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OVARIES

+ovarian tumors

*Androblastoma is more likely to cause hirsutism

*Dysgerminoma is malignant

*Dermoid cysts:

.Are germ cell tumors

.Are bilateral in 10% of cases

.Are the commonest cysts defected during pregnancy

.Are malignant in less than 5% of cases

*Malignant ovarian tumors:

.Are often bilateral

.Often present as an asymptomatic mass

.More common post menopause

.Have a good prognosis after treatment

*The most frequent diagnosed type of ovarian cancer is Epithelial

*The first line of treatment for ovarian cancer is Surgery

*The primary lesion of Krukenberg ovarian tumor is commonly in stomach

*Neoplastic ovarian masses most commonly from germ cells

*The most common complication of large cystic teratoma during the first trimester is Torsion

*The commonest malignant tumors of the ovary are Epithelial tumors (Most common neoplastic ovarian masses in postmenopausal women originate from Ovarian epithelium)

UTERUS

*Risk factors of endometrial carcinoma include:

.Estrogen therapy

.Obesity

.Low parity

.Adenomatous hyperplasia

* drug causes endometrial hyperplasia is estrogen

*The most common symptom of endometrial hyperplasia is Vaginal bleeding

* Endometrial carcinoma is most common in more than 6o yrs women

*The primary mode of treatment for endometrial carcinoma confined to the uterine body is Hysterectomy

*Symptoms of uterine prolapse are the following:

.Retention of urine

.Backache

.Vaginal discharge

.Vaginal bleeding

.Heaviness in the vagina

*May occur in menopausal women:

.The breast tend to decrease in size

.The uterus atrophies

.The vaginal mucosa becomes thin

.The pH of the vagina rises

.Both FSH and LH are elevated

*Symptoms (menopause):

.Irritability

.Headache

.Vasomotor instability

.Backache

*Climacteric (low FSH)

*Menopause is associated with:

.Hot flushes

.Insomnia

.Osteoporosis

.Loss of libido

+(23-25)

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