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Gynecology > Ovaries > Flashcards

Ovaries Flashcards

(69 cards)

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1
Q

Mobile
Cystic
Smooth
Unilateral

A

Benign

Ben’s Smooth Mobile UniCycle was Repossessed

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2
Q

Fixed
Solid
Irregular
Bilateral

A

Malign

Mali ang mag Fix ng Solid Irregular Bill ng Old, young and taking OCPs

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3
Q

Size differentiating Benign from Malignant

A

8
<8 Benign
>8 Malignant

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4
Q

Benign or Malignant ovarian mass: associated with calcifications

A

Benign

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5
Q

Benign or Malignant ovarian mass: associated with ascites and lymphadenopathy

A

Malignant

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6
Q

Benign or Malignant ovarian mass: nodular and papillary on UTZ

A

Malignant

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7
Q

Benign or Malignant ovarian mass: multilocular and multicystic on UTZ

A

Malignant

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8
Q

Comprise 75% of ovarian masses in women in reproductive age

Most common cause of simple cystic adenexal mass in the reproductive age

A

Functional Cyst

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9
Q

Most common cause of complex adnexal mass

A

Benign cystic teratoma

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10
Q

Most common cause of pelvic mass

A

Pregnancy

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11
Q

Benign cyst that can rupture and can cause mild-moderate intraperitoneal bleeding

A

Corpus Luteum

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12
Q

Benign cyst that can become very large and cause adnexal/ovarian torsion and massive bleeding

A

Theca lutein cyst

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13
Q

Functional ovarian cyst that results from the persistence of a dominant follicle (failure of a follicle to rupture during the follicular maturation phase)

A

Functional cyst

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14
Q

Functional ovarian cyst that results from the failure of the corpus luteum cyst to regress during the luteal phase

A

Corpus luteum cyst

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15
Q

Spotting with delay in menses
Unilateral pelvic pain
Small, tender adnexal mass (CL cyst)

A

Halban’s Triad

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16
Q

Functional ovarian cyst that results from prolonged or excessive stimulation by endo/exogenous gonadotropins (hCG)

A

Theca lutein cyst

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17
Q

Functional ovarian cyst with honeycomb appearance and (+) straw colored fluid grossly

A

Theca lutein cyst

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18
Q

Functional ovarian cyst that is translucent and thin walled

A

Functional cyst

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19
Q

Functional ovarian cyst: multicystic and bilateral

A

Theca lutein cyst

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20
Q

Functional ovarian cyst: regresses after pregnancy

A

Theca lutein cyst

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21
Q

Adnexal Torsion management

A

Exploratory laparotomy

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22
Q

Adnexal mass management: Premenarchal < 2 cm

A

Exploratory laparotomy

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23
Q

Adnexal mass management: Reproductive <6 cm

A

Observe -> repeat UTZ

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24
Q

Adnexal mass management: Reproductive 6-8 cm

A

UTZ -> (Observe if Unilocular, Exlap if Multilocular)

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25
Adnexal mass management: Reproductive > 8 cm
Ex lap
26
Adnexal mass management: Post mens, palpable
Ex Lap
27
WHO classification of Ovarian tumors
Epithelial Sex Cord Germ Cell
28
M/C classification of Ovarian tumors
Epithelial
29
Most frequent ovarian epithelial tumor Ovarian epithelial tumor that resembles fallopian tubes
Serous cystadenoma
30
Ovarian epithelial tumor that resembles endocervix/GIT Ovarian epithelial tumor that is multilocular with mucoid substance within and can reach enormous size
Mucinous cystadenoma
31
Ovarian epithelial tumor that resembles the transitional cells of the urinary bladder Ovarian epithelial tumor that has epithelial cells with "coffee-bean" appearing nucleus
Brenner's Tumor
32
Ovarian epithelial tumor with cells resembling the endometrium
Endometroid
33
Most common neoplasm in prepubertal females Dermoid Cyst/ Mature Teratoma 80% Occur in reproductive life
Benign cystic teratoma
34
Most common benign solid tumor of the ovary Whorled pattern in cross section
Fibroma
35
Meig Syndrome
HAFi Hydrothorax Ascites Fibroma
36
Ovarian stromal tumor that is extremely slow growing and unilateral
Fibroma
37
Tumor markers for Ovarian Epithelial tumors
CA - 125 | CEA
38
Tumor markers for Germ cell tumors
LDH hCG AFP
39
Tumor markers for Sex cord tumors
Estrogen | Testosterone
40
Stage of Ovarian Tumors: Confined to the ovaries or Fallopian tubes
1
41
Stage of Ovarian Tumors: with pelvic extension (below brim) or primary peritoneal cancer
2
42
Stage of Ovarian Tumors: spread to peritoneum outside the pelvis and/or mets to retroperitoneal LN
3
43
Stage of Ovarian Tumors: Distant metastases excluding peritoneal surfaces
4
44
Ovarian epithelial tumor containing cells with abundant glycogen (Hobnail cells)
Clear Cell
45
Ovarian epithelial tumor associated with DES exposure
Clear Cell
46
Analogous to seminoma of the testes
Dysgerminoma
47
Tumor marker for Dysgerminoma
LDH
48
Most common malignant germ cell tumor
Dysgerminoma
49
Primary tool for evaluation of Pelvic mass
Pelvic Ultrasound
50
Pelvis and abdomen to assess the spread of the disease
MRI/ CT Scan
51
Distinguishes primary or secondary ovarian CA
Barium Enema and Intravenous Pyelogram
52
Tx for Ovarian CA
Desires pregnancy - USO/BSO + Completes Surgical Staging Uterus not Needed - TAHBSO + Completes Surgical Staging Stage IC-IV = + Chemo Tx (Paclitaxel + Carbaplatin) St. IV = (-) Surgical Staging, (+) Surgical debulking
53
Most common ovarian malignancy in women <30 y/o
Germ Cell Ovarian Tumor
54
Germ cell stroma infiltrated with lymphocytes TM: LDH Analogous to Seminoma
Dysgerminoma
55
Schiller Duval Bodies | TM: AFP
Endometrial sinus Tumor/ Yolk Sac Tumor
56
Highly malignant cytotrophoblast and syncitiotrophoblast | TM: hCG
Choriocarcinoma
57
Immature embryonic structures mixed with mature elements | TM: AFP
Immature teratoma
58
Call Exner bodies (cells w/ coffee-bean nuclei arranged in small clusters around a central cavity) Ovarian tumor that is functionally estrogenic Ovarian tumor that may manifest with precocious puberty in children
Granulosa Theca Cell Gran torino's Ex coffee is precious to children
59
Nipple projections in dermoids
Tubercle of Rokitansky
60
Ovarian tumor that is functionally testosterogenic Resembles Fetal Testes
Sertoli Leydig Cell Tumor
61
Most common tumor in less than 30 y/o
Dermoid cyst
62
Schiller Duval Bodies
Yolk Sac Tumor
63
Call Exner Bodies
Granuloma Theca Tumor
64
Nipple projection in dermoids
Tubercle of Rokitansky
65
Presents as virilization
Sertoli Leydig tumor
66
Presents as Hyaline Droplets
Schiller Duval of Yolk Sac Tumor
67
Presence of Thyroid tissue in the ovary
Struma ovarii
68
Presents as Vagina Bleeding in Adults
Sertoli Leydic
69
Eosinophilic Bodies surrounded by Granulosa cells
Granulos Theca

Gynecology (8 decks)

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