Malignant Ovarian Neoplasms

Question 1

___ cancer is the 5th leading cause of cancer dearth in women

Answer 1

ovarian

Question 2

post menopausal ovarian should not exceed __ in any direction

Answer 2

2cm

Question 3

what are the risk factors of ovarian cancer

Answer 3

• 50-59 years old
• nulliparity
• family history
• CA 125

Question 4

what are some common signs of ovarian malignancy

Answer 4

• papillary excrescences
• mural nodule
• the more solid areas present the more concerning
• irregular walls
• thick septations
• can contain echogenci material

Question 5

what are complex ovarian masses

Answer 5

• teratoma
• ectopic
• hemorrhagic cyst
• cystadenoma
• cystadenocarcinoma
• cystadenofibroma
• abscess

Question 6

what are some solid ovarian masses

Answer 6

• solid teratoma
• fibroma
• brenner’s tumor
• dysgerminoma
• choriocarcinoma
• carcinoma
• adenocarcinoma

Question 7

what re some cystic ovarian masses

Answer 7

• follicular
• corpus luteal
• paraovarian
• theca lutein
• PCOD
• Hemorrhagic
• endometriomas
• serous cystadenoma

Question 8

what is the most rare GYN cancer

Answer 8

cancer of Fallopian tubes

Question 9

S/S cancer of Fallopian tubes

Answer 9

• discharge
• bleeding
• elevated CA 125

Question 10

S/A Fallopian tube cancer

Answer 10

• complex mass adjacent to ovary

- associated with hydrosalpinx

Question 11

S/A krukenberg tumor

Answer 11

• bilateral solid masses
• necrotic changes
• ascites
• pelvic lymphadenopathy

Question 12

___: GI tract cancer most common primary associated with ovarian metastasis

Answer 12

krukenberg tumor

Question 13

which lab levels would be elevated with choriocarcinoma

Answer 13

HCG

Question 14

what labs are elevated with mature teratoma

Answer 14

• AFP
• CA 125
• HCG

Question 15

teratomas are most common in what age

Answer 15

adolescents

Question 16

endodermal sinus tumor aka ____

Answer 16

yolk sac tumor

Question 17

endodermal sinus tumor is benign or malignant

Answer 17

highly malignant

Question 18

endodermal sinus tumor has an increase in what lab

Answer 18

AFP

Question 19

What is the normal age range for malignant germ cell tumors

Answer 19

5-25

Question 20

what are the 4 types of malignant germ cell tumors

Answer 20

• dysgerminoma
• endodermal sinus tumor
• solid teratoma
• choriocarcinoma

Question 21

what is one of the most common ovarian malignancies seen with pregnancy

Answer 21

dysgerminoma

Question 22

dysgerminoma can be compared to what in the testicels

Answer 22

seminoma

Question 23

what labs are elevated with dysgerminoma

Answer 23

• CA 125
• HCG in non pregnant women
• LDH

Question 24

dysgerminomas can be seen at what age

Answer 24

adolescence and those less than 30

Question 25

mucinous cystadenocarcinoma is usually found in what age

Answer 25

postmenopausal

Question 26

S/A mucinous cystuadenocarcinoma

Answer 26

- large cystic mass with septations - thick septations - nodules >5mm

Question 27

what is the most common type of ovarian malignancy

Answer 27

epithelial stromal tumors

Question 28

what are the 4 types of epithelial stromal tumors

Answer 28

- serous - mcuinous - transitional cell - clear cell

Question 29

what is the most common ovarian malignancy

Answer 29

serous cystuadenocarcinoma

Question 30

S/A serous cystadenocarcinoma

Answer 30

- primarily cystic - multiloculated - usually unilateral

Question 31

is the RI is usually higher or lower with malignant ovarian tumors

Answer 31

lower

Question 32

with malignant ovarian tumors is there low or high velocity

Answer 32

high