Ovary Infection

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DEFINATION

Ovarian tumor is a gynecologic malignancy

with high mortality but of advanced disease

by time of diagnosis.


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PATHOPHYSILOGY & ETIOLOGY

Cause is unknown but about 10% of cases

associated with family history of breast ,

endometrial , colon or ovarian cancer.

High fat , smoking , alcohol use ,

environmental pollutants and personal history

of breast , colon or endometrial cancer are

also risk factor.


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This is also higher incidence in nulliparous

women with low parity. Incidence is inversely

proportional to amount of time ovulation is

suppressed .

Epithetical cell tumors constitute 90% germand stromal cell tumors 10% .


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CLINICAL MANIFESTATION

No early manifestation

1. First manifestation.

Abdominal discomfort.

Indigestion.

Anorexia.

Pelvic pressure.

Weight gain or less.


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1. LATE MANIFERTATION.

Abdominal pain.

Pleural effusion.

Intestinal obstruction.


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DIAGNOSTIC EVALUATION

History.

Physical examination.

Pelvic examination to detect enlargement. Pelvic solography.

CT scan.

Laprotomy.


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COMLICATION

Direct intra-abdominal or lymphatic spread ,

peritoneal rceding .


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MANAGMENT

Chemotherapy is more effective if tumor is

optimally less than 1 cm.

Radiation therapy not usually valuable. Hormonal therapy with tamoxifen , an

antiestrogen agent may be used .

Laprotomy may be done.


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OVARIANCYSTS


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Fig.- Computed tomography (CT) scan of the pelvis

are showing a 15cm x 15cm mass in the cul-de-sac

containing heterogenous echogenicities consisting of

fat, fluid, soft tissue, and calcification


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DEFINATION

An ovarian cyst is a fluid filled pocket located

on the ovary.


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PATHOPHYSIOLOGY & ETHOLOGY

Commonly arise from functional changer in

ovary from griffin follicle of from persistent

corpus luteum.

Dermoid cyst may develop from abnormal

embryonic epithelium.

Frequently found during childbearing years .

Masses found in women older than age 50

have greater change of being malignant .


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CLINICAL MANIFERTATION

Cause minor pelvic pain.

Possible menstrual irregularity.

Tender , palpable mass.

Rupture causes acute pain and tenderness.


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History .

Physical examination .

Pregnancy test to rule out ectopic pregnancy.

Biopsy is done for suspicious cysts.


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MANAGMENT

Functional cysts less than 5 cm wide may be

treated with hormonal contraception for 1 to

3 months in attempt to suppress them .

Surgery for large , complex or leaking cyst by

laparoscopy or laparotomy .


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COMPLICATION

Rapture may cause peritoneal inflammation.


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HEALTH EDUCATION

Reassure patient that is most cases ovarianfunction remain and she remain fertile.

Reassure patient about low malignancy rate of

cyst. Tell patient that heavy lifting , strange exercise

and sexual intercourse may increase pain.

Encourage patient that proper use of hormonal

contraceptive if prescribed with advice effectencourage monthly follow up visit to determinewhether cyst is resolved or not.


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Encourage the use of analgesics or prescribed

by physician .

Encourage the patient to take fluid diet which

will to resolve cyst .

Encourage the patient to maintain personalhygiene.


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OVARY

INFECTION


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DEFINATION


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ETIOLOGY


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CLINICAL MANIFESTATION


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CLINICAL MANAGMENT

Ovary Infection

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