پاورپوینت تخمدان و توده هاي آن (pptx) 57 اسلاید
دسته بندی : پاورپوینت
نوع فایل : PowerPoint (.pptx) ( قابل ویرایش و آماده پرینت )
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بنام خدا
تخمدان و
توده هاي آن
اندازه تخمدان
Follicular cysts
- most common fuctional cyst
- diameter >8cm(rare)
- defined as cystic follicle dimeter >3cm
- Rupture : resolve in 4~8wks
- Less common than follicular cysts
- Rupture → leading to hemoperitoneum & surgical management
sever pain→ - Most ruptures occur on cycle days ( (20 ~ 26
- Most ruptures occur on right ovary and in intercourse time -
Corpus luteum cysts
- The least common
- Bilateral
- occur with pregnancy, including molar pregnancies, associated multiple gestations, choriocarcinoma, diabetes, Rh sensitization, Clomiphene citrate use, hMG-hCG ovulation induction , use of GnRH analogs
- Size : quite large(~30cm), multicystic, regress spontaneoustly
Reproductive Age Group
Theca luteum cysts
Combination monophasic oral contraceptive therapy
- markedly reduce the risk of functional ovarian cysts
In comparision with previously available higher-dose pills
the effect of cyst suppression with current low-dose oral contraceptives is attenuated.
Smoker: twofold increased risk of developing ovarian cysts.
Reproductive Age Group
treatment
Reproductive years >80% of benign cystic teratomas (dermoid cysts)
Dermoid cysts : represented 62% of all ovarian neoplasm
< 40years women
Malignant transformation <2% of dermoid cysts ( in all ages)
most cases occur in women >40 years of age
Risk of torsion : 15%(more frequently than with ovarian tumors in general d/t high-fat content → float within the abdominal and pelvic cavity)
Bilateral :10%
Ovarian cystectomy is almost always possible, even if it appears that only a small amount of ovarian tissue remains
Laparoscopic cystectomy is often possible
Reproductive Age Group
Dermoid cysts