DIFFERENTIAL DIAGNOSISGeneralruleAn experienced examiner willrecognize an ovarian tumor mainlybecause ovarian tumor is,in thecircumstances, the most likelydiagnosis. All abdominal swellingsshould be subjected to ultrasoundand X-ray examination,2003-10-2716OvarianCancer
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
DIFFERENTIAL DIAGNOSISTwo very obvious mistakes must be avoided.2.The 16-week pregnancy.The1. The midline swelling due togravid uterus at this stage has aa full bladder.very soft isthmic region which canresemble the pedicle of a cystFullYbladderO2003-10-27OvarianCancer
2003-10-27 Ovarian Cancer 17 DIFFERENTIAL DIAGNOSIS
DIFFERENTIAL DIAGNOSISASCITESA fluid thrill may be elicited from anovarian cyst, and ascites and tumortheas arulecoexist;butmaydistinction should be easily made2003-10-2718Ovarian 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
DIFFERENTIAL DIAGNOSISWith ovarian cystWith AscitesPercussion note is dull over the top ofThe bowel floats on the fluid. Thethe sweling and resonant in the flankspercussion note isresonant over the topofthe swelling and dull overthe flanksBowelFluidTumourBowel2003-10-27Ovarian Cancer
2003-10-27 Ovarian Cancer 19 DIFFERENTIAL DIAGNOSIS
DIFFERENTIAL DIAGNOSISUterine FibroidsA large midline intramural fibroid maybe impossible to distinguish from asolid ovarian tumor until the abdomenis opened and an entirely differentsurgical problem encountered.202003-10-27OvarianCancer
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