Chapter 18. The Ovaries and Fallopian Tubes

Which of the following would be least likely associated with PCS?

Right renal vein entrapment

Figure 18-29 shows sagittal and transverse images of the right adnexa. The patient complained of right adnexal tenderness. Which of the following is the most likely diagnosis?

Hydrosalpinx

Which of the following would be least likely associated wth an increase for developing ovarian cancer?

Late menarche

What sign dos the open arrow in Figure 18-30 indicate?

Mesh

What sign does the long thin arrow in Figure 18-30 indicate?

Mesh

What mass would least likely appear as a solid adnexal mass?

Dermoid

The 29 year old patient in Figure 18-31 complained of adnexal pain, Menorrhagia, and Dyspareunia. What is the most likely diagnosis for the mass, given its sonographic appearance?

Endometrioma

The finding in Figure 18-32 was noted in the presence of a triploid pregnancy at 13 weeks with thickened placenta. What is the most likely diagnosis?

Theca lutein cyst

Which of the following clinical findings would be likely noted for the patient in Figure 18-32?

Markedly elevated hCG

The finding in Figure 18-33 in the asymptomatic patient is most likely associated with a:

corpus luteum cyst

What is another name for the androblastoma?

Sertoli-Leydig cell tumor

The patient in Figure 18-34 was initially diagnosed with colon cancer. A biopsy of the mass pictured revealed metastatic disease. What is the most likely diagnosis?

Krukenberg tumor

The 13 year old patient in Figure 18-35 complained of severe, right lower quadrant pain, nausea, and vomiting. What is the most likely diagnosis?

Ovarian torsion

What is the most common cancer to originate within an endometrioma?

Endometrioid tumor

Intraperitoneal extension of mucin-secreting cells that results from the rupture of a mucinous tumor may be associated with ovarian carcinoma or cancer of the:

Appendix

Inflammation of the uterine tube is termed:

Salpingitis

Which of the following would be associated with an elevated CA 125?

Dysgerminoma

Which of the following is not true concerning ovarian cancer?

Patients tend to present early in the disease

What germ cell tumor contains elements of the ectoderm, mesoderm, and endoderm?

Cystic teratoma

The structure identified by the long arrow in Figure 18-36 was noted adjacent to the ovary. What is the most likely diagnosis?

Paraovarian cyst

An endometrioma most likely appears as a:

Mostly cystic mass with low-level echoes

With what ovarian tumor is Meigs syndrome most likely associated?

Fibroma

Sonographically, which of the following would most likely be confused for a pedunculated fibroid tumor because of its solid-appearing structure?

Fibroma

During a pelvic sonogram, you visualize a small cyst located adjacent to the ovary. What is the most likely etiology of this cyst?

Paraovarian cyst

The most common benign ovarian tumor is the:

Cystic teratoma

The ovarian mass that contains fat, sebum, and teeth is the:

Dermoid

The ovarian cysts that are most often bilateral and are associated with markedly elevated levels of hCG are the:

theca lutein cysts.

The cystic mass commonly noted with a pregnancy is the:

Corpus luteum

The sonographic appearance of an ovarian dermoid tumor in which only the anterior elements of the mass can be seen, while the greater part of the mass is obscured by shadowing is consistent with:

tip of the iceberg sign

The dominant follicle before ovulation is termed the:

Graafian follicle

After the Graafian follicle ruptures, the remaining structure is termed the:

corpus luteum

Which of the following is the correct formula for calculating ovarian volume?

Length × width × height × 0.5233

Which of the following sonographic findings would not increase the likelihood of an ovarian malignancy?

Anechoic components with acoustic enhancement

Normal ovarian flow is said to be:

high resistant during menstruation and low resistant at the time of ovulation

What would be predisposing condition that would increase the risk for suffering from ovarian torsion?

Ovarian mass

The malignant ovarian tumor with gastrointestinal origin is the:

Krukenburg tumor

All of the following adnexal masses may appear sonographically similar to a uterine leiomyoma except:

Paraovarian cyst

All of the following adnexal masses may appear sonographically similar to a uterine leiomyoma except:

Paraovarian cyst

Which of the following is also referred to as a chocolate cyst?

Endometrioma

The ovarian tumor associated with an elevated serum lactate dehydrogenase is the:

Dysgerminoma

Which of the following is a tumor of ectopic endometrial tissue?

Endometrioma

What ovarian mass is associated with virilization?

Sertoli-Leydig cell tumor

A 24 year old female patient presents to the emergency department with severe right lower quadrant pain, nausea, and vomiting. The sonographic examination reveals an enlarged ovary with no detectable Doppler signal. What is the most likely diagnosis?

Ovarian torsion

Which of the following is an estrogen-producing ovarian tumor?

Thecoma

What ovarian tumor will most likely have a moth-eaten appearance on sonography?

Krukenberg tumor

A 55 year old patient presents to the sonography department with a history of pelvic pressure, abdominal swelling, and abnormal uterine multiloculated cystic mass with papillary projections. What is the most likely diagnosis?

Serous cystadenocarcinoma

A patient with an ovarian mass presents with an elevated serum AFP. Which of the following would be the most likely diagnosis?

Yolk sac tumor

The ovarian cyst associated with gestational trophoblastic disease is the:

Theca lutein cyst

Pus within the fallopian tube is termed:

Pyosalpinx

Which of the following is the most common malignancy of the ovary?

Serous cystadenocarcinoma

The short and narrow segment of the fallopian tube distal to the interstitial segment is the:

Isthmus

The finger like extension of the fallopian tube is called:

Fimbria

The longest and most tortuous segment of the fallopian tube is the:

Ampulla

Blood within the fallopian tube is termed:

Hematosalpinx

Hairlike projections within the fallopian tube are called:

Cilia

The inner layer of the wall of the fallopian tube is the:

Mucosal layer

The most distal part of the fallopian tube is the:

Infundibulum

The segment of the fallopian tube where fertilization typically occurs is the:

Ampulla

What substance does hysterosalpingography utilize for the visualization of the uterine cavity and fallopian tubes?

Radiographic contrast

Which of the following is associated with the “ whirl pool” sign?

Ovarian torsion