Ovarian Tumors

Question 1

Produces AFP

Answer 1

Yolk sac (endometrial sinus) tumor

Question 2

Estrogen secreting, leading to precocious puberty

Answer 2

Granulosa-theca cell tumor

Question 3

Intraperitoneal accumulation of mucinous material

Answer 3

Mucinous cystadenocarcinoma

Question 4

Yellow, friable (hemorrhagic) solid mass. 50% have Schiller-Duval bodies (resemble glomeruli). Testosterone secreting leading to virilization

Answer 4

Sertoli-Leydig cell tumor

Question 5

Multiple different tissue types - tissues derived from the ectoderm.

Answer 5

Cystic Teratoma - aka: dermoid cyst

Question 6

Malignant: Most common ovarian neoplasm BUT contains Psammoma bodies.

Answer 6

Serous cystadenocarcinoma

Question 7

Most common ovarian neoplasm. Lined with Fallopian tube-like epithelium.

Answer 7

Serous cystadenoma

Question 8

Ovarian tumor + ascites + hydrothorax

Answer 8

Ovarian fibroma

Question 9

Call-Exner bodies

Answer 9

Granulosa-theca cell tumor

Question 10

Resembles bladder epithelium

Answer 10

Brenner tumor

Question 11

Elevated beta-hCG

Answer 11

• Choriocarcinoma

- Dysgerminoma

Question 12

Lined with Fallopian tube-like epithelium. Most common benign ovarian tumor?

Answer 12

Serous cystadenoma

Question 13

Most common malignant ovarian tumor?

Answer 13

Serous cystadenocarcinoma

Question 14

What is associated with disarrayed granulosa cells in eosinophilic fluid?

Answer 14

Call-Exner bodies –> assoc. with Granulosa Theca cell tumors.

Question 15

What syndrome is at hand: post menopausal: ovarian tumor, ascites, and pleural effusion (hydrothorax).

Answer 15

Meigs Syndrome of ovarian fibroma

Question 16

MC tumor in adolescents, equivalent to a seminoma but rarer. Sheets of uniform “fried egg” cells. hCG and LHD are tumor markers.

Answer 16

Dysgerminoma - assoc. w/Turner’s Sd.

Question 17

GI malignancy that metastasizes to ovaries –> mucin-secreting signet cell adenocarcinoma.

Answer 17

Krukenberg tumor