ovarian pathology Flashcards
(44 cards)
what is ovarian torsion
partial or complete torsion on it’s supporting ligaments
what is adnexal torsion
ovarian torsion + fallopian tubes
RF ovarian torsion
mass/ repdoductive age // pregnant // ovarian hyperstimulation syndrome
symptoms ovarian torsion
sudden deep colicky abdo pain // vomiting and distress // fever (if necrosis) // vaginal exam –> adenexal tenderness
invx + finding ovarian torsion
USS whirlpool sign
mx ovarian torsion
laparoscopy
what does ovarian endometroosis look like
chocolate cysts
what causes follicular cysts
when dominant cyst does not rupture // or non-dominant cyst fails to atresia // most common cyst
how do corpus luteum cysts present
intraperitoneal bleeding
what are the most common ovarian cysts
follicular, corpus luteum // dermoid (benign germ cell) // serous or mucinous cystadenoma
mx complex (multi-loculated) ovarian cysts
biopsied for malignancy
invx ovarian cyst
USS
symptoms ovarian cyst
pain on intercourse, bloating, bowel or bladder symptoms // rupture = pain, collapse, shock
dermoid cyst + symptoms
(germ cell) - contain skin, hair, teeth // age 30 // common torsion
premenopausal ovarian cyst mx
if <5cm repeat USS in 8-12 weeks (likely to be benign)
mx ovarian cyst postemenopausal women
cysts are unlikely so refer to gynae
what is Meigs syndrome
ascites + ovarian fibroma + pleural effusion
4 main type of ovarian tumours
surface // germ cell // sex stromal // mets
types of ovarian surface tumour
serous cyst adenoma/carcinoma // mucinous cyst adenoma/carcinoma // brenner tumour
most common benign ovarian tumour
serous cystadenoma (surface) (often bilateral)
most common ovarian malignancy
serous adenocarcinoma (surface) (often bilateral)
biopsy brenner tumour
coffee bean nuclei
which ovarian tumour is assoc with psammoma bodies
serous cystadenocarcinoma (malignant surface tumour)
types of germ cell tumours
teratome // dysgerminoma // yolk sac // choroicarcinoma
