Benign ovarian tumors
This presentation is the property of its rightful owner.
Sponsored Links
1 / 16

BENIGN OVARIAN TUMORS PowerPoint PPT Presentation


  • 107 Views
  • Uploaded on
  • Presentation posted in: General

BENIGN OVARIAN TUMORS. Dr. Mashael Al- Shebaili Asst. Prof. & Consultant Ob/ Gyn Dept. Ovaries are normally not palpable in pre-menarche, and after the menopause In the reproductive age group ovaries are palpable in the lean pts. Ovarian size of different age groups

Download Presentation

BENIGN OVARIAN TUMORS

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Benign ovarian tumors

BENIGN OVARIAN TUMORS

Dr. Mashael Al-Shebaili

Asst. Prof. & Consultant

Ob/Gyn Dept.


Benign ovarian tumors

  • Ovaries are normally not palpable in pre-menarche, and after the menopause

  • In the reproductive age group ovaries are palpable in the lean pts.

  • Ovarian size of different age groups

    Premenopause 3.5 x 2 x 1.5 cm

    Early menopause 1 – 2 yrs

    2 x 1.5x0.5cm

    Late menopause 2-5yrs 1.5x0.75x0.5cm


Benign ovarian tumors

  • If the ovaries are palpable in any of the age groups when it is not supposed to be through investigations and work up should be carried out

  • OVARIAN CYSTS CAN BE CLASSIFIED AS FOLLOWS:

  • I.FunctionalBenign

  • IINeoplasticborderline

    Malignant


Benign ovarian tumors

FUNCTIONAL OVARIAN CYSTS INCLUDES:

a.Follicular cysts

b. Corpus luteum cysts

c. Theca luten cysts

BENIGN OVARIAN NEOPLASM

1.Serous cystadenoma

2. Mucinous cystadenoma

3. Endometrioma

4. Dermoid cysts

5. Fibroma


Benign ovarian tumors

FUNCTIONAL CYSTS

  • These are cysts related to ovarian function i.e. the process of ovulation

  • They are the most common detected cysts in the reproductive age group

  • Can be reach up to 10 cm in diameter

  • Resolve spontaneously.


Benign ovarian tumors

  • Follicular cysts results from the growth of a follicle that does not rupture

  • Corpus luteum cyst results from Hge inside a corpus luteum

  • Theca luteum cysts result from over stimulation of the ovary by HCG. Not common in normal pregnancy but common in molar pregnancy, choriocarcinoma and reproductive technology


Benign ovarian tumors

  • Benign ovarian neoplasia

    - 80% of ovarian neoplasm

    are benign

    - Benign ovarian neoplasm can be solid or cystic


Benign ovarian tumors

  • Serous Cystadenoma (Commonest)

    - Usually do not reach very large sizes

    - unilocular or multilocular

    - smooth surface

    - fluid filled


Benign ovarian tumors

  • MUCINOUS CYSTADENOMA

    - May reach very large size

    - Filled with thick mucinous material

    - Perforation may lead to a serious condition called pseudomyxoma peritonei for which chemotherapy may be needed.

  • ENDOMETRIOMA (Chocolate cysts)

    -Associated with endometriosis


Benign ovarian tumors

  • DERMOID CYSTS OR BENIGN CYSTIC TERATOMA

    - Usually small and may be bilateral

    - Contain sebum, hair, teeth etc.

    - Contains elements from endoderm

    mesoderm and ectoderm

    - Can change into malignant teratoma

    - Avoid spilling of contents which leads

    to chemical peritonitis


Benign ovarian tumors

  • FIBROMA

    - Firm in consistency

    * Meigs syndrome

    Ovarian fibroma + ascites, hydrothorax

    following removal of fibroma, there is spontaneous resolution of ascites and hydrothorax


Benign ovarian tumors

  • Clinical signs and symptoms of ovarian masses:

    1. abdominal girth

    2. Abdominal discomfort

    3. Pressure symptomsbladder

    bowel

    4. Acute abdomen due to

    -Hge

    -Rupture

    -Torsion

    5. Asymptomatic coincidentally diagnosed


Benign ovarian tumors

  • RADIOLOGICAL FEATURES OF BENIGN OVARIAN MASSES:

    1.Unilocular

    2.Smooth surface

    3.No solid elements

    4.No external or internal outgrowth

    5.No ascites

    6.Unilateral

    7. Normal doppler flow


Benign ovarian tumors

  • CLINICAL FEATURES OF BENIGN OVARIAN TUMORS

    Unilateral

     Cystic

     Mobile

     No ascites

     No cul de-sac nodules

     Slow or no growth


Benign ovarian tumors

EVALUATION OF THE PATIENT WITH OVA ADNEXAL MASS.

Complete Hx and physical exam

U/S

CT scan with contract or IVP

Ba enema or colonoscopy

Laparoscopy or laparotomy accordingly


Benign ovarian tumors

  • INDICATIOONS FOR SURGERY

    Ovarian cyst >5 cm followed for 6-8wks.

    Solid lesions

    Papillary vegitation

    Mass >10 cm at the time of presentations

    Ascites

    Palpable mass in premenarchal or post menopausal

    Suspicion of torsion or rupture


  • Login