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Ovarian Pathology
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Terms in this set (21)
True or False: Ovarian torsion occurs twice as likely on the right side than on the left.
False. It is actually 3 times more likely to occur on the right side!
In what type of cyst does the "ring of fire" show in color sonographically?
In a hemorrhagic Corpus Luteum (Functional cyst) if there is unusual continued growth.
Which functional cyst occurs bilaterally?
Theca Lutein cyst.
What is a collapsed corpus luteum cyst called?
corpus albicans.
How does NEW blood appear in ultrasound (echogenicity)
Hyperechoic. May look solid.
How does OLD blood appear in ultrasound (echogenicity)
Hypoechoic or anechoic.
True or False: An ovary can be twice as large as the contralateral ovary and still be considered normal.
False. They should be about the same size.
What is Gartner's duct remnants(from where paraovarian cysts arise from)?
They are remnants from the most common cystic lesion of the vagina.
Which cystadenoma can be MASSIVELY large, measuring 15-30 cm in diameter, and can weigh more than 100 lbs?!
Mucinous Cystadenoma
Which cystadenoma has a high malignancy potential?
Serous (think SERIOUS SEROUS!!) Cystadenomas. Serous Cystadenocarcinoma constitutes 60-80% of all ovarian carcinomas.
Which benign cyst occurs from adhesions trapping peritoneal fluid around the ovaries, resulting in a large adnexal mass? Can also be from a surgery/trauma/or PID where ovaries get trapped...
Peritoneal "Inclusion Cyst"
What is the difference between TERATOMA and DERMOID CYST?
TERATOMA = Immature/Malignant Potential DERMOID = Mature/Benign
Which tumor is also known as the "transitional cell" tumor, is uncommon, and is associated w/ Meig's Syndrome.
Brenner Tumor.
What is Meig's Syndrome?
A triad of ascites, pleural effusion, and a benign ovarian tumor(Fibroma=most common)
What are the three types of ovarian malignancies, and which one is the most common?
Epithelial-MOST COMMON, Germ Cell, and Stromal Tumors
What stage is the most common stage found in ovarian cancer?
Stage 3.
What is a rare malignant tumor found in the testes?
Dysgerminoma.
What malignancy is typially found in children and young adults. A germ cell tumor..
Malignant teratoma.
What tumor in ovaries is related to the colon?
Krukenberg Tumor.
Which pathology is associated with looking like a "strong of pearls"?
Polycystic ovaries (or Stein-Levinthal Syndrome)
What are the two most common emergencies you'll face as a sonographer at 2 a.m.?
Ovarian torsion and ectopic pregnancies!
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