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Flashcards in Ovaries Deck (37)
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Clinical signs of ovarian cancer

Abdominal pain
Vaginal bleeding
Nausea/Vomiting
Increased abdominal girth (ascites)
Inc CA125 (blood test)
Diarrhea/GI symptoms

1

Ovaries or testis by

7 weeks

2

Ovary size

3 cm L adult

Volume 9.8cm Adult
Volume 3cm child
Volume 5.8cm post menopausal

3

Ovarian ligament

Inf ovary to uterine cornu

4

Infundibulopelvic ligament

Suspends superior ovary from post/lat pelvic wall

5

Mesovarium

Post surface of broad ligament

6

Ovarian layers

*Germinal epithelial: outer
*Fibrous capsule: tunica albuginea
*Ovarian parenchyma: cortex. Has follicles
*Central medulla

7

Graafan follicle reaches ___ before rupture

1.8-2.4cm

8

Mittelschermz

Pain with ovulation

9

Corpus Luteum

Supports pregnancy
If not pregnant becomes corpus albicans

10

Location

True pelvis
Ovarian fossa aka Waldeyer's Fossa

11

Vessels

Adnexal branch of uterine artery
Ovarian artery
Ovarian vein: rt dumps to IVC, left dumps to lt renal vein to IVC

High resistance, early dicrotic notch

Abnl: < 1
Low resistance with cancer.

12

Functional Cyst

MC cause of ovarian enlargement
1. Follicular
2. Corpus Luteum after ovulation. Ring of fire. Unilateral. Makes progesterone.
3. Hemorrhagic
4. Theca-Lutein in molar preg. Inc hCG. Large. Bilateral. Septated.

Normal follicles 2.5 cm.
Regress
CDS fluid

13

Ovarian Remnant Syndrome

Take out ovary and residual tissue produces functional cyst.

14

Para ovarian cyst

Embryonic remnant. Separate from ovary.

15

Polycystic Ovaries

Endocrine disorder. LH/FSH ratio inc
Anovulatory.
Numerous small follicles that don't mature. Displaced.
String of pearls

Assoc: Stein Leventhal Syndrome: infertility, oligomenorrhea, hirsutism:hairy, obese.

16

Ovarian Torsion

Ovary rotates cuts off blood supply
Hemorrhage/infarction
Pain fever palp mass
Adolescence/children
Assoc with adnexal mass

Enlg hypo ovary with little-no Doppler flow

17

Endometrioma / Chocolate Cyst

Localized endometriosis ectopic endo tissue
Homogeneous mass

18

Cystic Teratoma / Dermoid Cyst

MC germ cell tumor
MC ovarian tumor
Malignant degeneration rare
Ca+, hair, fat, complex
Tip of iceberg sign. Shadow

19

Serous cystadenoma

Post menopausal
Epithelial
2nd MC tumor
Large thin septations

20

Mucinous Cystadenoma

Less common
Very large 15-30cm
Multi septated, debri

21

Benner Tumor

Benign epithelial tumor
Rare

22

Fibroma

Benign stromal tumor
Rare
Post menopausal

23

Meig's Syndrome

Fibroma & Brenners tumor cause it
Massive ascites
Pleural effusion

24

Thecoma / Theca Cell Tumor

Stromal tumor
Estrogen producing
Abnl ut bleeding

25

Sertoli-Leydig Cell / Androblastoma

Secretes hormones
Masculinization
Can become malignant

26

Granulosa Cell Tumor

Feminizing
Post menopausal

Precocious puberty & full breasts

27

Arrhenoblastoma

Masculizing tumors
Amenorrhea

28

Ovarian cancer

Post menopausal
90% epithelial
94% cystic components
Inc CA125
Silent killer

Stage 1: ovary
Stage 2: 1 or both ov with pelvic extension
Stage 3: 1 or both ov, intraperitoneal mets, nodes, omentum/sm bowel involvement. In true pelvis.
Stage 4: ovaries, mets, pleural effusion.

History of breast cancer.
Fam hx ov Cancer
Nulliparous
Hx colon cancer
Talcum powder

29

Serous cystadenocarcinoma

MC ovarian cancer
Bilateral. Large. Older.

30

Mucinous cystadenocarcinoma

Young. Huge. Bilateral. Thick septation.

31

Endometroid Tumor

Malignant.
Assoc with endo cancer and endometriosis

32

Teratoma

Rare
Child/young adults
Germ cell.
Ca+ shadow

33

Dysgerminoma

MC pediatric ovarian mass
Rapid growth
May torse

34

Mets to ovary

GI, Endo, Breast, melanoma, lymphoma

35

Krukenberg Tumor

Specific type of ov met.
Has signet ring cells.
Usually from gastric primary.

36

Tunners Syndrome

MC gonadal dysgenesis
45XO
Complete/ partial absent ov
Coarctation of aorta
Cystic hygroma : neck webbing
Shield chest