Sexcord/ stromal ovarian tumors history and symptoms: Difference between revisions

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**Dysphagia(difficulty eating) or feeling full quickly
**Dysphagia(difficulty eating) or feeling full quickly
**Pelvic or abdominal pain
**Pelvic or abdominal pain
===less common symptoms===   
===less common symptoms/presentations===   
*palpable lymphadenopathy   
*palpable lymphadenopathy   
*postmenopausal bleeding
*postmenopausal bleeding

Revision as of 19:23, 2 April 2019

Sexcord/ stromal ovarian tumors Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:

Overview

The majority of patients with [disease name] are asymptomatic.

OR

The hallmark of [disease name] is [finding]. A positive history of [finding 1] and [finding 2] is suggestive of [disease name]. The most common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3]. Common symptoms of [disease] include [symptom 1], [symptom 2], and [symptom 3]. Less common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].

History and Symptoms

  • Patients with ovarian sex cord-stromal tumors present in a much similar way as epithelial ovarian neoplasms, although a few sub-types do vary in their presentation[1][2][3][4][5][6][7][8]
  • Broadly we can categorize them as acute and subacute presentations

Common Symptoms/presentations

  • Adnexal mass:
    • This is the most common presentation of ovarian cancer
    • It may be discovered due to symptoms of pelvic pain or pressure, or sometimes may be found on a routine pelvic examination or an imaging study performed for detecting another medical condition
  • Abdominal & pelvic symptoms:
    • Bloating
    • Urinary urgency or frequency
    • Dysphagia(difficulty eating) or feeling full quickly
    • Pelvic or abdominal pain

less common symptoms/presentations

  • palpable lymphadenopathy
  • postmenopausal bleeding

Acute presentations

They can manifest themselves as bowel obstruction, pleural effusion and even venous thromboembolism

  • Pleural effusions:
    • They usually present with shortness of breath
    • We should proceed with a chest x-ray, followed by thoracentesis which reveals a malignant pleural effusion
  • Bowel obstruction:
    • Patients usually present with typical features of bowel obstruction like nausea, vomiting, abdominal pain and distention

History

Patients with [disease name]] may have a positive history of:

  • [History finding 1]
  • [History finding
  • [History finding 3]

Common Symptoms

Common symptoms of [disease] include:

  • [Symptom 1]
  • [Symptom 2]
  • [Symptom 3]

Less Common Symptoms

Less common symptoms of [disease name] include

  • [Symptom 1]
  • [Symptom 2]
  • [Symptom 3]

References

  1. Zheng G, Yu H, Kanerva A, Försti A, Sundquist K, Hemminki K (2018). "Familial risks of ovarian cancer by age at diagnosis, proband type and histology". PLoS ONE. 13 (10): e0205000. doi:10.1371/journal.pone.0205000. PMC 6169923. PMID 30281663.
  2. Olson SH, Mignone L, Nakraseive C, Caputo TA, Barakat RR, Harlap S (August 2001). "Symptoms of ovarian cancer". Obstet Gynecol. 98 (2): 212–7. PMID 11506835.
  3. Vine MF, Ness RB, Calingaert B, Schildkraut JM, Berchuck A (December 2001). "Types and duration of symptoms prior to diagnosis of invasive or borderline ovarian tumor". Gynecol. Oncol. 83 (3): 466–71. doi:10.1006/gyno.2001.6411. PMID 11733956.
  4. Yawn BP, Barrette BA, Wollan PC (October 2004). "Ovarian cancer: the neglected diagnosis". Mayo Clin. Proc. 79 (10): 1277–82. doi:10.4065/79.10.1277. PMID 15473410.
  5. Goff BA, Mandel LS, Melancon CH, Muntz HG (June 2004). "Frequency of symptoms of ovarian cancer in women presenting to primary care clinics". JAMA. 291 (22): 2705–12. doi:10.1001/jama.291.22.2705. PMID 15187051.
  6. Goff BA, Mandel LS, Drescher CW, Urban N, Gough S, Schurman KM, Patras J, Mahony BS, Andersen MR (January 2007). "Development of an ovarian cancer symptom index: possibilities for earlier detection". Cancer. 109 (2): 221–7. doi:10.1002/cncr.22371. PMID 17154394.
  7. Goff B (March 2012). "Symptoms associated with ovarian cancer". Clin Obstet Gynecol. 55 (1): 36–42. doi:10.1097/GRF.0b013e3182480523. PMID 22343227.
  8. Webb PM, Purdie DM, Grover S, Jordan S, Dick ML, Green AC (January 2004). "Symptoms and diagnosis of borderline, early and advanced epithelial ovarian cancer". Gynecol. Oncol. 92 (1): 232–9. PMID 14751164.

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