Retroflexed
Retroverted
Prolapsed

14
Q

Douglas pouch

A

aka recto-uterine pouch

15
Q

Pelvic mass DDx

A
ovarian
Fallopian tube
GI
Paratubal - embryologic remnants
Uterine
Urologic
16
Q

Pelvic mass in reproductive age group

A

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
Q

Adnexal mass potential for malignancy

A

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

18
Q

Symptomatic pelvic mass SSx

A

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

19
Q

Post menopausal pelvic mass investigations

A
US pelvis
Tumour markers: any suspicion
CT scan: suspicious of advanced stage
Chest X-ray: preop ? effusion
Colonoscopy/gastroscopy if GI suspicions
20
Q

alpha FP

A

tumour marker for germ cell, liver

21
Q

LDH

A

marker of hemolysis and tissue breakdown, lymphoma

22
Q

betaHCG marker

A

seminoma
choriocarcinoma
germ cell
hydratidiform mole

23
Q

Ca-125

A

ovarian ca marker

24
Q

CEA

A

colorectal cancer marker

25
Q

Ca-19.9

A

pancreatic ca marker

26
Q

Ca-15.3

A

breast ca marker