Benign ovarian tumors
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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

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Benign ovarian tumors

BENIGN OVARIAN TUMORS

Dr. Mashael Al-Shebaili

Asst. Prof. & Consultant

Ob/Gyn Dept.




FUNCTIONAL OVARIAN CYSTS INCLUDES: is not supposed to be through investigations and work up should be carried out

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


FUNCTIONAL CYSTS is not supposed to be through investigations and work up should be carried out

  • 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.


  • 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 neoplasia does not rupture

    - 80% of ovarian neoplasm

    are benign

    - Benign ovarian neoplasm can be solid or cystic


  • Serous Cystadenoma (Commonest does not rupture)

    - Usually do not reach very large sizes

    - unilocular or multilocular

    - smooth surface

    - fluid filled


  • MUCINOUS CYSTADENOMA does not rupture

    - 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


  • DERMOID CYSTS OR BENIGN CYSTIC TERATOMA does not rupture

    - 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


  • FIBROMA does not rupture

    - Firm in consistency

    * Meigs syndrome

    Ovarian fibroma + ascites, hydrothorax

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


  • Clinical signs and symptoms of ovarian masses: does not rupture

    1.  abdominal girth

    2. Abdominal discomfort

    3. Pressure symptoms bladder

    bowel

    4. Acute abdomen due to

    - Hge

    - Rupture

    - Torsion

    5. Asymptomatic coincidentally diagnosed




EVALUATION OF THE PATIENT WITH OVA ADNEXAL MASS. does not rupture

 Complete Hx and physical exam

 U/S

 CT scan with contract or IVP

 Ba enema or colonoscopy

 Laparoscopy or laparotomy accordingly


  • INDICATIOONS FOR SURGERY does not rupture

     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


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