Difference between revisions of "Ovary"

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Ovary (view source)

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**If the cells have a round morphology... think about [[endometriosis]].
**If the cells have a round morphology... think about [[endometriosis]].


Images:
===Images===
www:
*[http://media.photobucket.com/image/ovary%20histology/lovesthesunset/anatomy%20and%20physiology/ovarycorpusluteum.jpg Ovarian stroma (photobucket.com)].
*[http://media.photobucket.com/image/ovary%20histology/lovesthesunset/anatomy%20and%20physiology/ovarycorpusluteum.jpg Ovarian stroma (photobucket.com)].
*[http://commons.wikimedia.org/wiki/File:Corpus_albicans.JPG Corpus albicans (WC)].
<gallery>
Image:Corpus_albicans.JPG| Corpus albicans. (WC)
</gallery>


=Cysts - overview=
=Cysts - overview=
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**Cuboidal/flat epithelium.<ref>{{cite journal |author=Auersperg N, Wong AS, Choi KC, Kang SK, Leung PC |title=Ovarian surface epithelium: biology, endocrinology, and pathology |journal=Endocr. Rev. |volume=22 |issue=2 |pages=255–88 |year=2001 |month=April |pmid=11294827 |doi= |url=http://edrv.endojournals.org/cgi/pmidlookup?view=long&pmid=11294827}}</ref>
**Cuboidal/flat epithelium.<ref>{{cite journal |author=Auersperg N, Wong AS, Choi KC, Kang SK, Leung PC |title=Ovarian surface epithelium: biology, endocrinology, and pathology |journal=Endocr. Rev. |volume=22 |issue=2 |pages=255–88 |year=2001 |month=April |pmid=11294827 |doi= |url=http://edrv.endojournals.org/cgi/pmidlookup?view=long&pmid=11294827}}</ref>
**Has ovarian stroma underneath.
**Has ovarian stroma underneath.
**Nobnail morphology (free surface larger than basement membrane surface).<ref>ALS. 5 February 2009.</ref>  
**Hobnail morphology (free surface larger than basement membrane surface).<ref>ALS. 5 February 2009.</ref>  


Ovarian surface vs. mesothelium:
Ovarian surface vs. mesothelium:
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*[[AKA]] ''[[peritoneal inclusion cyst]]''.{{fact}}
*[[AKA]] ''[[peritoneal inclusion cyst]]''.{{fact}}
*[[AKA]] ''cortical inclusion cyst''.<ref name=pmid11207821>{{Cite journal  | last1 = Feeley | first1 = KM. | last2 = Wells | first2 = M. | title = Precursor lesions of ovarian epithelial malignancy. | journal = Histopathology | volume = 38 | issue = 2 | pages = 87-95 | month = Feb | year = 2001 | doi =  | PMID = 11207821 }}</ref>{{fact}}
*[[AKA]] ''cortical inclusion cyst''.<ref name=pmid11207821>{{Cite journal  | last1 = Feeley | first1 = KM. | last2 = Wells | first2 = M. | title = Precursor lesions of ovarian epithelial malignancy. | journal = Histopathology | volume = 38 | issue = 2 | pages = 87-95 | month = Feb | year = 2001 | doi =  | PMID = 11207821 }}</ref>{{fact}}
*[[AKA]] ''surface epithelial inclusion cyst''.
===General===
===General===
*May be found incidentally, e.g. during C-section.
*May be found incidentally, e.g. during C-section.
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DDx:
DDx:
*[[Serous cystadenoma of the ovary]].
*[[Serous cystadenoma of the ovary]] - must be >=1 cm.<ref name=Ref_GP384>{{Ref GP|384}}</ref>


Image:
Image:
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- BENIGN CORTICAL INCLUSION CYST.
- BENIGN CORTICAL INCLUSION CYST.
</pre>
</pre>
==Ovarian infarct==
{{Main|Ovarian infarct}}


==Pregnancy luteoma==
==Pregnancy luteoma==
*[[AKA]] ''luteoma of [[pregnancy]]''.
*[[AKA]] ''luteoma of [[pregnancy]]''.
===General===
{{Main|Pregnancy luteoma}}
*Tumour of pregnancy.
*Benign.
*Regress after pregnancy; thus, conservative management.<ref name=pmid21144088>{{Cite journal  | last1 = Masarie | first1 = K. | last2 = Katz | first2 = V. | last3 = Balderston | first3 = K. | title = Pregnancy luteomas: clinical presentations and management strategies. | journal = Obstet Gynecol Surv | volume = 65 | issue = 9 | pages = 575-82 | month = Sep | year = 2010 | doi = 10.1097/OGX.0b013e3181f8c41d | PMID = 21144088 }}</ref>
 
Clinical:
*Increased serum testosterone.<ref name=pmid15782020>{{Cite journal  | last1 = Kao | first1 = HW. | last2 = Wu | first2 = CJ. | last3 = Chung | first3 = KT. | last4 = Wang | first4 = SR. | last5 = Chen | first5 = CY. | title = MR imaging of pregnancy luteoma: a case report and correlation with the clinical features. | journal = Korean J Radiol | volume = 6 | issue = 1 | pages = 44-6 | month =  | year =  | doi =  | PMID = 15782020 }}</ref>
 
===Gross===
*Solid.
*Yellow.
 
Images:
*[http://www.flickr.com/photos/78147607@N00/4730745138 Pregnancy luteoma (flickr.com/euthman)].
*[http://www.flickr.com/photos/euthman/4730754894/in/photostream/ Pregnancy luteoma (flickr.com/euthman)].
 
===Microscopic===
Features:
*Sheets of cells.
*Cells with eosinophilic cytoplasm, round nuclei and prominent [[nucleoli]].
 
DDx:
*[[Leydig cell tumour]].
 
Images:
*[http://www.webpathology.com/image.asp?case=522&n=1 Pregnancy luteoma - low mag. (webpathology.com)].
*[http://www.webpathology.com/image.asp?n=2&Case=522 Pregnancy luteoma - high mag. (webpathology.com)].


=Ovarian tumours=
=Ovarian tumours=
John
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