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Multiple Ovarian Cysts

Multiple Ovarian Simple Cysts


Presentation

  • Some children with profound and long-standing hypothyroidism present with signs of paradoxical sexual maturation. In females, it is characterized by breast development, vaginal bleeding, lack of pubic hair, and delayed bone age.[ncbi.nlm.nih.gov]
Galactorrhea
  • Physical examination showed obesity; apathetic and flat expression; periorbital puffiness; pale, cold, dry skin and slow sustained reflexes; swelling in the hands and feet; no galactorrhea; a hardly palpable thyroid gland; and ovaries with a palpable[ncbi.nlm.nih.gov]
  • Gynecology, Xiasha Hospital, 310001 Hangzhou, China (3) Department of Reproductive Endocrinology, Women's Hospital, School of Medicine, Zhejiang University, 310006 Hangzhou, China References Van Wyk JJ, Grumbach MM: Syndrome of precocious menstruation and galactorrhea[rbej.biomedcentral.com]
Pelvic Mass
  • To describe pelvic masses in general, I consulted with Dr.[cnn.com]
  • Roswell Park’s team of board-certified gynecologic oncologists who specialize in cancers of the female reproductive system are committed to evaluating and treating women with pelvic masses that may be at risk for ovarian cancer.[roswellpark.org]
  • Imaging In evaluating any pelvic mass, it is important to first determine if the mass is arising from the ovaries, the uterus, or another location.[appliedradiology.com]
  • In premenopausal women with a pelvic mass, an ultrasonogram generally suffices for the initial evaluation and often for follow-up as well.[emedicine.medscape.com]
Increased Abdominal Girth
  • A 29-year-old woman, after experiencing oligomenorrhea and increasing abdominal girth for 1 year, presented with an acute abdomen. Ultrasonography revealed multicystic ovaries 15 cm in maximal diameter, causing bilateral adnexal torsion.[ncbi.nlm.nih.gov]
  • Larger cysts are more likely to cause signs and symptoms such as: Pain in the abdomen, pelvis, sometimes radiating to the low back, is the most common symptom Feeling of bloating or indigestion Increased abdominal girth Feeling an urge to have a bowel[medicinenet.com]
Dry Skin
  • Physical examination showed obesity; apathetic and flat expression; periorbital puffiness; pale, cold, dry skin and slow sustained reflexes; swelling in the hands and feet; no galactorrhea; a hardly palpable thyroid gland; and ovaries with a palpable[ncbi.nlm.nih.gov]
  • They help to maintain weight, strong bones and teeth, and they provide protection against heart disease, osteoporosis, dementia, dry skin, dry eyes, and joint and muscle pain.[hersfoundation.com]
Excitement
  • Multiple surgeries within 8 months 1 Reply, Hysterectomy Recovery (post hysterectomy) Advertisement Hysterectomy News May 13,2019 CURRENT NEWS HysterSisters Takes On Partner To Manage Continued Growth And Longevity I have news that is wonderful and exciting[hystersisters.com]
  • There may be adnexal tenderness or cervical excitation. 1 3. Investigations Ultrasonography is the main imaging modality for investigating ovarian cysts. MRI and CT are less commonly used.[gponline.com]
Screaming
  • I was released at 2:30am barely able to walk and still screaming in pain. I am 23 years old and I have had so many ovarian cysts rupture that I have lost count! It's affecting my life dramatically. I have a cyst rupture every few months.[healthquestions.medhelp.org]
  • In the past six months, I’ve had two ruptures: the first during sex, which resulted in muffled screaming on the floor of my boyfriend’s parents’ basement as he hovered over me in just a T-shirt, under the adorably mistaken impression that his penis had[manrepeller.com]

Workup

  • (See Presentation, DDx, and Workup.)[emedicine.medscape.com]
  • […] to and treatment by gynecologic oncologists has been shown to improve survival rates in women with ovarian cancer. 14-16 Cysts with an Indeterminate Likelihood of Malignancy For women with cysts with an intermediate likelihood of malignancy, further workup[clevelandclinicmeded.com]
  • Ovarian hyperstimulation occurs more often with invasive moles and choriocarcinoma than complete molar pregnancies. [13] Risk of cancer [ edit ] A widely recognised method of estimating the risk of malignant ovarian cancer based on initial workup is the[en.wikipedia.org]
Delayed Bone Age
  • In females, it is characterized by breast development, vaginal bleeding, lack of pubic hair, and delayed bone age. A case of multiple ovarian cysts in a prepubertal girl with severe hypothyroidism due to autoimmune thyroiditis is reported.[ncbi.nlm.nih.gov]
Macrocytic Anemia
  • Laboratory findings showed severe hypothyroidism (thyroid-stimulating hormone [TSH]: 960 mIU/L), gravis macrocytic anemia, hyperfibrinogenemia, and hyperprolactinemia.[ncbi.nlm.nih.gov]

Treatment

  • Herein, we report a case of a naturally conceived pregnancy occurring 2 years after stopping treatment for primary hypothyroidism.[ncbi.nlm.nih.gov]
  • Stanhope R, Adams J, Jacobs HS, Brook CGD (1985) Ovarian ultrasound assessment in normal children, idiopathic precocious puberty, and during low dose pulsatile gonadotrophin releasing hormone treatment of hypogonadotrophic hypogonadism.[link.springer.com]
  • For polycystic ovaries the treatment varies. A major symptom of polycystic ovaries is infertility, and whether the woman is trying to conceive or not determines the treatment.[healthcentral.com]

Prognosis

  • The prognosis for women who have other types of ovarian cysts depends on a variety of factors. A woman's age, health status, and underlying cause of the cyst all factor into the prognosis.[onhealth.com]
  • Treatment and prognosis large ( 3 cm) or symptomatic cysts may undergo surgical resection smaller asymptomatic cysts are treated conservatively risk of malignancy in septated ovarian cysts with no papillary projections or solid components are also considered[radiopaedia.org]
  • Prognosis Ovarian cysts are common and will resolve over time, thus confirming that they were functional cysts instead of something more serious.[diagnose-me.com]
  • In this case, the prognosis depends upon the extent of spread and exact type of cancer that is present. Can ovarian cysts be prevented? There is no known way to prevent the development of ovarian cysts.[medicinenet.com]

Etiology

  • The etiology of PCOS is felt to be heterogenous, related to a complex interaction between both genetic and environmental factors. PCOS develops when the ovaries are stimulated to produce excessive testosterone.[oxfordmedicine.com]
  • There are multiple etiologies, and each etiology might also be complicated by the medical condition of insulin resistance which also tends to have some relationship to the liver "fatty liver" condition, NASH.[palpath.com]
  • Ovarian cysts are commonly encountered in gynecological imaging, and vary widely in etiology, from physiologic, to complex benign, to neoplastic.[radiopaedia.org]
  • Without considering these endocrine disorders as a possible etiology, clinicians are likely to assume a diagnosis of neoplasm, leading to unnecessary ovarian surgery.[rbej.biomedcentral.com]
  • Tubo-ovarian or other pelvic abscesses occur from a number of etiologies in the female patient. Usually there is an appropriate history of fever, elevated white blood cell count, and adnexal tenderness, which will indicate such a process.[appliedradiology.com]

Epidemiology

  • […] cysts) Cyst is surrounded by dense, endometrial type stroma and is associated with hemosiderin-laden macrophages Terminology Cystic follicle if 3 cm; follicular cyst if 3 cm Cystic corpus luteum if 3cm Epithelial inclusion cyst (tubal type) is 1 cm Epidemiology[pathologyoutlines.com]
  • Risk factors for benign, borderline and invasive mucinous ovarian tumors: epidemiological evidence of a neoplastic continuum? Gynecol Oncol 2007; 107:223–230.[clevelandclinicmeded.com]
  • (See Epidemiology, Prognosis, Treatment, and Medication.)[emedicine.medscape.com]
  • "[Epidemiology of presumed benign ovarian tumors]". Journal de Gynecologie, Obstetrique et Biologie de la Reproduction. 42 (8): 722–9. doi : 10.1016/j.jgyn.2013.09.027. PMID 24210235. a b c d e f Helm, William (2018-04-27). "Ovarian Cysts".[en.wikipedia.org]
Sex distribution
Age distribution

Pathophysiology

  • […] inclusion cysts: any age, but typically postmenopausal Cystic follicle / follicular cyst: most common in non-pregnant women of reproductive age, around menarche and menopause Cystic corpus luteum / corpus luteum cyst: reproductive age, including pregnancy Pathophysiology[pathologyoutlines.com]
  • Pathophysiology: Each month, normally functioning ovaries develop small cysts called Graafian follicles. At midcycle a single dominant follicle up to 2.8 cm in diameter releases a mature oocyte.[www1.cgmh.org.tw]
  • Removal of benign cysts does not decrease future mortality from ovarian cancer. 1,3-5 Back to Top Pathophysiology Provided below is a brief description of the pathophysiology of various types of physiologic and neoplastic ovarian cysts and the potential[clevelandclinicmeded.com]
  • The possible mechanisms of the pathophysiology are discussed below.[rbej.biomedcentral.com]
  • Pathophysiology Functional cysts The median menstrual cycle lasts 28 days, beginning with the first day of menstrual bleeding and ending just before the subsequent menstrual period.[emedicine.medscape.com]

Prevention

  • He said it wasn't enough to be PCOS just yet, but told me that I should go on birth control immediately to prevent the condition from getting worse, so I wouldn't develop the symptoms of PCOS, so I'd be able to have kids more easily in the future, etc[paleohacks.com]
  • Unfortunately, ovarian tumors and fibroids cannot be prevented with medication, dietary changes or herbs.[mommydocs.com]
  • Can Ovarian Cysts be Prevented? Although ovarian cysts cannot be prevented, regular pelvic exams can help diagnose any changes in the ovaries.[onhealth.com]
  • This can often prevent complications.[medicalnewstoday.com]
  • Can I prevent ovarian cysts? No, you cannot prevent functional ovarian cysts if you are ovulating. If you get ovarian cysts often, your doctor may prescribe hormonal birth control to stop you from ovulating.[womenshealth.gov]

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