TUMOUR AND OVARIAN CYSTS
Ques. 1 What are ovarian cysts or tumours?
Ans. Ovarian tumour mostly benign or malignant are new growths from the ovary, there may be also dysfunctional cysts.
Ques. 2 What is the classification of ovarian tumours?
Ans. Classification –
- Benign Growth -
- Solid –
- Cystic – (a) Benign neoplasm – e.g. pseudomucinous cystadenoma, serous cystadenoma. Dermoid cyst, endometrial cyst etc. (b) dysfunctions cysts, e.g. bilateral lutein cyst, corpus luteum cyst, polycystic ovaries etc.
- Malignant growth –
- Solid – (i) primary carcinoma; (ii) secondary carcinoma (Krukenberg tumour); (iii) teratoma, (iv) sarcoma.
- Cystic – (i) malignant dermoid cyst. (ii) pseudomucinous or papilliferous cystadeno-carcinoma;
- Special type of tumours-
- Germ-cell tumours: dys-germinoma, teratoma, gonadoblastoma, teratoma, choriocarcinoma.
- Functional tumours – feminizing masculinizing carcinoid tumours.
- Age – all ages, more common in middle age (usually 20 to 40 years).
- History – relatively long.
Ques. 3 What are the clinical features of ovarian cysts?
Ques. 4 What are the signs and symptoms of ovarian cysts?
Ans. Symptoms –
- Menstrual abnormality may be present, e.g. dysmenorrhoea, amenorrhoea, menorrhagia, metrorrhagia etc.
- Dull aching abdominal pain may be present.
- Progressive wasting with huge abdominal swelling.
- Symptoms due to complications may be present.
- Gradual swelling starting on one side of lower abdomen.
- Usually unilateral, may be bilateral.
Signs : P/V – (i) Swelling is mobile from side to side. P/V – swelling can be felt separate from the uterus.(ii) Cystic swelling on one side of the abdomen.
Ques. 5 What are the clinical features of ovarian tumours?
Ans. CLINICAL FEATURES (of malignant ovarian tumour) : Age – at any age, more common in advanced age (40 to 60 years).
Ques. 6 What are the complications of ovarian cysts?
Ans. Complications of ovarian cysts –
Ans. MANAGEMENT – Treatment of ovarian tumours/cyst is surgical except in the case of obviously inoperable malignant growth. Even in clinically inoperable case most surgeons would prefer to perform laparotomy to confirm the true stage of affairs by Intra-abdominal examination and by biopsy of tumour. Sometime the most hopeless case is amenable to palliative local operation, which relieves the patient of her tumour and much of her pain and discomfort. Obviously benign of her tumour and much of her pain and discomfort.
General Principle :
Surgery (operable cases) –Stage I – Growth without local or peritoneal involvement – panhysterectomy, Stage – II – growth with pelvic metastasis – Panhysterectomy and removal of metastasis. Inoperable cases : Stage – III – removal of growth. State IV- Exploratory laparotomy. Rediotherapy, Chemotherapy.
Ques. 8 What types of Ovarian Tumors are common during pregnancy?
Ans – Dermoid cyst, Simple serous cyst, Pseudomucinous cyst.
Ques. 9 What are the effects of Ovarian Tumor upon pregnancy?
Ans. The effects of Ovarian Tumor upon pregnancy are:-
Ques. 10 What are the effects of pregnancy upon Ovarian Tumor?
Ans. The effects of pregnancy upon Ovarian Tumor are:-
Ques. 11 Which Homoeopathic remedies are useful in ovarian tumours or cysts?
Ans. Homoeopathic Remedies :
Ques. 12 Which Biochemic medicines are useful ovarian cysts?
Ans. Biochemic Remedies
- CALCAREA FLUOR – Ovarian tumor, round swelling of encysted tumors.
- CALCAREA PHOS – Tumors in scrofulous constitution, Acute or chronic cysts require this remedy.
- NATRUM PHOS – Has proved of use in ovarian cyst, with pain in abdomen upon straightening up, cutting and griping pain.
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