CLINICAL FEATURES OF OVARIAN TUMOURS Pressure Symptoms These are commonly increased frequency of micturition, gastro intestinal symptoms and a dull pain in the lower abdomen. Very large tumors may cause respiratory embarrassment and edema or varicosities in the legs, and a characteristic ovarian cachexia?? develops, due perhaps to interference with alimentary function 2003-10-27 Ovarian cancer
2003-10-27 Ovarian Cancer 11 Pressure Symptoms These are commonly increased frequency of micturition, gastrointestinal symptoms and a dull pain in the lower abdomen. Very large tumors may cause respiratory embarrassment and edema or varicosities in the legs, and a characteristic ‘ ovarian cachexia’ develops, due perhaps to interference with alimentary function. CLINICAL FEATURES OF OVARIAN TUMOURS
CLINICAL FEATURES OF OVARIAN TUMOURS Small tumours remain in the pelvis and will only be detected on bimanual examination or by ultrasound Larger tumours fill the pelvis and usually lie between the uterus and sacrum. If the patient is not too obese the uterus can be distinguished on palpation as separate from the tumour A tumour occupying the abdomen causes a midline swelling and is usually tense 2003-10-27 Ovarian cancer
2003-10-27 Ovarian Cancer 12 CLINICAL FEATURES OF OVARIAN TUMOURS
CLINICAL FEATURES OF OVARIAN TUMOURS ) Little can be done at this stage to classify the tumour or exclude malignancy; but very large tumours are likely to be benign; a primarily malignant tumour would have killed the patient before reaching such a size 2003-10-27 Ovarian cancer
2003-10-27 Ovarian Cancer 13 CLINICAL FEATURES OF OVARIAN TUMOURS
CLINICAL FEATURES OF OVARIAN TUMOURS If the patient is very thin, irregularities may be palpated and sometimes two tumours may be suspected Some tumours of moderate size have a I the attenuated broad ligament and fallopian tube, which allows the tumour to be displaced from side to side, or to occupy a higl abdominal position 2003-10-27 Ovarian cancer
2003-10-27 Ovarian Cancer 14 CLINICAL FEATURES OF OVARIAN TUMOURS
CLINICAL FEATURES OF OVARIAN TUMOURS Omental adhesions The upper pole can usually be Cyst distinguished and the lower pole can be palpated per vaginam Adhesions, inflammation and displacement of pelvic organs may all exist along with a tumour and confuse the examiner 2003-10-27 Ovarian cancer
2003-10-27 Ovarian Cancer 15 CLINICAL FEATURES OF OVARIAN TUMOURS