DIFFERENTIAL DIAGNOS S General rule An experienced examiner will recognize an ovarian tumor mainly because ovarian tumor is in the circumstances, the most likely diagnosis. All abdominal swellings should be subjected to ultrasound and X-ray examination 2003-10-27 Ovarian cancer
2003-10-27 Ovarian Cancer 16 General rule An experienced examiner will recognize an ovarian tumor mainly because ovarian tumor is, in the circumstances, the most likely diagnosis. All abdominal swellings should be subjected to ultrasound and X-ray examination. DIFFERENTIAL DIAGNOSIS
DIFFERENTAL DAGNOS S Two very obvious mistakes must be avoided 1. The midline swelling due to 2. The 16-week pregnancy. The a full bladder gravid uterus at this stage has a very soft isthmic region which can resemble the pedicle of a cyst Full一 bladder A 2003-10-27 Ovarian cancer
2003-10-27 Ovarian Cancer 17 DIFFERENTIAL DIAGNOSIS
DIFFERENTAL DAGNOSIS ASCITES a fluid thrill may be elicited from an ovarian cyst, and ascites and tumor may coexist, but as a rule the distinction should be easily made 2003-10-27 Ovarian cancer
2003-10-27 Ovarian Cancer 18 ASCITES A fluid thrill may be elicited from an ovarian cyst, and ascites and tumor may coexist; but as a rule the distinction should be easily made. DIFFERENTIAL DIAGNOSIS
DIFFERENTAL DAGNOS S With ascite With ovarian cyst The bowel floats on the fluid. The Percussion note is dull over the top of percussion note i resonant ver the top the swelling and resonant in the flank Fluid Tumour 2003-10-27 Ovarian cancer
2003-10-27 Ovarian Cancer 19 DIFFERENTIAL DIAGNOSIS
DFFERENTIAL DAGNOS S Uterine fibroids a large midline intramural fibroid may be impossible to distinguish from a solid ovarian tumor until the abdomen is opened and an entirely different surgical problem encountered 2003-10-27 Ovarian cancer
2003-10-27 Ovarian Cancer 20 Uterine Fibroids A large midline intramural fibroid may be impossible to distinguish from a solid ovarian tumor until the abdomen is opened and an entirely different surgical problem encountered. DIFFERENTIAL DIAGNOSIS