Surgery of ovarian cyst 3.3kg ovarian Tumor

1) introduction: ovarian enlargement . ovariancyst

The non neoplastic enlargement of the ovary is usually due to accumulation of fluids inside the function unit of ovary.follicular ovarian cyst are the most common functional cysts or in associated of fibroids,The cyst may remain asmyptomatic or may produce vague pain. in majority case ovarian cyst bimanual examination sonography, laproscopy, laprotomy, after removing ovrain cyst 3.3kg.

Follicular Cyst
  • Normal ovary size
  • Neonatal ovary size-1.3cm×0.6cm×0.4cm
  • Reproductive-4cm×2cm×3cm
  • Menopause-2cm×3cm×4cm
  • Causes of Non – neoplastic cyst of the ovary
  • 1) Follicular cysts , corpus luteum cyst,Theca lutein and granulosa lutein ovarian cyst.
  • 2) Endometrial ovarian cyst.
  • Corpus Luteum Cyst: and Ovarian Tumor
  • Corpus Luteum Cyst usually occur due to overactivity of Corpus Luteum.There is excessive bleeding inside the corpus Luteum .
  • Lutein Cyst: Lutein ovarian cyst are usually bilateral and caused by excessive Chronic gonadotropin secreted in case of gestational trophoblastic ovarian trumors.
  • 1)Benign ovarian Neoplasms:
  • Incidence:The incidence of ovarian tumor amongst gynecology admission varies from 1to 3% about 75% these are Benign.
  • Classification of ovarian cyst:

The classification of ovarian tumor is unsatisfied and full of confusion.The ovarian tissue are constantly in a dynamic state

Origin : ovarian Tumor

  • It arises from the totipotent surface epithelium of the ovary Cyst.
  • Its associated with Brenner Tumor suggest its origin as mucinous metaplasia of the epithelium cells..
  • Classification of ovarian Tumor:
  • 1) epithelial ovarianTumor
  • serious ovarian Tumor.
  • Mucinous Cyst adenoma.
  • Endometrial Tumor.
  • mesonephroid or clear cell Tumor.
  • squamous cell Ovarian Tumor.
  • mixed epithelium cyst.
  • 2)sex cord stromal Tumor:
  • Granulosa cell tumor.tumors of the coma fibroma group.
  • Thecoma,fibroma, unclassified,sertoli cell Tumor, sertoli leyding cell Tumor.
  • 3) Germ cell Tumor:a) Dysgerminoma, Embryonal cell carcinoma,polyembryoma.
  • 1)Serous cyst adenoma;
  • Origin .
  • Clinical feature of Benign Tumor:Age .
  • being Tumor predominantly manifest in the late childbearing period.dermoid mucinous Cyst adenoma is common in the reproductive period.as such the Dermoid is more common during pregnancy.
  • Symptoms:of Ovarian Tumor
  • most Tumor are asymptomatic, detected accidentally by a general physician, to find lump in the lower abdomen during routine abdominal palpation or by a gynecology to find a tumor during pelvic examination , laproscopy or laprotomy.
  • Heaviness in the lower abdomen .
  • a gradually increasing mass in lower abdomen dull aching pain in lower abdomen .
  • in few cases , the tumor may be big enough to fill whole of the abdomen it then produced cardiorespiratory symptoms nausea
  • Menstrual pattern remain unaffected unless associated with hormones producing Ovariancyst
  • Signs:
  • Genral condition, petting edema, abdominal examination.
  • Inspection:fell,is cystic or tense cystic . Benign solid Tumor such as fibroma, thecoma Brenner cyst,
  • Mobility:freely mobile from side to side but restricted from above down unless the pedicle is long too big a tumor adhesive make mobility restricted.
  • Borders: Upper and lateral border are well defined but lower poles is difficult to reach suggestive of pelvic origin.
    • Surface

over Tumer is smooth but often grooved in lobulated Tumor.

percussion: Auscultation.A friction rub may be present the tumor.

Pelvic examination:

  1. the uterus is separate from the mass.
  2. a groove is felt between the uterus and the mss.
  3. movement of the mss per abdominal fail to move the cervix.
  4. on elevation of the mass per Abdominal the cervix remain in stationary position.
  5. Absence of pulsation of the uterine vessel through the

Special investigation:

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