Ovaries And Fallopian Tubes Path Flashcards

1
Q

Failed Graafian follicle—

A

Follicular cyst

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2
Q

Results from the rupture of a Graafian follicle

- produces estrogen

A

Corpus Luteum cyst

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3
Q

Most common pelvic mass seen during 1st trimester pregnancy

A

Corpus luteum

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4
Q

Corpus luteum resolves by week __

A

16

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5
Q

Largest and least common functional cyst

A

Theca lutein cyst

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6
Q

Cyst found in the presence of elevated HCG

A

Theca lutein cyst

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7
Q

Cyst that is commonly found with gestational triphoblastic disease(molar pregnancy) and ovarian hyper stimulation, twin pregnancy

A

Theca lutein cyst

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8
Q

High levels of hCG may cause the clinical sign of

A

Hyperemesis

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9
Q

Theca lutein cysts are often (unilateral or bilateral)?

A

Bilateral

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10
Q

Small cysts adjacent to ovary

A

Paraovarian cyst

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11
Q

Paraovarian cysts more likely arise from the ____ or _____

A

Fallopian tubes or broad ligament

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12
Q

If parapelvic cyst is large enough, patient may present with

A

Increased lower abdominal girth

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13
Q

Most common benign ovarian tumor

A

Cystic teratoma/dermoid

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14
Q

Visualization of HAIR within the dermoid

A

Dermoid mesh

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15
Q

Various tissues that will be a source of posterior shadowing in a dermoid:

A

Dermoid plug

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16
Q
  • Benign ovarian sex cord-stroma tumor
  • meigs syndrome
  • estrogen producing
  • unilateral
A

Thecoma

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17
Q

Sonographic appearance of thecoma

A

Hypoechoic, posterior attenuation. Similar to fibroid

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18
Q

Most common estrogenic tumor

A

Granulosa Cell Tumor

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19
Q

Granulosa cell tumor aka

A

Granulose Theca cell tumor

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20
Q
  • Benign sex cord-stromal tumor
  • estrogenic tumor
  • unilateral
  • adolescents may present with pseudo precocious puberty
A

Granulosa cell tumor

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21
Q
  • Benign sex cord-stromal tumor
  • not associated with estrogen production
  • Meigs syndrome
A

Fibroma

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22
Q

Fibromas are most often found in _____ age

A

Middle age women

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23
Q

Benign blood containing tumor associated with endometriosis

A

Endometrioma

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24
Q

Endometrioma aka

A

Chocolate cyst

25
Endometriomas most common location:
Ovary
26
- small transitional cell tumors - unilateral - signs of Meigs syndrome - may contain calcifications
Brenner tumor
27
Meigs syndrome:
- benign ovarian tumor, ascites, pleural effusion
28
- most commonly occurring in women 40-50 and in pregnant women - bilateral - contains septations and/or papillary projections
Serous cystadenoma
29
- can be up to 50 cm - unilateral - contain internal debris
Mucinous cystadenoma
30
Most common malignancy of ovary
Serous Cystadenocarcinoma
31
Serous Cystadenocarcinoma is usually ___lateral
Bilateral
32
Serous Cystadenocarcinoma may have elevated
CA 125
33
Associated with pseudomyxoma peritonei
Mucinous Cystadenocarcinoma
34
Mucinous Cystadenocarcinoma is often ___lateral
Unilateral
35
Difference between serous/mucinous Cystadenocarcinoma and serous/mucinous cystademona
More prominent papillary projections and thicker septations
36
Malignant ovarian tumor metastases from the GI tract
Krukenberg tumor
37
Krukenberg tumor most commonly originates from
Stomach
38
Sex cord-stromal ovarian neoplasm associated with virillization and hirsutism
Sertoli leydig cell tumors/ androblastoma
39
Sertoli leydig cell tumor aka
Androblastoma
40
Androblastoma more often found in ____ women
Younger than 30
41
Most common malignant germ cell tumor of ovary
Dysgerminoma
42
Dysgerminomas most commonly affect women aged:
Under 30
43
Most frequent ovarian malignancy found in childhood
Dysgerminoma
44
Tumor marker for dysgerminoma
LDH
45
Dysgerminoma is equivalent to the ____ in testicle
Seminoma
46
Second most common malignant germ cel tumor
Yolk sac tumor
47
Yolk sac tumor aka
Endodermal sinus tumor
48
Lab value for yolk sac tumor
AFP
49
Yolk sac tumor occurs in women age:
Under 20
50
- women 50-60 | - history of endometrial cancer, endometriosis, endometrial hyperplasia
Endometrioid tumor
51
Most common cancer to originate within an endometrioma
Endometrioid tumor
52
Doppler of malignant ovarian masses show ____ resistance
Low
53
RI of malignant tumors
< 0.4
54
Pulsatility index of malignant neoplasm
< 1.0
55
Ovarian torsion most commonly affect what side
Right
56
Most common cause of torsion
Cyst/mass
57
Sign indicating torsed pedicle adjacent to ovary
Whirlpool sign
58
“Moth eaten” appearance
Krukenberg tumor