overies and fallopian tubes Flashcards

Compare and contrast the different types of benign ovarian cysts Describe the different functional disorders of the ovary Differentiate the different types of ovarian cysts and functional disorders based on clinicopathologic findings Describe the 3 groups of ovarian tumors (sex cord stromal, epithelial, and germ cell - benign, borderline and malignant) including : relative incidence, clinical findings, associations, outcomes and tumor markers (if applicable). Describe common metastasis to t

1
Q

most common benign ovarian cyst

A

folllicle/luteal cyst

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2
Q

may secrete estrogen and be assiciated with endometrial hyperplasia

A

follicle.luteal cyst

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3
Q

most common cause of ovarian enlargement during pregnancy

A

corpus luteum cyst

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4
Q

may be associated with mentrual irregulariry or rupture and hemorrhage

A

corpus luteum cysts

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5
Q

young, overweight woman with hirsustism, and anovulation

A

PCOS

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6
Q

“string of pearls” in ovarian US with stromal fibrosis

A

PCOS

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7
Q

linked to diabees and hyperinsulinemia

A

PCOS

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8
Q

most common ovarian cancer type

A

surface epithelial

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9
Q

types of ovarian surface epithelial tumors

A
serous
mucinous
endometrioid
clear cell
crenner
cystadenofribroma
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10
Q

types of germ cell tumors

A

tetroma
dysgerminoma
endometrial sinus tunor
choricocarcinoma

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11
Q

type of sex cord/stroma tumor

A

finroma
granulosa
sertoili/leydig tumor

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12
Q

risk factors of ovarian carcinoma

A
nulliparity
FMX
BRCA
mutation of p53
gonadal dysgenisis
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13
Q

clinical findings of ovarian tumors

A

pain, GI complaints, urinary frequency, increased abdominal girth or ascites

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14
Q

most common way ovarian tumors found

A

incidently

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15
Q

benign ovarian surface epithelial tumor

A

brenner, mucinoid (80%)

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16
Q

highly lethal malignant surface epithelial tumor

A

serous carcinoma - the worst, clear cell

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17
Q

most common benign surface epithelial tumor

A

serous cystadenoma

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18
Q

smooth surface and very little solid area surface epithelial tumor

A

serous cystadenoma

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19
Q

papillary structures, psammomma bodies

A

malignant serous ovarian tumor

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20
Q

genetics of malignant serous ovarian tumor

A

p53 or BRCA

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21
Q

way malignant serous ovarian tumor spreads

A

exfoliation and lymphatics

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22
Q

most common cause of mucous tumor

A

appendix tumour

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23
Q

defined by the precense of invasio of the surrounding tissue

A

mucinous carcinoma

24
Q

frequently bilateral tumor associated with endometriaol carcinoma

A

endometroid tumors

25
highly associated with pelvic endometriousis and hypercalcemia
clear cell tumors
26
islands of bladder-looking epithelium
brenner tumors
27
46xx
mature teratoma
28
young pt, asymptomatic or possibly may feel mass
mature teratoma
29
teratomas do NOT include
neural elemants
30
type of teratoma that may lead to hyperthyroidism
monodermal
31
elevated AFP tumor
yolk sac tumor
32
shiller duval bodies
yolk sac tumor
33
ovarian tumor in very young kids
yolk sac
34
malignant tumor very well treated with radiation
dysgerminoma
35
occurs often in ginadal dysgenisis in 20-40 year olds
dysgerminoma
36
benign tumor that may secrete hormones
sex cord stromal
37
can produce hydrothorax and ascites as well as secrete estrogens and androgens
fibroma-thecoma
38
secretes large amounts of estrogen
granulosa cell tumor
39
call-exner bodies
granulosa cell tumor
40
may rupture and hemorrhage, leading to emergent surgery
granulosa cell tumor
41
androgenic tumors
sertoli leydig tumors
42
reinke crystals
sertoli leydig tumors
43
tumors with high lipid content
sertoli leydig tumors
44
common primary cancers that met to ovaries
GI (krukenberg), breast and lung
45
malignant goblet cells
krukenberg tumor
46
tumor marker for all ovarian cancer
CA 125
47
tumor marker in choriocarcinoma
b- HCG
48
tumor marker in yolk sac tumor
AFP
49
tumor marker in granulosa cell tumor
inhibin
50
clinical use of ovarian tumor marker
"point to" maligancy - but not diagnostic. Used to track response to treatment and recurrence
51
tubal inflammation
salpingitis
52
most common cause of salpingitis
chlamydia and/or gonorrhea
53
most common cause of infertility and ectopoc pregancy
PID
54
cervival tenderness and RUQ pain
PID
55
vast majority of tubal adenocarcinoma are what type
high grade serous carcinoma