Mucinous Cystadenoma of the Ovary

Size: px
Start display at page:

Download "Mucinous Cystadenoma of the Ovary"

Transcription

1 Case Studies [1] September 24, 2012 By Harpreet Singh, MD [2] A 50-year-old female with a history of progressive abdominal distention and discomfort for six months. A 50-year-old female with a history of progressive abdominal distention and discomfort for six months. There was no history of colicky pain, fainting attacks, vomiting or other gastrointestinal attacks. She had no previous history of any illnesses, allergies or operations. Figure 1: AP Skiagram shows abdominal distention and increased opacification of abdomen. Figures 2-13: CT sections showing cystic SOL. Page 1 of 14

2 Page 2 of 14

3 Page 3 of 14

4 Page 4 of 14

5 Page 5 of 14

6 Page 6 of 14

7 Page 7 of 14

8 Page 8 of 14

9 Page 9 of 14

10 Page 10 of 14

11 Page 11 of 14

12 Page 12 of 14

13 Based on sonographic examinations, a huge abdominal cystic mass that occupied all of the abdomen and pelvic cavity was noted. On general examination, she was slim and undernourished. She weighed 52 kg. Pallor was present and vital signs were normal. There was no icterus, edema, or lymphadenopathy. Abdominal examination showed general distension. Abdominal CT scan was advised. Uterus was normal and seen separate from the mass. Cystic mass was seen extending from pelvis to upper abdomen measuring 30 x 14 x 23 cm. Walls of cystic SOL were thin with no solid or papillary projection. No septae seen. No calcification of wall seen. Ovaries could not be visualized on CT separately. Urinary bladder was compressed. Bowel loops displaced posteriorly. Kidneys were normal. There was no free fluid in the abdomen. Pathology confirmed cystadenoma of the ovary. The postoperative period was uneventful and the patient was discharged on the sixth day after operation. Discussion: Mucinous cystadenomas (MCAs) of the ovary are known for their potential to grow to massive proportions and are often incidentally diagnosed. They are typically benign tumors accounting for 15 percent of ovarian neoplasms and up to 80 percent of all mucinous tumors. Ovarian MCAs are characteristically unilateral, only 5 percent presenting bilaterally, and the peak incidence occurs among women who are between 30 and 50 years of age. Ovarian neoplasms may be divided according to original cell types into three main groups: epithelial, Page 13 of 14

14 stromal, and germ cell. Taken as a group, the epithelial tumors are by far the most common type. The single most common benign ovarian neoplasm is the benign cystic teratoma; however, according to some studies, it is serous cystadenoma. The most common types of epithelial neoplasms encountered were benign cystadenoma, of which 75 percent were serous cystadenomas and 25 percent were MCAs. Mucinous tumors of the ovary occur principally in middle adult life and are extremely rare prior to menarche. The histopathological groups of mucinous tumors are described as follows: (1) MCA, (2) mucinous tumor of uncertain malignant potential (borderline), and (3) mucinous carcinoma. MCA appears as a large cystic mass, is often multiloculate, and contains sticky gelatinous fluid. Microscopically, the tumor consists of cystic spaces lined by tall columnar epithelium with mucinous differentiation. In general, ovarian MCAs tend to present with abdominal distention. The vast majority of mucinous tumors are benign (75 percent), 10 percent borderline, and 15 percent carcinomas. One of the major differential diagnoses of ovarian cysts are omental cysts. Omental cysts occur in all age groups, but most often they present in children and young adults. These masses may be simple or multiple, may be huge, and simulating ascites. Ascites is another entity that must be included in the list of differential diagnoses. Other diagnoses may be mesenteric cysts, cysts arising from retroperitoneal structures like pancreatic pseudocysts, urinary retention, bladder diverticulum, hydronephrosis, cystic lymphangiomas, choledochal cysts, splenic cysts, multicystic dysplastic kidney, gastrointestinal duplication cysts and large uterine tumors. Management of ovarian cysts depends on the patient's age, the size and structure of the cyst and menopausal status. Surgical management of cysts is by laparotomic or laparoscopic cyst excision or cystectomy with oophorectomy. Harpreet Singh, MD, JP Scan private diagnostic center, Khanna, Punjab, India Disclosures: Source URL: Links: [1] [2] Page 14 of 14

Ovarian cysts Diagnosis and Management

Ovarian cysts Diagnosis and Management Ovarian cysts Diagnosis and Management Mr P K Athanasias MRCOG Consultant Gynaecologist St Anthony s Hospital pathanasias@gmail.com Introduction ovary is an ovum-producing reproductive organ located in

More information

Introduction Ovarian cysts are a very common female condition. An ovarian cyst is a fluid-filled sac on an ovary in the female reproductive system.

Introduction Ovarian cysts are a very common female condition. An ovarian cyst is a fluid-filled sac on an ovary in the female reproductive system. Ovarian Cysts Introduction Ovarian cysts are a very common female condition. An ovarian cyst is a fluid-filled sac on an ovary in the female reproductive system. Most women have ovarian cysts sometime

More information

OVARIAN CYSTS. Types of Ovarian Cysts There are many types of ovarian cysts and these can be categorized into functional and nonfunctional

OVARIAN CYSTS. Types of Ovarian Cysts There are many types of ovarian cysts and these can be categorized into functional and nonfunctional OVARIAN CYSTS Follicular Cyst Ovarian cysts are fluid-filled sacs that form within or on the ovary. The majority of these cysts are functional meaning they usually form during a normal menstrual cycle.

More information

Frequently Asked Questions About Ovarian Cancer

Frequently Asked Questions About Ovarian Cancer Media Contact: Gerri Gomez Howard Cell: 303-748-3933 gerri@gomezhowardgroup.com Frequently Asked Questions About Ovarian Cancer What is ovarian cancer? Ovarian cancer is a cancer that forms in tissues

More information

Gynecology Abnormal Physiology of the ovaries. Simple Cystic Masses

Gynecology Abnormal Physiology of the ovaries. Simple Cystic Masses Gynecology Abnormal Physiology of the ovaries (Effective February 2007) pediatric, reproductive, and perimenopausal/postmenopausal (24-28 %) Simple Cystic Masses ovary s function is to mature oocytes until

More information

The Adnexal Mass and Early Ovarian Cancer

The Adnexal Mass and Early Ovarian Cancer The Adnexal Mass and Early Ovarian Cancer Fred Ueland, MD University of Kentucky Gynecologic Oncology Never give in. Never give in. Never, never, never, never- in nothing great or small, large or petty-

More information

POSTMENOPAUSAL ASSESS AND WHAT TO DO

POSTMENOPAUSAL ASSESS AND WHAT TO DO POSTMENOPAUSAL OVARIAN CYSTS:HOW TO ASSESS AND WHAT TO DO Steven R. Goldstein, MD Professor of Obstetrics and Gynecology Director of Gynecologic Ultrasound Co-Director, Bone Densitometry New York University

More information

JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH

JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH How to cite this article: DEBNATH S, MISRA V, SINGH PA, SINGH M. LOW GRADE CYSTIC MESOTHELIOMA OF RECTUS SHEATH.Journal of Clinical and Diagnostic Research [serial

More information

Ovarian Cystectomy / Oophorectomy

Ovarian Cystectomy / Oophorectomy Cystectomy and Ovarian Cysts Ovarian cysts are sacs filled with fluids or pockets located on or in an ovary. In some cases, these cysts need to be removed surgically. Types of Cysts Ovarian cysts are quite

More information

Benign Ovarian Masses

Benign Ovarian Masses Benign Ovarian Masses Anthony Hanbidge Learning Objectives Describe technique for assessment of ovarian masses Explain importance of transvaginal scan List the common benign masses Specify distinguishing

More information

Kate O Hanlan, M. D. F. A. C. O. G., F. A. C. S.

Kate O Hanlan, M. D. F. A. C. O. G., F. A. C. S. Kate O Hanlan, M. D. F. A. C. O. G., F. A. C. S. Gynecologic Oncology, Surgery and Endoscopy 4370 Alpine Road Portola Valley, CA 94028-7523 Phone: (650)-851-6669 FAX: (650) 851-9747 Regarding Ovarian Cancer,

More information

ProSono Copyright 2006. Ovarian Pathology

ProSono Copyright 2006. Ovarian Pathology Ovarian Pathology Physiologic cysts: Functional cysts Pathology: A simple cyst is a sac containing fluid or semi-solid material. Physiologic cysts are generic types of hormonally active cysts that result

More information

Ovarian Torsion: Sonographic Evaluation

Ovarian Torsion: Sonographic Evaluation J Clin Ultrasound 17:327-332, June 1989 Ovarian Torsion: Sonographic Evaluation Mark A. Helvie, MD,* and Terry M. Silver, MDI Abstract: The sonographic and clinical findings of 13 patients with surgically

More information

Cystic Neoplasms of the Pancreas: A multidisciplinary approach to the prevention and early detection of invasive pancreatic cancer.

Cystic Neoplasms of the Pancreas: A multidisciplinary approach to the prevention and early detection of invasive pancreatic cancer. This lecture is drawn from the continuing medical education program Finding Hope: Prevention, Early Detection and Treatment of Pancreatic Cancer, Nov, 2011. Robert P. Jury, MD Cystic Neoplasms of the Pancreas:

More information

Giant Cysts of Ovary, A Benign Neoplastic Disease Mimicking Ascites

Giant Cysts of Ovary, A Benign Neoplastic Disease Mimicking Ascites Article ID: WMC002405 ISSN 2046-1690 Giant Cysts of Ovary, A Benign Neoplastic Disease Mimicking Ascites Corresponding Author: Dr. Tanweer Karim, MS, Department of Surgery, MGM Medical College, Navimumbai,

More information

WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500. Ovarian Cysts

WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500. Ovarian Cysts Ovarian Cysts WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500 The ovaries are two small organs located on either side of a woman s uterus. An ovarian cyst is a sac or pouch filled with fluid

More information

Ovarian Cysts Made Simple Michael East. Oxford Clinic

Ovarian Cysts Made Simple Michael East. Oxford Clinic Ovarian Cysts Made Simple Michael East Oxford Clinic Objectives of this talk To understand risk of malignancy and thus not fear it Practical advice for follow up of asymptomatic cysts Practical advice

More information

Renal Cysts What should I do now?

Renal Cysts What should I do now? Renal Cysts What should I do now? Dr Edmund Chiong Asst. Professor & Consultant Department of Urology National University Hospital What are renal cysts? Fluid-filled structures in the kidney that are not

More information

Why would you need a hysterectomy?

Why would you need a hysterectomy? Why would you need a hysterectomy? Removal of the uterus is performed to prevent, alleviate, or treat pain, pressure, bleeding, or cancer. Each reason is described in detail in the following pages. Benign

More information

Cancer of the Cervix

Cancer of the Cervix Cancer of the Cervix WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500 A woman's cervix (the opening of the uterus) is lined with cells. Cancer of the cervix occurs when those cells change,

More information

Ovarian Cyst. Homoeopathy Clinic. Introduction. Types of Ovarian Cysts. Contents. Case Reports. 21 August 2002

Ovarian Cyst. Homoeopathy Clinic. Introduction. Types of Ovarian Cysts. Contents. Case Reports. 21 August 2002 Case Reports 21 August 2002 Ovarian Cyst Homoeopathy Clinic Check Yourself If you have any of the following symptoms call your doctor. Sense of fullness or pressure or a dull ache in the abdomen Pain during

More information

Try out the online ROMA calculator available on the Elecsys HE4 page at cobas.com

Try out the online ROMA calculator available on the Elecsys HE4 page at cobas.com Try out the online calculator available on the Elecsys HE4 page at cobas.com Download the Roche application for the iphone and the ipad from the App Store. Roche References 1 Huhtinen, K. et al. (29).

More information

良 性 附 屬 器 腫 瘤 簡 介. Benign adnexal mass

良 性 附 屬 器 腫 瘤 簡 介. Benign adnexal mass 良 性 附 屬 器 腫 瘤 簡 介 Benign adnexal mass Prepubertal Age Group Adolescent Age Group Reproductive Age Group Postmenopausal Age Group Prepubertal Age Group Differential Diagnosis Diagnosis and Management Prepubertal

More information

Uterine fibroids (Leiomyoma)

Uterine fibroids (Leiomyoma) Uterine fibroids (Leiomyoma) What are uterine fibroids? Uterine fibroids are fairly common benign (not cancer) growths in the uterus. They occur in about 25 50% of all women. Many women who have fibroids

More information

Ovarian Cancer: A Case Report

Ovarian Cancer: A Case Report Ovarian Cancer: A Case Report Abstract Ovarian cancer is a very common cancer among women. It is an extremely diverse disease requiring several treatment options. Occasionally ovarian cancer is diagnosed

More information

What are the differences between fibroid and ovarian cyst?

What are the differences between fibroid and ovarian cyst? DR LEE KEEN WHYE MBBS (Singapore), FRCOG (U.K), FAMS (Singapore) Consultant Obstetrician & Gynaecologist Advisor, Endometriosis Association, Singapore KW Lee Clinic & Surgery For Women No. 6 Napier Road,

More information

LAPAROSCOPIC OVARIAN CYSTECTOMY

LAPAROSCOPIC OVARIAN CYSTECTOMY LAPAROSCOPIC OVARIAN CYSTECTOMY Information Leaflet Your Health. Our Priority. Page 2 of 5 About this information This leaflet is for you if you have a cyst on one or both ovaries and are considering surgery.

More information

BERGEN COMMUNITY COLLEGE DIAGNOSTIC MEDICAL SONOGRAPHY PROGRAM Division of Health Professions DMS 213 SYLLABUS

BERGEN COMMUNITY COLLEGE DIAGNOSTIC MEDICAL SONOGRAPHY PROGRAM Division of Health Professions DMS 213 SYLLABUS BERGEN COMMUNITY COLLEGE DIAGNOSTIC MEDICAL SONOGRAPHY PROGRAM Division of Health Professions DMS 213 SYLLABUS Course Title: DMS 213 - Abdominal Sonography 2 2 lec. 3 lab. 3 credits (5 hours) Required

More information

Laparoscopy and Hysteroscopy

Laparoscopy and Hysteroscopy AMERICAN SOCIETY FOR REPRODUCTIVE MEDICINE Laparoscopy and Hysteroscopy A Guide for Patients PATIENT INFORMATION SERIES Published by the American Society for Reproductive Medicine under the direction of

More information

WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500. Endometriosis

WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500. Endometriosis Endometriosis WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500 The lining of the uterus is called the endometrium. Sometimes, endometrial tissue grows elsewhere in the body. When this happens

More information

WHAT S WRONG WITH MY GALL BLADDER? GALL BLADDER POLYPS

WHAT S WRONG WITH MY GALL BLADDER? GALL BLADDER POLYPS WHAT S WRONG WITH MY GALL BLADDER? GALL BLADDER POLYPS This is a patient information booklet providing specific practical information about gall bladder polyps in brief. Its aim is to provide the patient

More information

Guideline on the management of ovarian masses. Gynaecologists, radiologists, sonographers, nurses. Ovarian masses, ovarian cysts, management

Guideline on the management of ovarian masses. Gynaecologists, radiologists, sonographers, nurses. Ovarian masses, ovarian cysts, management Guideline on the management of ovarian masses. A clinical guideline recommended for use In: By: For: Key words: Written by: Gynaecology Services Gynaecologists, radiologists, sonographers, nurses Management

More information

Abdomen X-Ray (AXR) Collimation is ideally from diaphragms to lower border of the symphysis pubis and the lateral skin margins.

Abdomen X-Ray (AXR) Collimation is ideally from diaphragms to lower border of the symphysis pubis and the lateral skin margins. Abdomen X-Ray (AXR) Collimation is ideally from diaphragms to lower border of the symphysis pubis and the lateral skin margins. LMP of child-bearing age female patients should be checked. 1. Acute abdomen

More information

Women s Health Laparoscopy Information for patients

Women s Health Laparoscopy Information for patients Women s Health Laparoscopy Information for patients This leaflet is for women who have been advised to have a laparoscopy. It outlines the common reasons doctors recommend this operation, what will happen

More information

K Raja/N Varol FPA 2013. FPA Sydney August 31 2013

K Raja/N Varol FPA 2013. FPA Sydney August 31 2013 FPA Sydney August 31 2013 Ms wilson 32 year old woman Presents with worsening, heavy menstrual and intermenstrual bleeding and pain for 6 months. Ms Wilson What is the differential diagnosis What are the

More information

DISCLOSURE OBJECTIVES IN THE INEREST OF TIME LAPAROSCOPY AND AN APPROACH TO THE ADNEXAL MASS

DISCLOSURE OBJECTIVES IN THE INEREST OF TIME LAPAROSCOPY AND AN APPROACH TO THE ADNEXAL MASS LAPAROSCOPY AND AN APPROACH TO THE ADNEXAL MASS DISCLOSURE I do not have any financial relationship with commercial interests. Michael Traynor Michael Traynor MD MPH Northwest Permanente, PC KAISER PERMANENTE

More information

The ovaries are part of a woman s reproductive system. There are two ovaries, the size and shape of almonds, one on either side of the womb.

The ovaries are part of a woman s reproductive system. There are two ovaries, the size and shape of almonds, one on either side of the womb. Surgery for Suspicious Ovarian Cysts Patient Information sheet The Ovaries The ovaries are part of a woman s reproductive system. There are two ovaries, the size and shape of almonds, one on either side

More information

3 Summary of clinical applications and limitations of measurements

3 Summary of clinical applications and limitations of measurements CA125 (serum) 1 Name and description of analyte 1.1 Name of analyte Cancer Antigen 125 (CA125) 1.2 Alternative names Mucin 16 1.3 NLMC code To follow 1.4 Description of analyte CA125 is an antigenic determinant

More information

Metastatic Cervical Cancer s/p Radiation Therapy, Radical Hysterectomy and Attempted Modified Internal Hemipelvectomy

Metastatic Cervical Cancer s/p Radiation Therapy, Radical Hysterectomy and Attempted Modified Internal Hemipelvectomy Metastatic Cervical Cancer s/p Radiation Therapy, Radical Hysterectomy and Attempted Modified Internal Hemipelvectomy Sarah Hutto,, MSIV Marc Underhill, M.D. January 27, 2009 Past History 45 yo female

More information

Cervical Cancer The Importance of Cervical Screening and Vaccination

Cervical Cancer The Importance of Cervical Screening and Vaccination Cervical Cancer The Importance of Cervical Screening and Vaccination Cancer Cells Cancer begins in cells, the building blocks that make up tissues. Tissues make up the organs of the body. Sometimes, this

More information

Saint Mary s Hospital. Ovarian Cysts. Information For Patients

Saint Mary s Hospital. Ovarian Cysts. Information For Patients Saint Mary s Hospital Ovarian Cysts Information For Patients 2 Contents Welcome 4 What are ovarian cysts? 4 How common are ovarian cysts? 6 Ovarian cysts and fertility 6 What are the symptoms of ovarian

More information

J of Evidence Based Med & Hlthcare, pissn- 2349-2562, eissn- 2349-2570/ Vol. 2/Issue 33/Aug. 17, 2015 Page 5063

J of Evidence Based Med & Hlthcare, pissn- 2349-2562, eissn- 2349-2570/ Vol. 2/Issue 33/Aug. 17, 2015 Page 5063 PERITONEAL MALIGNANT MESOTHELIOMA: A RARE S. R. Dhamotharan 1, S. Shanthi Nirmala 2, F. Celine Foustina Mary 3, M. Arul Raj Kumar 4, R. Vinothprabhu 5 HOW TO CITE THIS ARTICLE: S. R. Dhamotharan, S. Shanthi

More information

Ovarian masses - CT imaging

Ovarian masses - CT imaging Dr. Sujata Patnaik Review Article Ovarian masses - CT imaging Sujatha Patnaik 1 1 Department of Radiology, Nizam s Institute of Medical Sciences, Hyderabad, Andhra Pradesh, India *Corresponding author:

More information

Ovarian Cancer. in Georgia, 1999-2003. Georgia Department of Human Resources Division of Public Health

Ovarian Cancer. in Georgia, 1999-2003. Georgia Department of Human Resources Division of Public Health Ovarian Cancer in Georgia, 1999-23 Georgia Department of Human Resources Division of Public Health Acknowledgments Georgia Department of Human Resources......B. J. Walker, Commissioner Division of Public

More information

Radiographic Findings and Comments

Radiographic Findings and Comments 642 Abdomen (Cont.) Differential Diagnosis of Abdominal s E. Focal parenchymal calcification of the kidney Tuberculosis (Fig. 27.19) Adenocarcinoma (Fig. 27.20) Nephroblastoma (Wilms tumor) (Fig. 27.21)

More information

OVARIAN CANCER IS A MAJOR CAUSE OF MORBIDITY AND MORTALITY IN WOMEN. Name of Student HTHSCI 1110 WEBER STATE UNIVERSITY.

OVARIAN CANCER IS A MAJOR CAUSE OF MORBIDITY AND MORTALITY IN WOMEN. Name of Student HTHSCI 1110 WEBER STATE UNIVERSITY. Ovarian Cancer 2 OVARIAN CANCER IS A MAJOR CAUSE OF MORBIDITY AND MORTALITY IN WOMEN by Name of Student HTHSCI 1110 WEBER STATE UNIVERSITY Ogden, Utah Instructor s Name Date Ovarian Cancer 2 Background

More information

About the Uterus. Hysterectomy may be done to treat conditions that affect the uterus. Some reasons a hysterectomy may be needed include:

About the Uterus. Hysterectomy may be done to treat conditions that affect the uterus. Some reasons a hysterectomy may be needed include: Hysterectomy removal of the uterus is a way of treating problems that affect the uterus. Many conditions can be cured with hysterectomy. Because it is major surgery, your doctor may suggest trying other

More information

From this site: http://www.energeticnutrition.com /vitalzym/fibroid_tumors.html Uterine Fibroid Tumors

From this site: http://www.energeticnutrition.com /vitalzym/fibroid_tumors.html Uterine Fibroid Tumors From this site: http://www.energeticnutrition.com /vitalzym/fibroid_tumors.html Uterine Fibroid Tumors Uterine Fibroid Tumors A woman s fibroisis condition usually associated with estrogen dominance. Uterine

More information

MINIMALLY INVASIVE SURGERY FOR WOMEN Back to Life. Faster.

MINIMALLY INVASIVE SURGERY FOR WOMEN Back to Life. Faster. MINIMALLY INVASIVE SURGERY FOR WOMEN Back to Life. Faster. Pictured above: UF gynecologists Sharon Byun, MD, Shireen Madani Sims, MD, and Michael Lukowski, MD, with the robotic surgery equipment. Make

More information

PRIMARY SEROUS CARCINOMA OF PERITONEUM: A CASE REPORT

PRIMARY SEROUS CARCINOMA OF PERITONEUM: A CASE REPORT PRIMARY SEROUS CARCINOMA OF PERITONEUM: A CASE REPORT Dott. Francesco Pontieri (*) U.O. di Anatomia Patologica P.O. di Rossano (CS) Dott. Gian Franco Zannoni Anatomia Patologica Facoltà di Medicina e Chirurgia

More information

How To Treat A Uterine Sarcoma

How To Treat A Uterine Sarcoma EVERYONE S GUIDE FOR CANCER THERAPY Malin Dollinger, MD, Ernest H. Rosenbaum, MD, Margaret Tempero, MD, and Sean Mulvihill, MD 4 th Edition 2001 Uterus: Uterine Sarcomas Jeffrey L. Stern, MD Uterine sarcomas

More information

Name of procedure: Laparoscopic (key-hole) ovarian surgery. Left/ Right unilateral salpingo-oophorectomy* (removal of one fallopian tube and ovary)

Name of procedure: Laparoscopic (key-hole) ovarian surgery. Left/ Right unilateral salpingo-oophorectomy* (removal of one fallopian tube and ovary) For staff use only: Patient Details: Surname: First names: Date of birth: Hospital no: Female: (Use hospital identification label) Gynaecology Patient agreement to treatment Name of procedure: Laparoscopic

More information

Something Old, Something New.

Something Old, Something New. Something Old, Something New. Michelle A. Fajardo, D.O. Loma Linda University Medical Center Clinical Presentation 6 year old boy, presented with hematuria Renal mass demonstrated by ultrasound & CT scan

More information

Common Surgical Procedures Gyn/Oncology

Common Surgical Procedures Gyn/Oncology Malignancy Description Codes wrvu Comments Cervical Typical Open Cone biopsy 57520 4.11 Leep conization 57522 3.67 Colposcopy/Leep 57461 3.43 TAH +/- BSO 58150 17.31 Radical hysterectomy +/- BSO (Total,

More information

- Slide Seminar - Endocrine pathology in non-endocrine organs. Case 11. Stefano La Rosa, Gioacchino D Ambrosio, Fausto Sessa

- Slide Seminar - Endocrine pathology in non-endocrine organs. Case 11. Stefano La Rosa, Gioacchino D Ambrosio, Fausto Sessa - Slide Seminar - Endocrine pathology in non-endocrine organs Case 11 Stefano La Rosa, Gioacchino D Ambrosio, Fausto Sessa Dept. of Pathology, Multimedica, Milan, Italy Dept. of Surgical and Morphological

More information

Kidney Cancer OVERVIEW

Kidney Cancer OVERVIEW Kidney Cancer OVERVIEW Kidney cancer is the third most common genitourinary cancer in adults. There are approximately 54,000 new cancer cases each year in the United States, and the incidence of kidney

More information

A practical approach to cystic peritoneal masses and neoplasms: pearls and tips

A practical approach to cystic peritoneal masses and neoplasms: pearls and tips A practical approach to cystic peritoneal masses and neoplasms: pearls and tips Poster No.: C-2522 Congress: ECR 2013 Type: Educational Exhibit Authors: M. Arraiza Sarasa, S. Ghai, U. Metser, E. Kennedy,

More information

Carcinosarcoma of the Ovary

Carcinosarcoma of the Ovary Carcinosarcoma of the Ovary A Rare Finding Presented By: Kathryn Kiely Anisa I. Kanbour School of Cytotechnology of the University of Pittsburgh Medical Center Pittsburgh, PA Patient History 55 year old

More information

Risk of Malignancy in Unilocular Ovarian Cystic Tumors Less Than 10 Centimeters in Diameter

Risk of Malignancy in Unilocular Ovarian Cystic Tumors Less Than 10 Centimeters in Diameter Risk of Malignancy in Unilocular Ovarian Cystic Tumors Less Than 10 Centimeters in Diameter Susan C. Modesitt, MD, Edward J. Pavlik, PhD, Frederick R. Ueland, MD, Paul D. DePriest, MD, R. J. Kryscio, PhD,

More information

Total Abdominal Hysterectomy

Total Abdominal Hysterectomy What is a total abdominal hysterectomy? Is the removal of the uterus and cervix through an abdominal incision (either an up and down or bikini cut). Removal of the ovaries and tubes depends on the patient.

More information

OVARIAN CYSTS, MASSES and other pains OBJECTIVES FETAL AND NEONATAL OVARIAN CYSTS 11/26/2012. Anne Marie Priebe, DO

OVARIAN CYSTS, MASSES and other pains OBJECTIVES FETAL AND NEONATAL OVARIAN CYSTS 11/26/2012. Anne Marie Priebe, DO OVARIAN CYSTS, MASSES and other pains Anne Marie Priebe, DO Fellow, Adolescent Gynecology Children s Mercy Hospital Kansas City, MO OBJECTIVES Describe the normal anatomical and physiologic development

More information

Surgical Staging of Endometrial Cancer

Surgical Staging of Endometrial Cancer Surgical Staging of Endometrial Cancer I. Endometrial Cancer Surgical Staging Overview Uterine cancer types: carcinomas type I and type II, sarcomas, carcinosarcomas Hysterectomy with BSO Surgical Staging

More information

DESMOPLASTIC SMALL ROUND CELL TUMOR: A RARE PATHOLOGY PUZZLE

DESMOPLASTIC SMALL ROUND CELL TUMOR: A RARE PATHOLOGY PUZZLE DESMOPLASTIC SMALL ROUND CELL TUMOR: A RARE PATHOLOGY PUZZLE Ryan Granger University of Rhode Island Cytotechnology program May 2, 2015 ASCT Annual Meeting Nashville, Tennessee DESMOPLASTIC SMALL ROUND

More information

FEMALE ANATOMY. the Functions of the Female Organs

FEMALE ANATOMY. the Functions of the Female Organs FEMALE ANATOMY the Functions of the Female Organs An educational video for every woman who is told she needs pelvic surgery, including exploratory surgery or removal of the uterus, fallopian tubes, or

More information

Ovarian cancer. A guide for journalists on ovarian cancer and its treatment

Ovarian cancer. A guide for journalists on ovarian cancer and its treatment Ovarian cancer A guide for journalists on ovarian cancer and its treatment Contents Contents 2 3 Section 1: Ovarian Cancer 4 i. Types of ovarian cancer 4 ii. Causes and risk factors 5 iii. Symptoms and

More information

Cystic mesothelioma of the peritoneum

Cystic mesothelioma of the peritoneum Pathology Feature William R. Hart, M.D. Section Editor Cystic mesothelioma of the peritoneum Report of a case with multiple recurrences and review of the literature 1 Janet M. Miles, M.D. William R. Hart,

More information

The Radiologic Evaluation of the Ovary

The Radiologic Evaluation of the Ovary September 2000 The Radiologic Evaluation of the Ovary Aradhana M. Venkatesan,, Harvard Medical School Year- IV MD 1 Menu of Tests Trans-abdominal pelvic ultrasound Trans-vaginal pelvic ultrasound Pelvic

More information

Hysterectomy. What is a hysterectomy? Why is hysterectomy done? Are there alternatives to hysterectomy?

Hysterectomy. What is a hysterectomy? Why is hysterectomy done? Are there alternatives to hysterectomy? ROBERT LEVITT, MD JESSICA BERGER-WEISS, MD ADRIENNE POTTS, MD HARTAJ POWELL, MD, MPH COURTNEY LEVENSON, MD LAUREN BURNS, MSN, RN, WHNP OBGYNCWC.COM What is a hysterectomy? Hysterectomy Hysterectomy is

More information

Gynecology Abnormal Pelvic Anatomy and Physiology: Cervix. Cervix. Nabothian cysts. cervical polyps. leiomyomas. Cervical stenosis

Gynecology Abnormal Pelvic Anatomy and Physiology: Cervix. Cervix. Nabothian cysts. cervical polyps. leiomyomas. Cervical stenosis Gynecology Abnormal Pelvic Anatomy and Physiology: (Effective February 2007) pediatric, reproductive, and perimenopausal/postmenopausal (24-28 %) Cervix Nabothian cysts result from chronic cervicitis most

More information

Nicole Kounalakis, MD

Nicole Kounalakis, MD Breast Disease: Diagnosis and Management Nicole Kounalakis, MD Assistant Professor of Surgery Goal of Breast Evaluation The goal of breast evaluation is to classify findings as: normal physiologic variations

More information

Ovarian mucinous lesions. Ovarian mucinous lesions: Common diagnostic dilemmas. Ovarian mucinous lesions: problematic issues

Ovarian mucinous lesions. Ovarian mucinous lesions: Common diagnostic dilemmas. Ovarian mucinous lesions: problematic issues Ovarian mucinous lesions Ovarian mucinous lesions: Common diagnostic dilemmas Karuna Garg, MD University of California San Francisco Intestinal or usual type Seromucinous (Endocervical mucinous or Mullerian

More information

Diagnosis and treatment of benign multicystic peritoneal mesothelioma

Diagnosis and treatment of benign multicystic peritoneal mesothelioma Online Submissions: http://www.wjgnet.com/esps/ wjg@wjgnet.com doi:10.3748/wjg.v19.i39.6689 World J Gastroenterol 2013 October 21; 19(39): 6689-6692 ISSN 1007-9327 (print) ISSN 2219-2840 (online) CASE

More information

From the Archives of the AFIP

From the Archives of the AFIP Note: This copy is for your personal non-commercial use only. To order presentation-ready copies for distribution to your colleagues or clients, contact us at www.rsna.org/rsnarights. AFIP ARCHIVES 583

More information

More than 2,500 people are diagnosed with mesothelioma in the UK each year.

More than 2,500 people are diagnosed with mesothelioma in the UK each year. This information is an extract from the booklet Understanding mesothelioma. You may find the full booklet helpful. We can send you a free copy see page 5. Contents Introduction Pleural mesothelioma Peritoneal

More information

Breast Imaging Made Brief and Simple. Jane Clayton MD Associate Professor Department of Radiology LSUHSC New Orleans, LA

Breast Imaging Made Brief and Simple. Jane Clayton MD Associate Professor Department of Radiology LSUHSC New Orleans, LA Breast Imaging Made Brief and Simple Jane Clayton MD Associate Professor Department of Radiology LSUHSC New Orleans, LA What women are referred for breast imaging? Two groups of women are referred for

More information

Total Vaginal Hysterectomy

Total Vaginal Hysterectomy What is a total vaginal hysterectomy? Is the removal of the uterus and cervix through the vagina. Removal of the ovaries and tubes depends on the patient. Why is this surgery used? To treat disease of

More information

Laparoscopic Bilateral Salpingo-Oophorectomy

Laparoscopic Bilateral Salpingo-Oophorectomy Laparoscopic Bilateral Salpingo-Oophorectomy What is a? This is a surgery where your doctor uses a thin, lighted camera and small surgical tool placed through a small (1/2 inch) incision usually in the

More information

Clinical Policy Title: Leiomyosarcoma and Laparoscopic Power Morcellation

Clinical Policy Title: Leiomyosarcoma and Laparoscopic Power Morcellation Clinical Policy Title: Leiomyosarcoma and Laparoscopic Power Morcellation Clinical Policy Number: 12.03.01 Effective Date: January 1, 2015 Initial Review Date: August 20, 2014 Most Recent Review Date:

More information

These rare variants often act aggressively and may respond differently to therapy than the more common prostate adenocarcinoma.

These rare variants often act aggressively and may respond differently to therapy than the more common prostate adenocarcinoma. Prostate Cancer OVERVIEW Prostate cancer is the second most common cancer diagnosed among American men, accounting for nearly 200,000 new cancer cases in the United States each year. Greater than 65% of

More information

Neoplasms of the LUNG and PLEURA

Neoplasms of the LUNG and PLEURA Neoplasms of the LUNG and PLEURA 2015-2016 FCDS Educational Webcast Series Steven Peace, BS, CTR September 19, 2015 2015 Focus o Anatomy o SSS 2000 o MPH Rules o AJCC TNM 1 Case 1 Case Vignette HISTORY:

More information

Today s Topics. Tumors of the Peritoneum in Women

Today s Topics. Tumors of the Peritoneum in Women Today s Topics Tumors of the Peritoneum in Women Charles Zaloudek, M.D. Department of Pathology 505 Parnassus Ave., M563 University of California, San Francisco San Francisco, CA USA charles.zaloudek@ucsf.edu

More information

Ovarian tumors Ancillary methods

Ovarian tumors Ancillary methods Ovarian tumors Ancillary methods Ovarian tumor course Oslo, 24-25/11/14 Prof. Ben Davidson, MD PhD Department of Pathology, Norwegian Radium Hospital, Oslo University Hospital, Oslo, Norway Division of

More information

National Coverage Determination (NCD) for Tumor Antigen by Immunoassay - CA 125 (190.28)

National Coverage Determination (NCD) for Tumor Antigen by Immunoassay - CA 125 (190.28) National Coverage Determination (NCD) for Tumor Antigen by Immunoassay - CA 125 (190.28) Tracking Information Publication Number Manual Section Number 100-3 190.28 Manual Section Title Tumor Antigen by

More information

Safe and Effective Surgery for Endometriosis Including Detection and Intervention for Ovarian Cancer

Safe and Effective Surgery for Endometriosis Including Detection and Intervention for Ovarian Cancer Safe and Effective Surgery for Endometriosis Including Detection and Intervention for Ovarian Cancer Camran Nezhat,, MD, FACOG, FACS Stanford University Medical Center Center for Special Minimally Invasive

More information

Ovarian Cancer. What is ovarian cancer?

Ovarian Cancer. What is ovarian cancer? Ovarian Cancer What is ovarian cancer? Cancer starts when cells in the body begin to grow out of control. Cells in nearly any part of the body can become cancer, and can spread to other areas of the body.

More information

Case of the. Month October, 2012

Case of the. Month October, 2012 Case of the Month October, 2012 Case The patient is a 47-year-old male with a 3-week history of abdominal pain. A CT scan of the abdomen revealed a suggestion of wall thickening at the tip of the appendix

More information

Pathology of the Female Peritoneum, Common and Uncommon Problems

Pathology of the Female Peritoneum, Common and Uncommon Problems Pathology of the Female Peritoneum, Common and Uncommon Problems An Update on Gynecologic Pathology Florence, Italy Anaís Malpica, M.D. Professor of Pathology Pathology of the Female Peritoneum Keratin

More information

Ovarian Cancer. What is cancer?

Ovarian Cancer. What is cancer? What is cancer? Ovarian Cancer The body is made up of trillions of living cells. Normal body cells grow, divide to make new cells, and die in an orderly way. During the early years of a person's life,

More information

PROTOCOL OF THE RITA DATA QUALITY STUDY

PROTOCOL OF THE RITA DATA QUALITY STUDY PROTOCOL OF THE RITA DATA QUALITY STUDY INTRODUCTION The RITA project is aimed at estimating the burden of rare malignant tumours in Italy using the population based cancer registries (CRs) data. One of

More information

International Journal of Case Reports in Medicine

International Journal of Case Reports in Medicine International Journal of Case Reports in Medicine Vol. 2013 (2013), Article ID 340925, 18 minipages. DOI:10.5171/2013.340925 www.ibimapublishing.com Copyright 2013. Massinde Anthony. Distributed under

More information

Emergencies in Post- Bariatric Surgery Patients

Emergencies in Post- Bariatric Surgery Patients Emergencies in Post- Patients Disclosures Dr. Birnbaumer has no financial disclosures Diane M. Birnbaumer, M.D., FACEP Professor of Medicine University of California, Los Angeles Senior Clinical Educator

More information

Nursing Management of a Patient with Ovarian Cancer

Nursing Management of a Patient with Ovarian Cancer Nursing Management 1 Running head: OVARIAN CANCER Nursing Management of a Patient with Ovarian Cancer Jane A. Student Pasadena City College Nursing Management 2 Nursing Management of Patient with Ovarian

More information

Laparoscopic Surgery of the Colon and Rectum (Large Intestine) A Simple Guide to Help Answer Your Questions

Laparoscopic Surgery of the Colon and Rectum (Large Intestine) A Simple Guide to Help Answer Your Questions Laparoscopic Surgery of the Colon and Rectum (Large Intestine) A Simple Guide to Help Answer Your Questions What are the Colon and Rectum? The colon and rectum together make up the large intestine. After

More information

3 Lower Abdominal Pain in the First Trimester of Pregnancy

3 Lower Abdominal Pain in the First Trimester of Pregnancy 3 Lower Abdominal Pain in the First Trimester of Pregnancy Sisty J. Moshi INTRODUCTION Abdominal pain in pregnancy is very common. Many of the complications of early pregnancy present with some form of

More information

School of Diagnostic Medical Sonography

School of Diagnostic Medical Sonography Semester 1 Orientation - 101 This class is an introduction to sonography which includes a basic anatomy review, introduction to sonographic scanning techniques and physical principles. This curriculum

More information

OVARIAN CYSTS IN POSTMENOPAUSAL WOMEN I

OVARIAN CYSTS IN POSTMENOPAUSAL WOMEN I OVARIAN CYSTS IN POSTMENOPAUSAL WOMEN I Is it raccomended that ovarian cysts in postmenopausal women should be assessed using CA 125 and transvaginal grey scale sonography. Serum CA 125 is raised in over

More information

Developmental Cysts. Non-odontogenic Cysts. Nasopalatine duct cyst. Palatal and gingival cysts of newborns

Developmental Cysts. Non-odontogenic Cysts. Nasopalatine duct cyst. Palatal and gingival cysts of newborns Non-odontogenic Cysts Dr. Ioannis G. Koutlas Division of Oral Pathology Developmental Cysts a.k.a. fissural cysts Exact pathogenesis of some of them uncertain Generally, slow increase May be identified

More information

Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy (HIPEC): Now and the Future

Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy (HIPEC): Now and the Future Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy (HIPEC): Now and the Future Mazin Al-kasspooles, MD Associate Professor of Surgery Division of Surgical Oncology Director, Regional Therapy

More information