پاورپوینت تخمدان و توده هاي آن

پاورپوینت تخمدان و توده هاي آن (pptx) 57 اسلاید

دسته بندی : پاورپوینت

نوع فایل : PowerPoint (.pptx) ( قابل ویرایش و آماده پرینت )

تعداد اسلاید: 57 اسلاید

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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