Sexcord/ stromal ovarian tumors physical examination

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: ; Maneesha Nandimandalam, M.B.B.S.[2]

Overview

Patients with sexcord/ stromal ovarian tumors usually appear normal except few abdominal or pelvic and genitourinary findings on examination. Abdominal findings include Abdominal distension, increased abdominal girth, abdominal tenderness in the right/left lower abdominal quadrant, a palpable abdominal mass in the right/left lower abdominal quadrant, guarding, ascites, hemoperitoneum.

Physical Examination

Physical examination of patients with sexcord/ stromal ovarian tumors is usually normal, except few abdominal and genitourinary findings

Appearance of the Patient

• Patients with sexcord/ stromal ovarian tumors usually appear normal

Vital Signs

Normal

Skin

• Skin examination of patients with sexcord/ stromal ovarian tumors is usually normal.

HEENT

• HEENT examination of patients with sexcord/ stromal ovarian tumors is usually normal.

Neck

• Neck examination of patients with sexcord/ stromal ovarian tumors is usually normal.

Lungs

• Pulmonary examination of patients with sexcord/ stromal ovarian tumors is usually normal.
• Sometimes they do present with pleural effusion showing
  • Hyperresonance
  • Dullness to percussion
  • Decreased tactile fremitus
  • Asymmetric chest expansion

Heart

• Cardiovascular examination of patients with sexcord/ stromal ovarian tumors is usually normal.

Abdomen

• Abdominal distension
• Increased abdominal girth
• Abdominal tenderness in the right/left lower abdominal quadrant
• A palpable abdominal mass in the right/left lower abdominal quadrant
• Guarding may be present
• Ascites
• Hemoperitoneum

Back

• Back examination of patients with sexcord/ stromal ovarian tumors is usually normal.

Genitourinary

• A pelvic/adnexal mass may be palpated

Neuromuscular

• Neuromuscular examination of patients with sexcord/ stromal ovarian tumors is usually normal.

Extremities

• Extremities examination of patients with sexcord/ stromal ovarian tumors is usually normal.