Ovarian Tumors

Question 1

5 categories of Surface Epithelial-Stromal Tumors

Answer 1

serous
mucinous
endometrioid
clear cell
transitional cell (Brenner)

Question 2

A benign tumor with a solid component which mimics a malignant legions

Answer 2

cystadneofibroma

Question 3

An anechoic tumor with sharp margins, large and unilocular with thin walls.

Answer 3

Benign serous tumor

Question 4

A multilocular tumor with papillary projections, sepatations, and echogenic material within.

Answer 4

malignant serous tumor

Question 5

Accounts for 40-50% of all malignant ovarian neoplasms

Answer 5

cystadenocarcinomas

Question 6

A malignant tumor found bilaterally 50% of the time and mostly found in perimenopausal and postmenopausal women.

Answer 6

malignant serous

Question 7

A benign tumor found bilaterally 20% of the time usually in women ages 40-50

Answer 7

benign serous tumor

Question 8

A benign tumor found bilaterally 20% of the time usually in ages 30-50.

Answer 8

benign mucinous tumor

Question 9

5-10% of all malignant primary ovarian neoplasms

Answer 9

malignant mucinous tumor

Question 10

Multiloculated, thick and numerous septations, gravity dependant echoes, up to 50 cm in diameter

Answer 10

benign mucinous tumor

Question 11

Multiloculated cystic lesion 15-30 cm in diameter with echogenic material and papillary excrescences

Answer 11

malignant mucinous

Question 12

Malignant neoplasm in pts age 40-70, bilat 15-20% of the time

Answer 12

malignant mucinous

Question 13

Pseudomyxoma peritonei is closely associated with which ov tumor

Answer 13

malignant mucinous

Question 14

80% of these tumors are malignant, but they have a better prognosis than the others.

Answer 14

endometrioid

Question 15

20-25% of all ovarian carcinomas

Answer 15

endometrioid

Question 16

A cystic lesion with papillary projections. Sometimes appearing solid with areas of hemorrhage/necrosis

Answer 16

endometrioid

Question 17

Nearly always malignant, 5-10% of all malignant ovarian epithelial-stromal tumors, found in ages 50-70, up to 30cm

Answer 17

clear cell tumors

Question 18

Nonspecific appearance. Complex but mostly cystic

Answer 18

clear cell tumors

Question 19

1-2% of all primary malignant tumors, ages 40-80, rarely bilat, usually less than 2cm

Answer 19

transitional cell (Brenner) tumors

Question 20

Which is a Brenner tumor?

Answer 20

Surface epithelial-stromal tumor&raquo_space;> transitional cell tumor

Question 21

A hypoechoic, solid mass with calcifications which mimics a fibroma

Answer 21

transitional cell/Brenner tumor

Question 22

3 Classifications of Germ Cell Tumors

Answer 22

cystic teratoma
dysgerminoma
yolk sac (endodermal sinus)

Question 23

Which tumor is derived from cells of embryonic gonad

Answer 23

Germ Cell Tumor

Question 24

Which classification is 20% of all ovarian neoplasms?

Answer 24

Germ Cell Tumor

Question 25

60% of all neoplasms in children

Answer 25

Germ Cell Tumor

Question 26

Most common benign tumor of ov

Answer 26

Cystic teratoma

Question 27

Benign, women of reproductive age, usually asympt,

Answer 27

Cystic teratoma

Question 28

A Cystic Teratoma is also known as

Answer 28

Dermoid

Question 29

What sonographic signs are associated with a teratoma

Answer 29

"dermoid plug", "tip of the iceburg", "dermoid mesh"

Question 30

A complex adx mass with a fat/fluid level or hair, also contains calcifications, complex and cystic in appearance

Answer 30

Cystic teratoma/dermoid

Question 31

Malignant tumor in women under 30 with a 5 year survival rate of 90%

Answer 31

Dysgerminoma

Question 32

A malignant mass that appears multiloculated, solid, echogenic.

Answer 32

Dysgerminoma or yolk sac tumor

Question 33

2nd most common malignant ovarian germ cell neoplasm

Answer 33

Yolk Sac Tumor

Question 34

Most common malignant germ cell tumor

Answer 34

dysgerminoma

Question 35

Highly malignant germ cell tumor found in 20-30 year olds, usually 3-30 cm

Answer 35

Yolk Sac Tumor

Question 36

4 types of Sex Cord Stromal tumors

Answer 36

fibroma thecoma granulosa sertoli - leydig (aka androblastoma)

Question 37

Tumors derived from embryonic glands or ovarian stroma

Answer 37

Sex cord stromal

Question 38

Half of all sex cord stromal tumors are

Answer 38

fibromas

Question 39

Meig's syndrome

Answer 39

ascites, pleural effusion, and fibrous tumor (usually fibroma)

Question 40

4% of all ovarian neoplasms

Answer 40

fibroma

Question 41

A benign tumor occurring usually at middle age, rarely bilat, microscopic to very large, ascites with 10-15% over 10cm

Answer 41

fibroma

Question 42

Benign tumor similar sonographically to uterine leiomyoma

Answer 42

fibroma

Question 43

Found in postmenopausal women, almost always unilat, rarely malignant, small-10cm

Answer 43

thecoma

Question 44

Hypoechoic mass with posterior acoustic attenuation, endo appears abnormally thick due to hormonal stimulation

Answer 44

thecoma

Question 45

Tumor found in postmenopausal women 50-55 years old, estrogen producing, small appears like fibroids, large appears multiloculated and cystic

Answer 45

granulosa

Question 46

Estrogen producing tumor which causes precocious puberty in juvenile patients

Answer 46

granulosa

Question 47

Also known as Androblastoma

Answer 47

Sertoli-Leydig

Question 48

Sertoli Leydig tumors are also known as

Answer 48

Androblastoma

Question 49

Rare tumor seen mostly in women under 30 years old, unilat, 20% malignant, 5-15cm. Half have symptoms of masculinization

Answer 49

Sertoli-Leydig/Androblastoma