Pathology of the ovaries

The cystic mass commonly noted with a pregnancy is the: A. Corpus Luteum B. Dermoid Cyst C. Dysgerminoma D. Serous cystadenoma

A. Corpus Luteum

The most common benign ovarian tumor is the: A. Cystic teratoma B. Mucinous cystadenoma C. Fibroma D. Sertoli-Leydig cell tumor

A. Cystic teratoma

The ovarian mass that contains fat, sebum, and teeth is the: A. Cystic teratoma B. Fibroma C. Mucinous systadenoma D. Yolk sac Tumor

A. Cystic teratoma

The dominant follicle prior to ovulation is termed the: A. Graafian follicle B. Corpus albicans C. Corpus luteum D. Medulla

A. Graafian follicle

A 55-year-old patient presents to the ultrasound department with a history of pelvic pressure, abdominal swelling, and abnormal uterine bleeding. A pelvic sonogram reveals a large, multiloculated cystic mass with papillary projections. What is the most likely diagnosis? A. Serous cystadenocarcinoma B. Cystic teratoma C. Androblastoma D. Dysgerminoma

A. Serous cystadenocarcinoma

The malignant ovarian tumor with gastrointestinal origin is the: A. Brenner tumor B. Krukenberg tumor C. Yolk sac tumor D. Granulosa cell tumor

B. Krukenberg tumor

The ovarian cyst associated with gestational trophoblastic disease is the: A. Corpus luteum cyst B. Theca lutein cyst C. Dermoid cyst D. Parovarian cyst

B. Theca lutein cyst

After the graafian follicle ruptures, the remaining structure is termed the: A. Graafian remnant B. Corpus albicans C. Corpus luteum D. Theca lutein cyst

C. Corpus luteum

Meigs syndrome is associated with what ovarian tumor? A. Ovarian cystadenoma B. Cystic teratoma C. Fibroma D. Yolk sac tumor

C. Fibroma

Normal ovarian flow is said to be: A. Low resistant during menstruation and high resistant during the proliferative phase B. High resistant during menstruation and low resistant at the time of ovulation C. Low resistant D. High resistant

C. Low resistant

Which of the following is the correct formula for calculating ovarian volume? A. LxWxHx 0.6243 B. LxWxHx 0.3899 C. LxWxHx 0.5233 D. ovarian volume cannot be calculated

C. LxWxHx 0.5233

A 24-year-old female patient presents to the emergency department with severe LLQ pain, nausea, and vomiting. The sonographic examination reveals an enlarged ovary with no detectable Doppler signal. What is the most likely diagnosis? A. Ovarian cystadenoma B. Cystic teratoma C. Ovarian torsion D. Endometriosis

C. Ovarian torsion

Which of the following is an estrogen-producing ovarian tumor? A. Brenner tumor B. Fibroma C. Thecoma D. Endometrioma

C. Thecoma

Which of the following is a tumor of ectopic endometrial tissue? A. Brenner tumor B. Cystic teratoma C. Yolk sac tumor D. Endometrioma

D. Endometrioma

During a pelvic sonogram you visualize a small cyst located adjacent to the ovary. What is the most likely etiology of this cyst? A. Dermoid cyst B. Ovarian cystadenoma C. Endometrioma D. Parovarian cyst

D. Parovarian cyst

The ovarian cyst associated with distinctly elevated levels of human chorionic gonadotropin is the: A. Corpus luteum cyst B. Parovarian cyst C. Dermoid cyst D. Theca lutein cyst

D. Theca lutein cyst

A patient with an ovarian mass presents with an elevated serum alpha-fetoprotein. Which of the following would be the most likely? A. Ovarian fibroma B. Ovarian thecoma C. Cystic teratoma D. Yolk sac tumor

D. Yolk sac tumor

The malignant ovarian mass that is associated with pseudomyxoma peritonei is the: A. Dysgerminoma B. Sterioli-leydig cell tumor C. serous cystadenocarcinoma D. mucinous cystadenocarcinoma

D. mucinous cystadenocarcinoma

cystadenoma

benign adenoma containing cysts

follicular cyst

benign cyst within the ovary that may occur and disappear on a cyclic basis

dermoid tumor

benign tumor composed of hair, muscle, teeth, and fat

Meigs' syndrome

benign tumor of the ovary associated with ascites and pleural effusion

mucinous cystadenoma

benign tumor of the ovary that contains thin-walled multilocular cysts

endometriosis

condition that occurs when functioning endometrial tissue invades other sites outside the uterus

paraovarian cyst

cystic structure that lies adjacent to the ovary

polycystic ovarian syndrome (PCOS)

endocrine disorder associated with chronic anovulation

surface epithelial-stromal tumors

gynecologic tumors that arise from the surface epithelium and cover the ovary and the underlying stroma

androgen

hormone that promotes masculine characteristics

ovarian carcinoma

malignant tumor of the ovary that may spread beyond the ovary and metastasize to other organs via the peritoneal channels

mucinous cystadenocarcinoma

malignant tumor of the ovary with multilocular cysts

cystadenocarcinoma

malignant tumor that forms cysts

serous cystadenocarcinoma

most common type of ovarian carcinoma; may be bilateral with multilocular cysts

theca-lutein cysts

multilocular cysts that occur in patients with hyperstimulation (hydatidiform mole and infertility patients)

ovarian torsion

partial or complete rotation of the ovarian pedicle on its axis

pulsatility index (PI)

peak-systolic velocity minus end-diastolic velocity divided by the mean velocity

resistive index (RI)

peak-systolic velocity minus the end-diastolic velocity divided by the peak-systolic velocity

functional cyst

results from the normal function of the ovary

Serous cystadenoma

second most common benign tumor of the ovary; unilocular or multilocular

corpus luteum cyst

small endocrine structure that develops within a ruptured ovarian follicle and secretes progesterone and estrogen

simple ovarian cyst

smooth, well-defined cystic structure that is filled completely with fluid

estrogen

the female hormone produced by the ovary that initiates preparation of the endometrium of the uterus.