Ovarian cancer differential diagnosis: Difference between revisions
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* [[History and Physical examination|History]]/<br>[[laboratory]] findings | * [[History and Physical examination|History]]/<br>[[laboratory]]<br>findings | ||
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* We do not perform [[CT scan]] and [[MRI]] in [[pregnancy]] but We may unintentionally image the [[pregnancy]] with [[CT scan]] and [[MRI]]. | * We do not perform [[CT scan]] and [[MRI]] in [[pregnancy]] but We may unintentionally image the [[pregnancy]] with [[CT scan]] and [[MRI]]. |
Revision as of 14:52, 11 February 2019
Ovarian cancer Microchapters |
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Ovarian cancer differential diagnosis On the Web |
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Risk calculators and risk factors for Ovarian cancer differential diagnosis |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Fahimeh Shojaei, M.D.
Overview
Differentiating [Disease name] from other Diseases
Diseases | Clinical manifestations | Para-clinical findings | Gold standard | Additional findings | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Age of onset | Symptoms | Physical examination | |||||||||||
Lab Findings | Imaging | Immunohistopathology | |||||||||||
pelvic/abdominal pain or pressure | vaginal bleeding/discharge | GI dysturbance | Fever | Tenderness | CT scan/US | MRI | |||||||
Gynecologic | |||||||||||||
Ovarian | Follicular cysts |
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+/– | – | – | – | +/– |
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Theca lutein cysts |
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+/– | – | – | – | +/– |
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Serous cystadenoma/carcinoma |
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+/– | – | – | – | +/– |
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Mucinous cystadenoma/carcinoma |
|
+/– | – | – | – | +/– |
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Endometrioma |
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+ | + | +/– | – | + |
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Teratoma |
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+/– | – | – | – | +/– |
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Dysgerminoma |
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+ | +/– | – | – | +/– |
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Yolk sac tumor |
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+ | – | – | – | + |
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Fibroma |
|
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– | – | – | +/– |
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Thecoma |
|
+/– |
|
– | – | – |
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Granulosa cell tumor |
|
+ |
|
+/– | – | – |
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Sertoli-leydig cell tumor |
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+/– | – | – | – | – |
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Brenner tumor |
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+/– | – | – | – | – | – |
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| |
Krukenberg tumor |
|
+/– | – | +/–
Based on underlying malignancy |
– | – |
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Tubal | tubo-ovarian abscess |
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+ | + | – | + | + |
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Ectopic pregnancy |
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+ | + | +/– | – | + |
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Hydrosalpinx |
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+ | – | – | – | +/– | – |
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Salpingitis |
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+ | + | – | + | + |
|
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Fallopian tube carcinoma |
|
+ | + | + | – | +/– |
|
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| |
Uterine | Leiomyoma |
|
+ | + | – | – | +/– |
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Choriocarcinoma |
|
+ | + | +/– | – | + |
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Leiomyosarcoma |
|
+ | + | – | – | +/– |
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Pregnancy |
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+/− | +/− | +/− | – | – |
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Non-gynecologic | |||||||||||||
GIT | Appendiceal abscess |
|
+ | – | + | +/– | + |
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| ||
Appendiceal neoplasm[1] |
|
+ | – | + | – | +/– |
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Diverticular abscess |
|
+ | – | + | +/– | + |
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| |||
Colorectal cancer |
|
+ | – | + | – | +/– |
|
|
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| ||
Renal | Pelvic kidney |
|
−/+
In case of sever hydronephrosis or renal stone we may have pelvic pain |
– | − | − | − | − |
|
|
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| |
Bladder cancer |
|
+ | – | – | – | – |
|
|
|
|
| ||
Others | Retroperitoneal sarcoma[2] |
|
+ | – | + | − | − |
|
|
|
|
|
check sites of cancer that may metastasize to the ovaries (eg, stomach, colorectal, breast)
check rectum, liver, spleen, lungs, inguinal or supraclavicular lymph nodes for ovary metastase
- Bladder tumour–associated antigen (BTA)
- Nuclear matrix proteins (NMP)
- Mucin and carcinoembryonic antigen (CEA)
References
- ↑ Chapter 5: Tumours of the Appendix - IARC. https://www.iarc.fr/en/publications/pdfs-online/pat-gen/bb2/bb2-chap5.pdf Accessed on January 15, 2019
- ↑ Storm FK, Mahvi DM (July 1991). "Diagnosis and management of retroperitoneal soft-tissue sarcoma". Ann. Surg. 214 (1): 2–10. PMC 1358407. PMID 2064467.