-
Follicles
- 10days prior to ovulation
- 0.5cm
- cystic
-
mature follicle
- at ovulation
- 2-2.5 cm
- cystic
-
follicular cyst
- mature follicle to ovulate or involute
- 1-20 cm
- cystic
- unilateral
-
Corpus luteal cyst
- develop in luteal phase
- 1.5-2.5cm
- thick border
 
-
CLC of preg
- occurs with fertilization
- resolve by 16 wks
- cystic
- unilocular
-
functional cyst
- develop if cyst doesn't reabsorb
- 5-11cm
- irregular border
- unilateral
- hemorrhage
- rupture
-
Theca luteal cyst
- largest functional cyst
- Increase HCG
- trophoblastic dx
- single/multi gest
- ovarian hyperstimulate
- 3-20 cm
 - multilocular
- bilateral
- hemorrhage
- rupture
- torsion
-
polycystic ovarian dx
 - endocronological disorder
- imb.FSH &LH
- infertility
- increase early preg loss
- oligo-amenorrhea
- hairsutism
- obesity
- bilateral,round ov., increase stromal echo
- string of pearl
-
paraovarian cyst
- arise - wolfian duct
- 30-40 y/o
- 1.5-19cm
- unilocular
-
peritoneal cyst
- serous fluid accumulation adhesion+peritoneal
- cystic
-
Brenner Tumor- epithelial neoplasm
 - Benign
- abn. bleed, meig's syn8cm
- Solid, cystic, outer wall calc.,
- bilateral
-
serous cystadenoma
 - benign
- 40-50 y/o
- thin watery
- 20 cm
-
-
thick gelationeous mat
30 cm
-
cystadenoma- U/S appearance
- unilateral
- single
- unilocular
- thin walled
- multi locular
- thin septa
- smooth lobular wall
-
serous Cystadenocarcinoma
 - 50% of ov. malignancy
- bilateral
- peri/post meno
- malignant
-
mucinous cystadenocarcinoma
unilateral
-
cystadenocarcinoma
- malignant
- peri/post meno
- 10-30 cm
- loss of capsular def.
- thick septa greater 3mm
- solid replacement of loculation
- papillary projection
- fixation of mass
-
endometroid ca
- malignant
- associated with endo ca
- arise from endometroisis
- abn endo echo
- bilateral
-
-
dermoid U/S appearance
- micro 40 cm
- fatty sebaceous
- hair ball, skin, bone, fluid level, complex mass
- tip of ice berg
- rokitansky protrubance
-
teratocarcinoma- malignant germcell tumor
- ca arise from teratoma
- young adult
- van have cystic and echogenic area/ shadowing
-
dysgerminoma
- malignant
- primary cause of amenorrhea
- solid, homogeneous, necrosis
-
endodermal sinus tumor
- young adult, asso., teratoma
- solid, necrosis
-
choriocarcinoma of ovary
- aggressive
- rare
- prepubertal- can cause precocious puberty
- incre. HCG
- wide spread mets
-
Fibroma- sex cord/stromal tumor
  - benign
- 40-60 y/o
- not asso. w/ estrogen
- asymptometic
- 5-16cm
- solid, hypo, whorled text, attn sound
-
Thecoma
 - benign
- estr. prod.
- asso. invasive endo ca.
- abn ut bleed
- post meno
- meig syn
- 30 cm, solid, hypo, attn sound
-
sertoli leydig cell tumor
- benign
- 20-30 y/o
- musculinizing
- hair sutism, voice change, hypertrophy of clitrosis
- amenorrhea, infertility
- solid, hypoechoic, unilateral
-
granulosa theca cell tumor
 - adult & juvenille type
- low malignancy pot.
- feminizing tumor
- estr. prod.
- early- precasious puberty
- meno- redev breast, abn ut bleed, ut hyper
-
mets tumor
- primary- breast & GI
- bilateral, solid
-
krukenberg tumor
  - bilateral
- musin secreting "signet Ring" cell
- usually gastric & colon
- endo ca freq in ov mets
-
ovarian carcinoma- increase risk
- family hx of breast ov ca
- nullipara
- infertility pt on clomoid
- pt on temoxifan
-
ovarian ca- decrease risk
women on OCP
-
U/S appearance of malignancy
- complex
- loss of definatation
- sept>3mm
- ascites
- lymphadenopathy
- mets
- matted bowel
-
ovarian malignancy- clinical findings
- peri/post meno
- pain due to pressure from mass or ascites
- freq. urination
- abd. distention+backache
- GI symp
- weight loss
- vag bleed
-
cystic mass
- follicles
- functional cyst
- corpus luteal cyst
- theca luteal cyst
- poly cystic ov
- hyerstimulated ov
- cystadenomas
- ov remnant syn
- para ov cyst
- peritoneal inclusion cyst
-
complex mass
- cystadenocarcinoma-m
- dermoid-b
- teratocarcinoma-m
- chorio ca of ov- m
- endometroid ca- m
- granula theca cell- low ma
-
solid mass
- brenner-b
- fibroma-b
- thecoma-b
- sertoli leydig cell- b
- dysgerminoma-m
- endodermal sinus tumor- b
- krukenberg tumor-m
- mets tumor-m
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