Ovarian cancer differential diagnosis: Difference between revisions
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* It may be associated with [[RCC]] | * It may be associated with [[RCC]] | ||
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| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Bladder cancer]]<ref name="pmid8797968">{{cite journal |vauthors=Barentsz JO, Jager GJ, Witjes JA, Ruijs JH |title=Primary staging of urinary bladder carcinoma: the role of MRI and a comparison with CT |journal=Eur Radiol |volume=6 |issue=2 |pages=129–33 |date=1996 |pmid=8797968 |doi= |url=}}</ref> | | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Bladder cancer]]<ref name="pmid8797968">{{cite journal |vauthors=Barentsz JO, Jager GJ, Witjes JA, Ruijs JH |title=Primary staging of urinary bladder carcinoma: the role of MRI and a comparison with CT |journal=Eur Radiol |volume=6 |issue=2 |pages=129–33 |date=1996 |pmid=8797968 |doi= |url=}}</ref><ref name="pmid18660854">{{cite journal |vauthors=Shariat SF, Karam JA, Lotan Y, Karakiewizc PI |title=Critical evaluation of urinary markers for bladder cancer detection and monitoring |journal=Rev Urol |volume=10 |issue=2 |pages=120–35 |date=2008 |pmid=18660854 |pmc=2483317 |doi= |url=}}</ref><ref name="pmid10918764">{{cite journal |vauthors=Metts MC, Metts JC, Milito SJ, Thomas CR |title=Bladder cancer: a review of diagnosis and management |journal=J Natl Med Assoc |volume=92 |issue=6 |pages=285–94 |date=June 2000 |pmid=10918764 |pmc=2640522 |doi= |url=}}</ref> | ||
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* ≥65 y/o | * ≥65 y/o | ||
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| style="background: #DCDCDC; padding: 5px; text-align: center;" |Others | | style="background: #DCDCDC; padding: 5px; text-align: center;" |Others | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Retroperitoneum|Retroperitoneal]] [[sarcoma]]<ref name="pmid2064467">{{cite journal |vauthors=Storm FK, Mahvi DM |title=Diagnosis and management of retroperitoneal soft-tissue sarcoma |journal=Ann. Surg. |volume=214 |issue=1 |pages=2–10 |date=July 1991 |pmid=2064467 |pmc=1358407 |doi= |url=}}</ref><ref name="pmid16154826">{{cite journal |vauthors=Francis IR, Cohan RH, Varma DG, Sondak VK |title=Retroperitoneal sarcomas |journal=Cancer Imaging |volume=5 |issue= |pages=89–94 |date=August 2005 |pmid=16154826 |doi=10.1102/1470-7330.2005.0019 |url=}}</ref> | | style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Retroperitoneum|Retroperitoneal]] [[sarcoma]]<ref name="pmid2064467">{{cite journal |vauthors=Storm FK, Mahvi DM |title=Diagnosis and management of retroperitoneal soft-tissue sarcoma |journal=Ann. Surg. |volume=214 |issue=1 |pages=2–10 |date=July 1991 |pmid=2064467 |pmc=1358407 |doi= |url=}}</ref><ref name="pmid16154826">{{cite journal |vauthors=Francis IR, Cohan RH, Varma DG, Sondak VK |title=Retroperitoneal sarcomas |journal=Cancer Imaging |volume=5 |issue= |pages=89–94 |date=August 2005 |pmid=16154826 |doi=10.1102/1470-7330.2005.0019 |url=}}</ref><ref name="SilversteinWakim1964">{{cite journal|last1=Silverstein|first1=Murray N.|last2=Wakim|first2=Khalil G.|last3=Bahn|first3=Robert C.|title=Hypoglycemia associated with neoplasia|journal=The American Journal of Medicine|volume=36|issue=3|year=1964|pages=415–423|issn=00029343|doi=10.1016/0002-9343(64)90168-8}}</ref> | ||
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* 40-50 y/o | * 40-50 y/o |
Revision as of 14:16, 12 February 2019
Ovarian cancer Microchapters |
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Ovarian cancer differential diagnosis On the Web |
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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 |
|
+/– | – | – | – | +/– |
|
|
|
| ||
Theca lutein cysts |
|
+/– | – | – | – | +/– |
|
|
|
| |||
Serous cystadenoma/carcinoma |
|
+/– | – | – | – | +/– |
|
|
| ||||
Mucinous cystadenoma/carcinoma |
|
+/– | – | – | – | +/– |
|
|
|
|
| ||
Endometrioma |
|
+ | + | +/– | – | + |
|
|
|
| |||
Teratoma |
|
+/– | – | – | – | +/– |
|
|
| ||||
Dysgerminoma |
|
+ | +/– | – | – | +/– |
|
|
|
||||
Yolk sac tumor | + | – | – | – | + |
|
|
|
|
| |||
Fibroma |
|
|
– | – | – | +/– |
|
|
|
| |||
Thecoma |
|
+/– | – | – | – |
|
|
|
|
| |||
Granulosa cell tumor |
|
+ | +/– | – | – |
|
| ||||||
Sertoli-leydig cell tumor |
|
+/– | – | – | – | – |
|
|
|
| |||
Brenner tumor |
|
+/– | – | – | – | – | – |
|
|
|
| ||
Krukenberg tumor |
|
+/– | – | +/–
Based on underlying malignancy |
– | – |
|
|
|
| |||
Tubal | tubo-ovarian abscess |
|
+ | + | – | + | + |
|
|
|
| ||
Ectopic pregnancy |
|
+ | + | +/– | – | + |
|
|
|
|
| ||
Hydrosalpinx |
|
+ | – | – | – | +/– | – |
|
|
| |||
Salpingitis |
|
+ | + | – | + | + |
|
|
| ||||
Fallopian tube carcinoma |
|
+ | + | + | – | +/– |
|
|
|
| |||
Uterine | Leiomyoma |
|
+ | + | – | – | +/– |
|
| ||||
Choriocarcinoma |
|
+ | + | +/– | – | + |
|
|
|
| |||
Leiomyosarcoma |
|
+ | + | – | – | +/– |
|
|
|
| |||
Pregnancy |
|
+/− | +/− | +/− | – | – |
|
|
|
||||
Non-gynecologic | |||||||||||||
GIT | Appendiceal abscess |
|
+ | – | + | +/– | + |
|
|
|
| ||
Appendiceal neoplasm[1] |
|
+ | – | + | – | +/– |
|
|
|
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| ||
Diverticular abscess |
|
+ | – | + | +/– | + |
|
|
|
| |||
Colorectal cancer |
|
+ | – | + | – | +/– |
|
|
|
|
| ||
Renal | Pelvic kidney |
|
−/+
In case of sever hydronephrosis or renal stone we may have pelvic pain |
– | − | − | − | − |
|
|
|
| |
Bladder cancer[2][3][4] |
|
+ | – | – | – | – |
|
|
|
|
| ||
Others | Retroperitoneal sarcoma[5][6][7] |
|
+ | – | + | − | − |
|
|
|
|
|
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
- ↑ Barentsz JO, Jager GJ, Witjes JA, Ruijs JH (1996). "Primary staging of urinary bladder carcinoma: the role of MRI and a comparison with CT". Eur Radiol. 6 (2): 129–33. PMID 8797968.
- ↑ Shariat SF, Karam JA, Lotan Y, Karakiewizc PI (2008). "Critical evaluation of urinary markers for bladder cancer detection and monitoring". Rev Urol. 10 (2): 120–35. PMC 2483317. PMID 18660854.
- ↑ Metts MC, Metts JC, Milito SJ, Thomas CR (June 2000). "Bladder cancer: a review of diagnosis and management". J Natl Med Assoc. 92 (6): 285–94. PMC 2640522. PMID 10918764.
- ↑ Storm FK, Mahvi DM (July 1991). "Diagnosis and management of retroperitoneal soft-tissue sarcoma". Ann. Surg. 214 (1): 2–10. PMC 1358407. PMID 2064467.
- ↑ Francis IR, Cohan RH, Varma DG, Sondak VK (August 2005). "Retroperitoneal sarcomas". Cancer Imaging. 5: 89–94. doi:10.1102/1470-7330.2005.0019. PMID 16154826.
- ↑ Silverstein, Murray N.; Wakim, Khalil G.; Bahn, Robert C. (1964). "Hypoglycemia associated with neoplasia". The American Journal of Medicine. 36 (3): 415–423. doi:10.1016/0002-9343(64)90168-8. ISSN 0002-9343.