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52 Cards in this Set
- Front
- Back
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2 morphological kinds of ovarian tumors
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cystic
solid |
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3 kinds of cystic ovarian tumors
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functional
neoplastic endometrioma |
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T/F: functional cysts can be malignant
T/F: neoplastic cysts can be malignant T/F: endometriosis cysts can be malignant T/F: solid tumors cysts can be malignant |
F
T F T |
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3 kinds of functional ovarian cysts
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follicular
corpus luteum theca lutein |
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functional cysts are common/rare
they are related to ___ |
common
ovulation |
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follicular cysts are lined by ___ cells
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granulosa
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usual follicular cyst outcome
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spontaneous resolution within 2 weeks
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___ is one kind of corpus luteum cyst
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hemorrhagic corpus luteum
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menstrual abnormality associated with corpus luteum cyst
this can cause confusion with ___ |
delay of menses
ectopic pregnancy |
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usual outcome of corpus luteum cyst in the absence of pregnancy
usual outcome of corpus luteum cyst in the presence of pregnancy |
resolution within 8 weeks
resolution at development of yolk sac |
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corpus luteum cysts present with ___
they are more common on L/R |
sudden pain
R |
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compared with follicular cysts, CL cysts are ___
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more likely to cause pain
larger |
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theca lutein cysts and ___ are caused by ___, e.g. from ___ (2)
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luteoma of preganancy
hCG molar pregnancy chorioca |
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___ is a benign germ cell tumor
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dermoid cyst
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dermoid cysts are aka ___
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benign cystic teratoma
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3 benign epithelial tumors
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serous cystadenoma
mucinous cystadenoma brenner tumor |
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benign tumor of sex cord stroma
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fibroma
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serous/mucinous cystadenoma is more common
serous/mucinous cystadenoma is bigger serous/mucinous cystadenoma is associated with psammoma bodies |
serous
mucinous serous |
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___ is a complication of mucinous cystadenoma
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pseudomyxoma peritonei
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meigs syndrome includes (3)
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ascites
pleural effusion ovarian tumor |
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4 parameters distinguishing benign from malignant ovarian tumros
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size
laterality structure ascites |
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tumors below ___ are benign
tumors above ___ are malignant |
8 cm
10 cm |
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benign tumors are usually uni/bilateral
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uni
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structure of benign tumors (3)
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cystic
unilocular thin septations |
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structure of malignant tumors (3)
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solid elements present
multilocular thick septations |
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ascites is present in benign/malignant tumors
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malignant
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7 indications for surgery on ovarian cyst
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>5 cm and lasting>6 w
>10 cm solid lesion papillary vegetation present ascites palpable and present in premenarchal/postmenopausal torsion/rupture suspected |
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6 RFs for ovarian ca
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family hx of ovarian or breast ca
age nulliparity early menarche late menopause obesity |
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5 protective factors for ovarian ca
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OCP use
multiparity breastfeeding tubal ligation hysterectomy |
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5 clinical presentation of ovarian ca
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dyspepsia
bloating/early satiety constipation back pain urinary frequency |
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stage 1 ovarian ca
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limited to ovaries
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stage 1c ovarian ca is limited to ___,
but ___ |
ovaries
capsule ruptured |
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stage 2 ovarian ca
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limited to pelvis
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stage 3 ovarian ca
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limited to abdomen
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tx for stage 1a or 1b epithelial ovarian ca (5)
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TAH
BSO omentectomy peritoneal washings LN dissection |
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tx for stage 2/3/4 epithelial ovarian ca
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debulking surgery
chemo |
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chemo for advanced epithelial ovarian ca (2)
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carboplatin
taxol |
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___ is used to monitor tx and watch for recurrence
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CA-125
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primordial germ cells become ___ (2 tumors)
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dysgerminoma
embryonal ca |
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markers for dysgerminoma
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LDH
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markers for embryonal ca
embryonal cells become ___ (2) cells |
AFP
hCG embryonic extraembryonic |
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embryonic cells give rise to ___ tumors
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immature teratoma
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marker for immature teratoma
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nothing!
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2 cell types with extraembryonic differentiation
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trophoblast
yolk sac |
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trophoblast cells give rise to ___
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chorioca
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marker for chorioca
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hCG
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marker for yolk sac tumor
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AFP
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in contrast to epithelial tumors, germ cell tumors ___ (2)
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grow quickly
present early |
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surgical tx for malignant germ cell tumors:
if bilateral disease, ___ if unilateral disease, ___ |
TAH + BSO
unilateral SO |
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in addition to surgery, give ___ for malignant germ cell tumor
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BEP chemo
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BEP means ___
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bleomycin
etoposide cisplatin |
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tx for sex cord stromal tumors
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USO
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