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Flashcards in Ovarian Disorders Deck (50)
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1

What is the most frequent cystic structure in the normal ovary?

Follicular (functional) Cyst

2

T/F: The majority of follicular cysts are asymptomatic

True

3

How are Follicular cysts diagnosed?

US
Pelvic Examination

4

All women are ______ until proven otherwise

Pregnant

5

What are defining characteristics of a benign ovarian cyst?

Unilateral Adenexa
Mobile
Mild to no pain

6

What US findings are suggestive of a benign ovarian cyst?

Unilocular
Simple, Fluid Filled
No Septations

7

When should you preform a follow up US when working up a benign ovarian cyst?

6-12 weeks

8

When would you use OCPs to manage benign ovarian cysts?

To decrease the risk of recurrence

However, there is no real benefit over observation alone

9

Why may a corpus luteum cyst result in a delayed onset of menses?

Corpus Luteum Cysts secrete progesterone which would delay menses

10

When would surgery be indicated for treatment of Corpus Luteum Cyst?

If there was evidence of torsion or symptomatic rupture

***With surgery remember that the goal is ovarian tissue preservation

11

T/F: A corpus Luteum Cyst is a non-functional cyst

False

It is a functional cyst

12

Theca Lutein Cysts are almost always ________ (unilateral/bilateral)

Bilateral

13

What is the most common cause of Theca Lutein Cysts?

Prolonged/Excess stimulation of ovaries by endogenous/exogenous Gn

14

What is a unique US finding of Theca Lutein Cysts?

Multiple thin-walled cysts blaterally

15

Is torsion common with Theca Lutein Cysts?

No, its rare

16

How does a serous cystadenoma differ from a mucinous cystadenoma?

Serous: Filled with pale-yellow serous fluid, unilocular

Mucinous: Filled with sticky mucin, multiloculated

17

T/F: Mucinous tumors are the largest of all ovarian tumors

True

18

How are cystadenomas diagnosed?

US

19

What is the mainstay of cystadenoma management?

Surgical Removal

20

If a mucinous tumor is removed from an ovary, what additional surgical procedure needs to be preformed?

Appendectomy to r/o coexistent mucinous tumors

21

What is a tubo-ovarian abscess?

Infectious process of the upper genital tract that creates an inflammatory mass involving the fallopian tube and ovary

22

Are tubo-ovarian abscesses more likely tobe unilateral or bilateral?

Bilateral

23

When would a tubo-ovarian abscess become a surgical emergency?

Sepsis
Signs of rupture

24

What are THREE concerning chronic complications of a tubo-ovarian abscess?

Infertility
Tubal Occlusion
Ectopic Pregnancy

25

How are tubo-ovarian abscesses managed?

1. IV ABx (Cover Gc/CHl)
2. Laparoscopy if worsening, not improvening, signs of rupture
3. Catheter from drainage

26

An ___________ is an ovarian cystic mass arising from the growth of ectopic endometrial tissue within the ovary and is typically filled with a thick brown tar-like fluid.

Endometrioma (Chocolate Cyst)

27

How are endometriomas diagnosed?

H&P consistent with endometriosis
US

28

How are endometriomas managed?

Observation
Surgery (Pain relief, Malignancy, Infertility)

29

A ______ is a benign neoplasm that contains tissue from all 3 germ layers

Teratoma

30

What is the most common benign neoplasm in women < 35 y.o.?

Teratoma