ob_gyn
Differences
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| Both sides previous revisionPrevious revisionNext revision | Previous revision | ||
| ob_gyn [2020/08/19 09:53] – nfasano | ob_gyn [2020/08/19 09:59] (current) – [Ovarian Malignancy] nfasano | ||
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| Line 3: | Line 3: | ||
| ==== Ovaries ==== | ==== Ovaries ==== | ||
| * functional cysts – follicular cysts and corpus luteal cysts | * functional cysts – follicular cysts and corpus luteal cysts | ||
| + | |||
| + | ==== Polycystic Ovaries ==== | ||
| + | * enlarged ovaries | ||
| + | * echogenic stroma | ||
| + | * cysts in periphery (>5 cysts over 5mm in size) | ||
| + | * treated w/ clomiphene | ||
| + | |||
| + | ==== Stein-Leventhal ==== | ||
| + | * PCO, obesity, infertility / amenorrhea, and hirsutism | ||
| + | |||
| + | ==== Hemorrhagic Cysts ==== | ||
| + | * fine reticular septations or heterogeneous mass w/ multiple echoes | ||
| + | * high on T1 and homogeneously bright on T2 | ||
| + | * resolves spontaneously (f/u 6-8 wks) | ||
| + | * ddx: endometrioma, | ||
| + | |||
| + | ==== Ovarian Teratomas ==== | ||
| + | * most common benign ovarian neoplasm | ||
| + | * classic mimicker | ||
| + | * rarely malignant | ||
| + | * at risk for torsion | ||
| + | * complex, partially cystic, w/ echogenic areas that may shadow | ||
| + | * dermoid plug = Rokitansky nodule | ||
| + | * presence of struma ovarii can (rarely) cause thyrotoxicosis | ||
| + | |||
| + | ==== Benign Ovarian Neoplasms ==== | ||
| + | * mucinous or serous cystadenomas, | ||
| + | * granulosa cell tumors, fibromas, thecomas (secrete estrogens –> endometrial hyperplasia) | ||
| + | * Sertoli-Leydig cell tumors (secrete androgens –> virilization) | ||
| + | * cannot differentiate from malignant neoplasms | ||
| + | * complex lesions with septations and solid tumor nodules | ||
| + | * RI > 0.4 (not reliable) | ||
| + | |||
| + | ==== Adnexa ==== | ||
| + | * ovary, fallopian tube, and broad ligament(contains fallopian tube and uterine artery) | ||
| + | * fallopian tube segments – intramural, isthmus, ampulla, and infundibulum | ||
| + | {{: | ||
| + | * isthmus is narrowest segment | ||
| + | |||
| + | ==== Adnexal Mass ==== | ||
| + | * benign or malignant ovarian tumor | ||
| + | * cystic teratoma | ||
| + | * pedunculated fibroid | ||
| + | |||
| + | ==== Cystic Adnexal Mass ==== | ||
| + | * hydrosalpinx | ||
| + | * cystic teratoma | ||
| + | * corpus luteum cyst | ||
| + | * benign or malignant ovarian tumor | ||
| + | |||
| + | ==== Ovarian Malignancy ==== | ||
| + | * solid nodules, thick septations, irregular wall, poorly defined margins | ||
| + | * RI < 0.4 and PI > 1 | ||
| === Guidelines === | === Guidelines === | ||
| Line 13: | Line 66: | ||
| * >5.0cm or complex at any size – Laparoscopy and resection | * >5.0cm or complex at any size – Laparoscopy and resection | ||
| - | {{: | + | {{: |
| - | ==== Adnexa ==== | ||
| - | * ovary, fallopian tube, and broad ligament(contains fallopian tube and uterine artery) | ||
| - | * fallopian tube segments – intramural, isthmus, ampulla, and infundibulum | ||
| - | {{: | ||
| - | * isthmus is narrowest segment | ||
| ==== Uterus ==== | ==== Uterus ==== | ||
| === Congenital Anomalies === | === Congenital Anomalies === | ||
| {{: | {{: | ||
| - | |||
| - | |||
| - | |||
| - | |||
| - | |||
| ==== Endometrium ==== | ==== Endometrium ==== | ||
| Line 117: | Line 161: | ||
| * within cervix | * within cervix | ||
| - | ==== Polycystic Ovaries ==== | ||
| - | * enlarged ovaries | ||
| - | * echogenic stroma | ||
| - | * cysts in periphery (>5 cysts over 5mm in size) | ||
| - | * treated w/ clomiphene | ||
| - | ==== Stein-Leventhal ==== | ||
| - | * PCO, obesity, infertility / amenorrhea, and hirsutism | ||
| - | |||
| - | ==== Hemorrhagic Cysts ==== | ||
| - | * fine reticular septations or heterogeneous mass w/ multiple echoes | ||
| - | * high on T1 and homogeneously bright on T2 | ||
| - | * resolves spontaneously (f/u 6-8 wks) | ||
| - | * ddx: endometrioma, | ||
| - | |||
| - | ==== Ovarian Teratomas ==== | ||
| - | * most common benign ovarian neoplasm | ||
| - | * classic mimicker | ||
| - | * rarely malignant | ||
| - | * at risk for torsion | ||
| - | * complex, partially cystic, w/ echogenic areas that may shadow | ||
| - | * dermoid plug = Rokitansky nodule | ||
| - | * presence of struma ovarii can (rarely) cause thyrotoxicosis | ||
| - | |||
| - | ==== Benign Ovarian Neoplasms ==== | ||
| - | * mucinous or serous cystadenomas, | ||
| - | * granulosa cell tumors, fibromas, thecomas (secrete estrogens –> endometrial hyperplasia) | ||
| - | * Sertoli-Leydig cell tumors (secrete androgens –> virilization) | ||
| - | * cannot differentiate from malignant neoplasms | ||
| - | * complex lesions with septations and solid tumor nodules | ||
| - | * RI > 0.4 (not reliable) | ||
| - | |||
| - | ==== Ovarian Malignancy ==== | ||
| - | * solid nodules, thick septations, irregular wall, poorly defined margins | ||
| - | * RI < 0.4 and PI > 1 | ||
| ==== Cervical Cancer ==== | ==== Cervical Cancer ==== | ||
| Line 224: | Line 234: | ||
| * endometritis | * endometritis | ||
| - | ==== Adnexal Mass ==== | ||
| - | * benign or malignant ovarian tumor | ||
| - | * cystic teratoma | ||
| - | * pedunculated fibroid | ||
| - | ==== Cystic Adnexal Mass ==== | ||
| - | * hydrosalpinx | ||
| - | * cystic teratoma | ||
| - | * corpus luteum cyst | ||
| - | * benign or malignant ovarian tumor | ||
| ==== Endometrial Fluid ==== | ==== Endometrial Fluid ==== | ||
ob_gyn.txt · Last modified: 2020/08/19 09:59 by nfasano