Ovarian Cysts Flashcards
(27 cards)
What does stroma do?
Produces hormone
Where can tumours arise?
Germinal epithelium
From where can cysts develop?
In follicles and corpus luteum
How many women have a cyst?
10%
What percent of cysts are benign?
90%
Tumour markers?
Beta hcg
Alpha fetoprotein
Ldh (lactate dehydrogenase)
Which stromal tumour is most common?
Granulosa tumour -looks gelatinous yellow pus like
Has sertoli leydig tumour
Borderline tumour is not ?
Cancer and can not spread to other organs
Which marker is used to differenitate between benign and cancer?
CA 125 really high- malignant
But can go up with many things
Risk of malignancy index?
Menstrual x usss x CA125
What present of women present at advances stage of ovarian cancer?
60-80%
Treatment for ovarian cancer?
bevacizumab (targeting VEGF, chemotherapy (carboplatin +/-taxol), surgery
What type of cysts are there?
Follicular cyst and luteal cyst
What percent of all women in UK will be admitted by age of 65 with an ovarian cyst?
4
What percent of cyst are malignant, surgically managed?
13% in premenopausal and 45% in post menopausal
Symptoms of ovarian cysts?
Asymptomatic
Pain
Menstrual disruption
Pressure
What length would you allow before reacting?
For premenopausal women- 8cm
Post menopausal- 5cm
Complexity of cyst on ultrasound?
Solid
Septae
Bilateral
Free fluid
Gravado 0 Parus 0?
No pregnancies no babies
What can happen after rupture of ovarian cyst?
Peritonitis, but if its mucus cyst the pseudomyxoma peritonei
What does haemorrhage into a cyst look like on an ultrasound?
Bad tv service, mostly in a specific region
Blood supply for ovary comes from?
Renal vessels
Which cells do dermoid cyst come from?
Germ cells
If you get a cancer in germ cell normally happens what age women?
Under 30
