Penny Ch 18: ovaries + fallopian tubes

The ovaries are _______ (paired/single), _____ shaped, _______ (RETROperitoneal/intraperitoneal) organs

Paired, oval, intraperitoneal

The ovaries are supplied by _____ (1/2) arteries, the ________ + ________

2, ovarian, uterine

The ovarian art branch from the _____

AO

The _____ ovarian VEIN drains into the IVC

The _____ ovarian VEIN drains into the Left Renal Vein

Right, Left

The ovaries are an ______crine organ (endo/exo)

Endo

The ____ (medulla/cortex) of the OV is where oogenesis happens

Cortex

_________ = middle pain / pain during ovulation

Mittelschmerz

The CLC produces ________ if fertilized but become the _____ ______ if not fertilized

Progesterone, corpus albicans

High resistance flow I’d seen during the early _______ phase

Low resistance flow is seen during the early follicular + early _______ phase

Follicular, luteal

Ovarian volume = ______ x ______ x ______ x ______

L, W, H, 0.5233

_____ ______ = failure of Graafian follicle to ovulate

Follicular cyst

Follicular cyst have ____ (thin / thick) walls, and are typically ______ (bilateral/unilocular)

Thin, unilocular

Large Follicular cyst are at risk for ______

Torsion

_____ ______ cyst = formed after ovulation from Graafian Follicle

Corpus Luteum

CLC are the most common pelvic masses seen during the _____ trimester

1st

Some complex/thicked wall CLC can resemble a ______ _____

Ectopic pregnancy

CLC resolves by _____ weeks + < ___ cm

16, 3

_____ _____ cyst = largest and least common functional cyst

Theca Lutein

Theca Lutein cyst are found when hCG > ______ and are associated with ______ pregnancy + ________ syndrome

100,000, molar, hyperstim

Theca Lutein cyst are ______ (bilateral/ unilateral) + _______ (unilocular/multilocular)

Bilateral, multilocular

Theca Lutein cyst are seen _____ to the _____

Adj, OV

______ cyst = small cyst adj to the ovary

Parovian

Parovarian cyst arise from ____ tubes or ______ ligaments

Fallopian, board

2 clinical signs of a parovarian cyst are:

• _____ pain

• Inc Abdo _____

Pelvic, girth

_____ _____ is also called a Dermoid

Cystic Teratoma

Cystic Teratoma (______) is the MC ovarian ____

Dermoid, tumor

Dermoid safe mainly seen in _______ aged group + ________ patients

Reproductive, postmenopause

the Sono sign seen with a Dermoid is the ___ ____ ___ ___

Tip of the iceberg

Dermoid ______ = visualize hair within the mass

Mesh

A Dermoid _____ produces Posterior shadowing

Plug

______ = normally found in postmeno women + associated with Meigs

Thecoma

Thecoma = benign Ov tumor found in ______ women + is seen with ______ syndrome

Postmeno, Meigs

A _____ is typically unilateral and are similar to a pedunculated uterine fibroid

Thecoma

A Thecoma produces ______ causes _________ bleeding

Estrogen, postmeno

_____ _____ Tumors = most common estrogenic tumor

Granulosa

Granulosa Cell tumors in adolescence cause __________ ______ while in _______ + ________ can cause abnormal bleeding

Pseudoprecocious puberty, reproductive age, postmeno

What’s are the 2 OV tumors that are considered estrogen producing? _______ + ______ ______

Thecoma, Granulosa Cell

T/F: A Fibroma is associated with estrogen production

False

Fibroma are typically found in ______ aged women and can be complicated by ______ syndrome

Middle, Meigs

______ + _____ can mimic a pedunculated uterine fibroid

Thecoma, Fibroma

Meigs syndrome is associated with ______ + ______ _____

Ascites, pleural effusion

A _____ ___ is similar looking to a fibroid, Thecoma, and Fibroma

Brenner tumor

Brenner Tumor is also called ______ ______ tumor

Transitional Cell

Name the 3 OV tumors seen with Meigs Syndrome

Thecoma, Granulosa, Brenner tumor

______ is associated with endometriosis + forms from ectopic endo tissue

Endometrioma

Endometrioma is also known as a ____ _____

Chocolate cyst

Endometriomas can be found in the _____ + _____ but is MC found in the ______

Bladder, bowel, ov

Endometrioma is seen with painful _____ movements, painful sex (_____) + painful periods (_____)

Bowel, dyspareunia, dysmenorrhea

_____ = MC neoplasms in OV

Cystadenoma

____ Cystadenoma are seen in women 40-50 + in pregnancy

Serous

______ Cystadenoma are LARGER than serous Cystadenoma but are not bilateral

Mucinous

Mucinous Cystadenoma are seen with _____ ____ unlike serous Cystadenoma

Internal debris

Patients with mucinous Cystadenoma can have pelvic ______ + _____

Fullness, swelling

______ cystadenocarcinoma = MC ovary malignancy

Serous

Serous cystadenocarcinoma has more ______ projections + _____ septations than serous cystadenoma

Papillary, thicker

Serous + Mucinous Cystadenocarcinoma are seen with weight ___, _____ problems, abnorm ______ + elevated _____ (tumor marker)

Loss, GI, bleeding, CA 125

On Sono Mucinous Cystadenocarcinoma is seen with _____ ______ (complex Ascites)

Pseudomyxoma peritonei

Pseudomyxoma Peritonei = ______ _____ + is seen with ______ cystadenocarcinoma

Complex Ascites, Mucinous

____ tumor = malignant ovary tumor from GI Mets

Krukenburg

Krukenburg tumor = ______ (benign/malignant) OV tumor from ____ Mets

Malignant, GI

______- _____ cells are used to diagnose Krukenburg tumors

Signet-ring

“_____ _____” is the Sono sign seen with a Krukenburg tumor

Moth eaten

Pateint with a Krukenburg tumor can have weight _____ a+ a hx of ____ cancer

Loss, GI

Sertoli-leydig cell tumor is also called a _______

Androblastoma

_______ ______ cell tumors are associated with virilization

Sertoli leydig

Sertoli Leydig cell tumors are associated with _______ and are seen with abnormal ______ + ______ (male androgens)

Virilization, periods, hirsutism

______= MC malignant germ cell tumors are associated in OV

Dysgerminoma

Dysgerminoma = MC malignant ____ ___ tumor in OV + is common found in _______ (adulthood/childhood)

Germ cell, childhood

Dysgerminoma in children causes _______ puberty

Pseudoprecocious

Dysgerminoma is seen with elevated _____ _______ + _____ (think pregnancy)

Lactate dehydrogenase, hCG

_____ ______ tumor = endodermal sinus tumor + 2nd MC malignant germ cell tumor

Yolk Sac

Yolk sac tumors are also called ______ _____ tumor

Endodermal sinus

Yolk sac tumors are seen in women < ____, is highly _____ and has elevated _____ (think cancer)

20, malignant, AFP

What tumor marker is seen with a Yolk sac tumor? (Think cancer)

AFP

Endometritis Tumor is also known as Endometrioid ____

Carcinoma

Endometrioid Tumor is the MC cancer within a ________

Endometrioma

Endometrioid Carcinoma is seen in those with a hx of ______

Endometriosis

Carcinomas have a higher ____ flow + a _____ (less/higher) resistive waveform

Diastolic, less

Ovarian torsion is also called ______ ____

Adnexal torsion

OV torsion is more common on the ___ side and is seen with ___lateral (bi/uni) pelvic pain, and ______ (think infection)

Right, Uni, Leukocytosis

What Sono sign is seen with OV torsion?

Whirlpool

Sono: OV torsion is seen with an _____ (enlarged/shruken) ovary, excessive ____, and the _____ sign

Enlarged, FF, whirlpool

The fallopian tubes extend from the _____ of the UT

Cornu

The _____ is the longest/largest segment of the fallopian tube + is where fertilization happens

Ampulla

______ = rare cancer within the fallopian tube

Adenocarcinoma

Fallopian tube carcinoma looks like a _____ mass w/I the ____

Solid, Adnexa

_____ = simple fluid w/I the fallopian tube

Hydrosalpinx

______ = inflamed fallopian tubes due to infection + caused by pelvic inflam disease

Salpingitis

This is an example of ________ which is pus within the fallopian tube

Pyosalpinx

This is an example of a ____ resistance waveform seen with ovarian ____

Low, cancer

This is an example of _______ (mucious Cystadenoma/ Mucinous Cystadenocarcinoma) *look at fluid*

Mucinous Cystadenocarcinoma

The arrows are pointing to a _______ seen in ovarian Cystadenocarcinoma

Papillary

This is an example of _______ (mucious Cystadenoma/ Mucinous Cystadenocarcinoma) + is seen with ____ (echogenic/ Anechoic) material inside

Mucinous Cystadenoma, echigenic

The arrows are pointing to the _____(thin/thick) septations seen in ______ (serous cystadenoma / serous Cystadenocarcinoma)

Thin, serous Cystadenoma

This is an example of ______ (think chocolate)

Endometrioma

This is an example of a ____ ____ tumor

Granulosa cell

This is an example of the “_____ __ ___ _____” sign seen with a _____

Tip of the iceberg, Dermoid

This is an example of a _____ _____ cyst that are __lateral (bi/uni) and are __locular (multi/uni) cystic masses

Theca Lutein, bi, multi

This is an example of a ______ cyst that sits adjacent to the ovary

Parovarian

The arrows are pointing to a _____ (thin/ thick) ovarian wall + ______ (think Spider-Man) like lines seen with a ______ cyst

Thick, web, hemorrhagic