Ovarian Masses - Part 4-3
Features Suggesting the lesion is a Neoplasm
Solid Ovarian Lesions
Features Suggesting the lesion is a Neoplasm
Solid Ovarian Lesions
Take Home Points
filly's rule on solid ovarian masses
- All solid ovarian masses belong in a pan (i.e. they should be surgically removed.)
- However, make sure you ask the question whether or not there is another primary malignancy, because you do not want to resect a metastasis.
Differentiating exophytic myoma vs. solid ovarian neoplasm
- This is not an infrequent dilemma
- First step is to find the ovary and ensure that the mass is separate from the lesion
- Exophytic solid ovarian neoplasms are reported in the literature but are exceedingly rare
- You can use compression maneuvers with the probe to try and separate the lesions to be sure
- Mass should have characteristics of a myoma (typically Venetian blind shadowing)
- It is nice, but not necessary to see other myomas in the uterus (Guilt by association)
Not all solid masses are cancer
- Fibroma tumors: Often have characteristics very similar to a myoma
- Thecoma Tumor
- Brenner Tumor