Can you function?
Functional Cysts are the most common enlargement of ovary in what population?
Young women
in an anteflexed uterus where will the ovaries be identified?
laterally or posterolaterally
what is an iatrogenic complication?
Ovarian hyperstimulation syndrome
When torsion occurs, what happens with contralateral side?
10% increased risk of torsion
What are a majority of cysts of the ovary? ( ex. solid, cystic, complex, being, malignant)
cystic and benign
What is this describing?
mature follicle does not ovulate, unilateral, simple cyst, <2 cm, asymptomatic
Follicular Cyst
what is the normal sonographic appearance of the ovaries?
Homogenous echo texture with central more echogenic medulla
includes Stein- Leventhal syndrome
PCOS
What side is three times more likely to torse?
Right
When would surgical intervention be considered with ovarian cysts?
> 6cm lasting more than 8 weeks
what ovarian cyst usually accompanies intrauterine pregnancy and can mimic ectopic pregnancy?
Corpus luteum cyst
When do many follicles develop?
early proliferative phase and increase in size until about day 8 or 9
What accounts for 10% of all adnexal masses and arises off broad ligament?
Paraovarian Cysts
What population does ovarian torsion normally affect?
children and young females
when would a POST menopausal women have surgical removal of ovarian cyst?
>5cm or if cyst has septations or solid nodules
what types of cysts can become hemorrhagic cysts?
Follicular or corpus luteum cyst
What is the least frequent appearance of a corpus luteum ?
ring of color doppler
What can cause abdominal distention, severe pelvic pain and enlarged ovaries (>10cm) ?
Ovarian hyperstimulation syndrome
What condition mimics acute appendicitis ?
Ovarian torsion
what is another treatment option for recurrent simple ovarian cysts?
ultrasound guided needle aspiration
What is the largest functional cyst?
Theca Lutein Cysts
what is the best method for determining overall ovarian size?
volume
most commonly in premenopausal women with hx of surgery, trauma, PID, or endometriosis?
Peritoneal Inclusion Cyst
What cyst is more likely to hemorrhage ?
Corpos Lutem
most common solid tumors of ovary (2)
cystadenoma and cystadenocarcinoma
what cyst is bilateral, associated with increased HCG?
Theca Lutein
what is the formula for ovarian volume?
0.523 x L x W x H
What is a chocolate cyst?
localized endometriosis or endometrioma
accounts for 3% of all GYN operative emergencies
Ovarian torsion
in peak fertility how many solid tumors are malignant?
1 in 15
What disease is associated with theca lutein cysts? what percent of pts have it?
30% have gestational trophoblastic disease
what is the upper limit for ovarian volume? what is the average ?
upper limit 22 mL or cc and 9.8 average +/- 5.8 mL
What type of endometriosis is more common?
Diffuse
What condition is related to endocrine imbalance?
PCOS
After 40 how many solid tumors are malignant?
1 in 3