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22 Cards in this Set

  • Front
  • Back
Ovarian torsion is caused by:
Requires:
Usually occurs in:
acute, partial or complete rotation of the ovarial pedicle
Urgent surgery
Childhood/adolescence
Symtpoms of ovarian torsion:
Sonographically:
pain, nausea, vomitting, palpable mass
Unilateral enlarged ovary w/ mult. follicles
Ovarian edema is a:
It causes:
Rare, incomplete ovarion torsion
Partial venous and lymphatic obstruction but no arterial occlusion
Ovarian Cancer accounts for:
Peak incidence in the:
It has the:
25% gynecologic malignancies
3rd most common
60's
Highest mortality rate, asymptomatic
Ovarian Cancer sonographically:
If suspected, evaluate the:
pelvic mass w/ indistinct margins, increased echogenicity, inhomogeneous
Entire pelvis and abdomen
Epithelial tumors originate from the:
Spread by:
Can spread by:
surface epithelium of the ovary
Primary intraperitoneal lymphatics
Direct contact
Serous cystadenoma is a:
It's the most common:
Malignant form is called:
serous tumor
Ovarian tumor
serous cystadenocarcinoma
Serous cystadenoma sonographically:
Unilocular is usually:
May contain:
Variable
Large, thin walled
Septations, papillary projections
Mucinous cystadenoma is the:
Malignant form:
More commonly it is:
Size:
Second MC epithelial tumor
cystadenocarcinoma
Unilateral
Huge, 15-30cm
Cystadenocarcinomas sonographically:
multiple septae
Low level echoes (from mucin)
Multiloculated
May have papillary projections and echogenic material
Pseudomyxoma peritonei is a penetrations of:
It leads to:
Fills the peritoneal cavity with:
the tumor capsule or rupture Intraperitoneal spread of mucinsecreting cells
Gelatinous material
Endometroid tumor is almost always:
Assoc. w/:
Malignant
Endometrial adenocarcinoma
Uni or bilateral
Clear cell carcinomas origin is the:
It's a variant of:
Mullerian Duct
Endometroid carcinoma
Brenner's Tumor (transitional cell) is:
Sonographically:
Masses may contain:
uncommon, usually benign and unilateral
Hypoechoic solid masses
Calcifications
Teratomas aka:
Common in:
Sonographically:
Easily mistaken for:
dermoid cyst
Menarchal years
variable, predominatley cystic mass
Echogenic mural nodule "dermoid plug" may have hair, teeth, fat
Cause shadowing effect
Bowel Gas
Struma ovarii is a special case of:
Predominated by:
Common in:
teratoma, rapid malignant tumor
thyroid tissue
women in 20's
Dysgerminoma is a:
Occurs in:
Sonographically:
Anechoic areas due to:
malignant germ cell tumor
Women less than 30's
Uni or bilateral, solid mass, echogenic
Hemorrhage or necrosis
Endometrial sinus tumor aka:
Incidence:
Occurs in:
Characterized by:
Sonographically is similar to:
yolk sac tumor
rare but growing
Women under 20
Increased alpha-feto protein levels
Dysgerminoma
Sex Cord Tumors aka:
stromal tumor
Granulosa cell tumor is:
Occurs in women who are:
Sonographically:
Similar to:
Estrogenically benign active tumor
unilateral
Postmenopausal
Small-very large solid masses
Cystadenoma
Sertoli-Leydig Cell Tumors are:
Occur in:
This symtpom may occur:
Sonographically is similar to:
androblastoma
Rare, ovarian neoplasm
Unilateral, benign
Women under 30
Masculinization
Graulosa cell tumor
Thecomas and fibromas arise from:
Occur in women who are:
Size:
Assoc. w/:
ovarian stroma
Postmenopausal
Large, unilateral, benign
Ascites