Instant Cure for Ovarian Cysts
INTRODUCTION Dermoid cysts are congenital choristomas containing components of both the epidermis and skin appendages. They account for 15-20 of all eyelid lesions in childhood. These cysts can occur as superficial, subcutaneous, or deep eyelid and orbital lesions. They presumably result from entrapment of skin along embryonic closure lines. Attachment to underlying bony sutures often is present and most commonly involves the frontozygomatic suture. Lesions may extend posteriorly into the orbit and into soft tissues such as the lacrimal gland. Erosion or remodeling of bone can occur. Dermoid cysts of conjunctival origin are usually located in the medial conjunctiva, caruncle, or orbit and appear to represent sequestration of epithelium destined to become caruncle. CLINICAL PRESENTATION Superficial lesions usually are recognized in early childhood and present as somewhat fluctuant round, slowly enlarging, non-tender masses beneath the skin of the upper eyelid. Most commonly they are...
Elicit a complete history of the woman's menstrual, obstetric, sexual, and contraceptive practices. Endometriosis is difficult to diagnose because some of its symptoms are also manifestations of other pelvic conditions, such as pelvic inflammation, ovarian cysts, and ovarian cancers. A thorough description of the patient's symptoms becomes important, therefore, in the early diagnosis of the condition. Symptoms of endometriosis vary with the location of the ectopic tissue. Some women may even be asymptomatic during the entire course of the disease. The classic triad of symptoms of endometriosis are dysmenorrhea, dyspareunia, and infertility. PHYSICAL EXAMINATION. During a pelvic examination, the cervix may be laterally displaced to the left or right of the midline. Palpation of the abdomen may uncover nodules in the uterosacral ligament, with tenderness in the posterior fornix and restricted movement of the uterus. Palpation may also identify ovarian enlargement that was...
INTRODUCTION Also known as a cystadenoma, sudoriferous cyst, or cyst of the gland of Moll, these lesions arise from apocrine glands of Moll and are true cystic adenomas of the secretory cells rather than retention cysts. These lesions are also associated with Schopf-Schulotz-Passarge syndrome, an ectodermal dysplasia in which patients display multiple periocular apocrine hydrocystomas, hypodontias, hypotrichosis, and palmoplantar hyperkeratosis.
Mucinous cystic neoplasms of the pancreas (also called cystadenomas and cystadenocarcinomas according to the old nomenclature) have six or fewer cysts, the diameters of the cysts measure more than 2 cm, a central enhancing scar is rarely seen, and calcifications are peripheral 13 (Fig. 3). The margins usually are smooth, and metastatic disease may be present at the time of diagnosis.
The intraductal papillary mucinous tumor (IPMT, formerly also called ductectatic cystadenoma or ductectatic cystadenocarcinoma) of the pancreas is a rare tumor that is considered a subtype of the mucinous cystic neoplasms of the pancreas. IPMT can be classified as main duct, branch duct (side-branch) or mixed type, depending on the site and extent of involvement 37 . The cystic changes always demonstrate a connection to the pancreatic duct, a diagnostic feature that can be seen on MDCT and MRI. The branch duct tumor consists of cystic dilation of the side branches of the pancreatic duct, usually in the uncinate process. These ducts are lined with atypical, hyperplastic or clearly malignant epithelium. In the late stages, the tumor nodules of the ducts produce copious mucinous secretions, which fill the entire duct. In branch duct IPMT the overall prognosis is good because extension into the parenchyma and beyond occurs relatively late and overall malignant degeneration is rare....
INTRODUCTION Epibulbar osseous choristoma is a choristomatous lesion of the conjunctiva containing bone in an otherwise normal eye. It is usually a congenital lesion arising as an abnormal development of embryonic pleuripotential mesenchyme, presenting in childhood. However, some lesions may be associated with trauma, presenting in adulthood, and possibly related to inflammation. 70 of cases are in females and 80 occur in the superotemporal quadrant. Lesions can sometimes be associated with other choristomatous lesions such as cartilage, dermoid cyst, and ectopic lacrimal tissue.
Mechanical biliary obstruction is the most common cause of extrahepatic bile duct dilatation. Upon initial imaging, an obstructive lesion should be sought. Once an obstructive lesion is excluded, congenital etiologies of bile duct dilatation should be considered. Choledochal cysts, unlike obstructive dilatation, generally have more focal ex-trahepatic bile duct dilatation or are typically more expansive than is usually encountered in mechanical dilatation (Fig. 2). It may be more difficult to differentiate a choledochal cyst that has mild or fusiform dilatation of the extrahepatic duct from a duct that is dilated secondary to an obstructing lesion. In these cases, magnetic resonance cholangiopancreatography (MRCP) and or endo-scopic retrograde cholangiopancreatography (ERCP) are useful to exclude an obstructing lesion and to evaluate the pancreaticobiliary junction 9 . An anomalous pancreati-cobiliary junction is commonly observed in patients with choledochal cyst. Occasionally,...
Epidermoid and dermoid cysts These account for 0.2 - 2 of primary spinal tumors in adults in children, however, these cysts represent 3-13 of such spinal tumors, and within the first year of life the incidence is even higher, at 17 . At least 62 of dermoid cysts and 63 of epidermoid cysts occur at or below the thoracolumbar junction. Among intraspinal dermoids, 30 are wholly or partially intramedullary in location, and 28 of intraspinal epidermoids are wholly or partially intramedullary. With regard to associated defects, 25 of cases have posterior spina bifida, and 34 of dermoid cysts and 20 of epidermoid cysts occur in patients with a posterior dermal sinus tract. Eleven of 12 sinus tracts in
Rarely, heterotopic neometaplasia (Young et al. 1981) may result in the formation of epidermoid or dermoid cysts 9084 0 (Figs. 43-45) or give rise to sebaceous or sweat gland formations beneath the ectocervical epithelium (Figs. 46, 47 Dougherty et al. 1962). These structures have no clinical significance.
Follicular cysts are the most common benign ovarian masses. Other non-neoplastic adnexal lesions include en-dometrioma, adnexal torsion and tubo-ovarian abscess. Paraovarian cysts, also termed Gartner's duct cysts, are remants of the Wolffian body and are found in the mesos-alpinx in the hilum of the ovary. Ultrasound is again the primary imaging modality for assessment of suspected ovarian lesions. However, due to its multiplanar imaging capabilities and high soft tissue contrast, MRI is superior to ultrasound for demonstrating the origin of a lesion (e.g., distinguishing a subserosal leiomyoma from a solid ovarian mass), as well as in lesion characterization, and is thus employed in unclear cases for tissue characterization or surgical planning. MRI is able to diagnose certain benign ovarian lesions that can have misleading sonographic features, such as endometrioma or mature cystic teratoma (also known as dermoid cyst). The Fig. 12. Mucinous ovarian cystadenocarcinoma with ascites...
Papillary cystadenomas of the epididymis are seen in about one quarter of patients with von Hippel-Lindau disease (VHL). The lesions are rare in individuals without VHL. They are typically solid, measure between 1 and 5 cm, and may be indistinguishable from adenomatoid tumors 107 .
They have two or fewer bowel movements per week. Malaise, bloating, nausea, and abdominal cramping are frequent complaints. Symptoms are typically unresponsive to bulk laxatives and stool softeners. There is often a strong association with gynecologic complaints such as irregular menstrual cycles, ovarian cysts, and galactorrhea. Many patients have delayed gastric emptying, biliary dyskinesia, and delays in small bowel transit, suggesting the presence of a panenteric motility disorder.18-20 A diagnosis of colonic inertia is made only after excluding systemic neurologic processes such as diabetes mellitus or multiple sclerosis, or a pelvic floor abnormality as a cause.
INTRODUCTION Apocrine adenomas, also known as apocrine cystadenoma, are rare adnexal tumors that arise from apocrine Moll glands and ducts. The cystadenoma is derived from secretory epithelium, whereas the specific subtype tubular apocrine adenoma consists mainly of tubules with apocrine epithelium. More than 90 of such lesions occur on the face and scalp. Cystic spaces develop with lipid-rich decapitation material as found in apocrine cysts. Rarely, these lesions can undergo malignant change.
In case of an abdominal mass, the role of imaging is to determine its anatomical origin, its content and the anatomic relation with the regional structures. The most common cystic tumor is an ovarian cyst. ovarian cyst mesenteric cyst lymphangioma cystic teratoma cystic neuroblastoma urethral cyst duplication cyst
DIFFERENTIAL DIAGNOSIS The differential diagnosis includes benign lesions such as seborrheic keratosis, apocrine hidradenoma, nevus sebaceous, sebaceous hyperplasia, and dermoid cyst, as well as malignant tumors such as sebaceous cell carcinoma, and basal cell carcinoma.
INTRODUCTION Also known as a calcifying epithelioma of Malherbe, pilomatrixoma is a benign tumor of the hair cortical cells. The lesion tends to occur in children and young adults, with 75 less than 10 years of age. The head and upper extremities are the most common sites of involvement with a significant proportion occurring in the periorbital region, particularly the upper eyelid and brow. Most lesions are misdiagnosed as epidermoid and dermoid cysts, and are unsuspected until histopathologic examination. DIFFERENTIAL DIAGNOSIS Differential diagnosis includes epidermoid and dermoid cysts, sebaceous cyst, squamous cell carcinoma, and vascular lesions.
Polycystic ovarian syndrome (PCOS) look for heavy woman who has hirsutism, amenorrhea, and or infertility. PCOS is the. most Likely cause of infertility in a woman, under 30 with abnormal menstruation. Multiple ovarian cysts often are seen, on ultrasound.The primary event is androgen excess. The ratio of luteinizing hormone (LH) to follicle-stimulating hormone(FSH) is greater than 2 1. Unopposed estrogen increases the risk for endometrial cancer. Treat with oral contraceptives or cyclic progesterone. If the patient desires pregnancy, use clomiphene.
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