Overian Disorders

Question 1

What are the 3 types of ovarian cyst?

Answer 1

Follicular cyst
Corpus luteum cyst
Theca lutein cyst

Question 2

What type of cyst occurs when an overian follicle fails to rupture or ovulate

Answer 2

Follicular cyst

Question 3

What cyst is most common to have

Answer 3

Follicular cyst

Question 4

What is the treatment for follicular cyst

Answer 4

Normally spontaneously regress within 6 weeks

If it does not consider malignancy or a different cyst

Question 5

At what size is a corpus luteum considered a cyst

Answer 5

> 3cm

Question 6

If a patient has recurrent corpus luteum cyst what can you do to help treat

Answer 6

Put on OCPs

Question 7

What is a complication of a corpus luteum cyst

Answer 7

Corpus hemorrhagicum-fills with blood and ruptures.

Will cause severe pain and hypotension

Question 8

If you have a corpus luteum cyst what hormone may be continually secreted leading to delayed menstrual cycles

Answer 8

Progesterone-cycles normally start when progesterone level drops

Question 9

What is the least common cyst that is associated with pregnancy

Answer 9

Theca lutein cyst

Question 10

What is the treatment of a theca lutein cyst

Answer 10

Most regress spontaneously without intervention

Question 11

Are most overian tumors benign or malignant

Answer 11

Benign

Question 12

What are the 3 types of overian tumors

Answer 12

Surface epithium
Stroma
Germ-cells

Question 13

What is the most common overian tumor

Answer 13

Surface epithium

Question 14

If an overian tumor is cystic and <10cm what can you do next

Answer 14

Monitor with repeat US

Question 15

What overian tumor tends to occur in teens/20’s and is most likely benign

Answer 15

Germ cell tumor

Question 16

What lab can help determine the type of overian tumor present

Answer 16

Alpha fetoprotein

Question 17

What is the treatment of a germ cell tumor

Answer 17

Oophorectomy

Question 18

What are the 2 types of sex cord stromal tumors

Answer 18

1. Granulosa theca cell tumor

2. Sertoli-Lydig cell tumor

Question 19

What sex cord stromal tumor is most common

Answer 19

Granulosa theca cell

Question 20

What sex cord stromal tumor resemble the overies and produces estrogen

Answer 20

Granulosa theca cell tumor

Question 21

What sex cord stromal tumor resembles the testes and produces testosterone and other androgens

Answer 21

Sertoli-leydig

Question 22

What is the treatment of a sex-cord stromal tumor

Answer 22

TAH-BSO

Question 23

What cancer has the highest mortality rate of all gyn cancers

Answer 23

Overian cancer

Question 24

What can decrease your risk of delvoping ovarian cancer

Answer 24

OCP’s

Question 25

What tumor marker is elevated in most cases of overian cancer

Answer 25

CA-125

Question 26

What labs can help identify type of tumor present

Answer 26

LDH, HCG, and alpha fetoprotien

Question 27

Where can ovarian cancer spread to

Answer 27

Into peritoneal cavity and lymph nodes

Question 28

What is the treatment of ovarian cancer

Answer 28

Abdominal hysterectomy + bilateral salpingo-oophrectomy + omentectomy + lymphadenectomy for early stage

Question 29

What mutations do you want to screen for because of a possiblilty of them developing overian cancer

Answer 29

BRCA 1 and BRCA2

Question 30

When should women with BRCA mutation have a transvaginal US and CA-125 testing

Answer 30

Every 6 months starting at 35 y/o earlier if 1st degree relative diagnosed with cancer

Question 31

When is an oophorectomy recommended in a patient with a BRCA mutation

Answer 31

Age 35 or as soon as done with childbearing