Normal Anatomy
“I spread like wings from side to side,
Supporting structures deep inside,
Uterus, tubes, and ovaries too,
I help hold all of them in view.”
Broad Ligament
“Inside the wall is where I stay,
Expanding muscle in my way,
Not in the cavity, not outside,
Within the myometrium I hide.”
intramural
“A deeper voice, some hair appears,
Hormones shift throughout the years,
Androgens rise, I change the scene,
Name this tumor, bold and keen.”
Sertoli-Leydig cell tumor
“I’m not from here, I traveled far,
From stomach origins is where you are,
Both ovaries I often claim,
Signet-ring cells reveal my name,
I mimic others, don’t be misled,
A metastatic path is what I tread.”
Krukenberg tumor
“Within the muscle I invade,
Not a mass, but shadows laid,
The uterus grows, but not discrete,
Venetian blinds are what you’ll meet.”
Adenomyosis
“I am short and easy to miss,
From ovary to uterus,
I tether one directly there,
Holding it with gentle care.”
Ovarian ligament
“Toward the lining I like to grow,
Heavy bleeding helps you know,
I push the cavity out of place,
And may affect implantation space.”
Submucosal
I grow quickly in the young,
With AFP I am sung,
A sinus of origin is my name,
Solve me fast to win the game
Yolk Sac Tumor
“Sudden pain is my alarm,
I twist and cut off blood from harm,
The ovary swells, follicles line the side,
Yet arterial flow may still reside.”
torsion
“After the cycles fade away,
Bleeding comes without a stay,
Thickened lining is the clue,
Malignancy may be in view.”
endometrial carcinoma
“When resistance falls too low,
Malignancy may start to grow,
But when the flow is high and tight,
Benign is often in your sight.
Measure me and you will see,
What pathology may be.”
RI: resistive index
“Outward from the uterus I lean,
Along the outer surface I am seen,
Pressure and bulk may be my game,
From the serosa I earn my name.”
subserosal
“In the young I often appear,
A solid mass that’s fairly clear,
I’m sensitive to treatment, that’s my fame,
With LDH, you’ll know my name.”
Dysgerminoma
“Hair and teeth may hide in me,
Strange contents are the clue you’ll see,
Bright and shadowed I appear,
A tip of ice may make me clear.”
dermoid
“Outside the uterus I roam,
Yet act like I am still at home,
Each month I bleed where I should not be,
Causing pain chronically.”
Endometriosis
“From uterine horn I take my course,
Through the groin I run with force,
In pregnancy I may bring pain,
Stretching as the womb does gain.”
Round Ligament
“By a stalk I hang with ease,
From inner wall or outer breeze,
Twisting pain may be my trick,
If my stem becomes too thick.”
pedunculated
“I whisper hormones soft but strong,
Causing bleeding when it’s wrong,
My estrogen makes lining grow,
What tumor am I? You should know.”
Granulosa Cell Tumor
“Transitional cells are what I show,
Small and quiet, I tend to grow,
Often found without a clue,
Incidental is my view.”
Brenner tumor
“When hormones fall, I fade and thin,
Yet bleeding still may usher in,
Though I am small, don’t overlook,
I’m the common cause if you look.”
endometrial atrophy
“Some are muscles, some ligaments too,
Supporting the pelvis through and through,
One brings blood, one forms the floor,
One keeps the uterus from falling more.
Match us right to earn your key,
Solve the pelvic anatomy mystery.”
“One is a mass and one is not,
One is discrete, one shadowed spot,
One sits firm within the wall,
One makes the uterus enlarge overall.”
“On both sides I like to grow,
When hormones surge, I start to show,
hCG is high, that is the key,
I’m linked with twins or disease you’ll see,
I may grow large but fade away soon,
Name this cyst tied to the hormone boom.”
Theca Lutein Cysts
“We look alike, both firm and round,
In the ovary we can be found,
One makes hormones, one stays still,
One may cause fluid that lungs can fill,
Tell us apart to earn your key,
Which is which? Solve carefully.”
“One is split but joined below,
One has half a womb to show,
One is parted by a wall within,
One has two of all from end to end.
Four anomalies, all unique in form—
Name them right to weather the storm.”