Sono 120 Ch 15-16 (5)

Front 1

Ovarian torsion is caused by:
Requires:
Usually occurs in:

Back 1

acute, partial or complete rotation of the ovarial pedicle
Urgent surgery
Childhood/adolescence

Front 2

Symtpoms of ovarian torsion:
Sonographically:

Back 2

pain, nausea, vomitting, palpable mass
Unilateral enlarged ovary w/ mult. follicles

Front 3

Ovarian edema is a:
It causes:

Back 3

Rare, incomplete ovarion torsion
Partial venous and lymphatic obstruction but no arterial occlusion

Front 4

Ovarian Cancer accounts for:
Peak incidence in the:
It has the:

Back 4

25% gynecologic malignancies
3rd most common
60's
Highest mortality rate, asymptomatic

Front 5

Ovarian Cancer sonographically:
If suspected, evaluate the:

Back 5

pelvic mass w/ indistinct margins, increased echogenicity, inhomogeneous
Entire pelvis and abdomen

Front 6

Epithelial tumors originate from the:
Spread by:
Can spread by:

Back 6

surface epithelium of the ovary
Primary intraperitoneal lymphatics
Direct contact

Front 7

Serous cystadenoma is a:
It's the most common:
Malignant form is called:

Back 7

serous tumor
Ovarian tumor
serous cystadenocarcinoma

Front 8

Serous cystadenoma sonographically:
Unilocular is usually:
May contain:

Back 8

Variable
Large, thin walled
Septations, papillary projections

Front 9

Mucinous cystadenoma is the:
Malignant form:
More commonly it is:
Size:

Back 9

Second MC epithelial tumor
cystadenocarcinoma
Unilateral
Huge, 15-30cm

Front 10

Cystadenocarcinomas sonographically:

Back 10

multiple septae
Low level echoes (from mucin)
Multiloculated
May have papillary projections and echogenic material

Front 11

Pseudomyxoma peritonei is a penetrations of:
It leads to:
Fills the peritoneal cavity with:

Back 11

the tumor capsule or rupture Intraperitoneal spread of mucinsecreting cells
Gelatinous material

Front 12

Endometroid tumor is almost always:
Assoc. w/:

Back 12

Malignant
Endometrial adenocarcinoma
Uni or bilateral

Front 13

Clear cell carcinomas origin is the:
It's a variant of:

Back 13

Mullerian Duct
Endometroid carcinoma

Front 14

Brenner's Tumor (transitional cell) is:
Sonographically:
Masses may contain:

Back 14

uncommon, usually benign and unilateral
Hypoechoic solid masses
Calcifications

Front 15

Teratomas aka:
Common in:
Sonographically:
Easily mistaken for:

Back 15

dermoid cyst
Menarchal years
variable, predominatley cystic mass
Echogenic mural nodule "dermoid plug" may have hair, teeth, fat
Cause shadowing effect
Bowel Gas

Front 16

Struma ovarii is a special case of:
Predominated by:
Common in:

Back 16

teratoma, rapid malignant tumor
thyroid tissue
women in 20's

Front 17

Dysgerminoma is a:
Occurs in:
Sonographically:
Anechoic areas due to:

Back 17

malignant germ cell tumor
Women less than 30's
Uni or bilateral, solid mass, echogenic
Hemorrhage or necrosis

Front 18

Endometrial sinus tumor aka:
Incidence:
Occurs in:
Characterized by:
Sonographically is similar to:

Back 18

yolk sac tumor
rare but growing
Women under 20
Increased alpha-feto protein levels
Dysgerminoma

Front 19

Sex Cord Tumors aka:

Back 19

stromal tumor

Front 20

Granulosa cell tumor is:
Occurs in women who are:
Sonographically:
Similar to:

Back 20

Estrogenically benign active tumor
unilateral
Postmenopausal
Small-very large solid masses
Cystadenoma

Front 21

Sertoli-Leydig Cell Tumors are:
Occur in:
This symtpom may occur:
Sonographically is similar to:

Back 21

androblastoma
Rare, ovarian neoplasm
Unilateral, benign
Women under 30
Masculinization
Graulosa cell tumor

Front 22

Thecomas and fibromas arise from:
Occur in women who are:
Size:
Assoc. w/:

Back 22

ovarian stroma
Postmenopausal
Large, unilateral, benign
Ascites