Epithelial ovarian tumors physical examination: Difference between revisions

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Patients with epithelial tumors of the [[ovary]] usually appear normal. [[Physical examination]] of these patients is usually unremarkable and the [[tumors]] tend to be discovered incidentally or during [[imaging]] workups for another reason. When [[symptomatic]], the [[physical examination]] may be remarkable for [[Abdominal]]/[[pelvic]] [[mass]] and/or [[signs]] of [[virilization]], [[precocious puberty]], and [[pregnancy]] depending on the capacity of the [[tumor]] for the production of [[hormones]].
Patients with epithelial tumors of the [[ovary]] usually appear normal. [[Physical examination]] of these patients is usually unremarkable and the [[tumors]] tend to be discovered incidentally or during [[imaging]] workups for another reason. When [[symptomatic]], the [[physical examination]] may be remarkable for [[Abdominal]]/[[pelvic]] [[mass]] and/or [[signs]] of [[virilization]], [[precocious puberty]], and [[pregnancy]] depending on the capacity of the [[tumor]] for the production of [[hormones]].
==Physical Examination==
==Physical Examination==
[[Physical examination]] of patients with [[germ cell]] [[tumors]] of the [[ovary]] is usually normal.
[[Physical examination]] of patients with epithelial tumors of the [[ovary]] is usually normal.
===Appearance of the Patient===
===Appearance of the Patient===
*Patients with [[germ cell]] [[tumors]] of the [[ovary]] usually appear normal.  
*Patients with epithelial tumors of the [[ovary]] usually appear normal.  
===Vital Signs===
===Vital Signs===
*[[Fever]] is present in 10% to 25% of individuals with [[malignant]] [[ovarian]] [[germ cell]] [[tumors]].<ref name="Tewari2000">{{cite journal|last1=Tewari|first1=K|title=Malignant germ cell tumors of the ovary|journal=Obstetrics & Gynecology|volume=95|issue=1|year=2000|pages=128–133|issn=00297844|doi=10.1016/S0029-7844(99)00470-6}}</ref>
*[[Fever]] is present in 10% to 25% of individuals with epithelial ovarian tumors.<ref name="Tewari2000">{{cite journal|last1=Tewari|first1=K|title=Malignant germ cell tumors of the ovary|journal=Obstetrics & Gynecology|volume=95|issue=1|year=2000|pages=128–133|issn=00297844|doi=10.1016/S0029-7844(99)00470-6}}</ref>
*[[Hypotension]] or [[shock]] may occur in case of spontaneous [[rupture]].<ref name="LowIlancheran2012">{{cite journal|last1=Low|first1=Jeffrey J.H.|last2=Ilancheran|first2=Arunachalam|last3=Ng|first3=Joseph S.|title=Malignant ovarian germ-cell tumours|journal=Best Practice & Research Clinical Obstetrics & Gynaecology|volume=26|issue=3|year=2012|pages=347–355|issn=15216934|doi=10.1016/j.bpobgyn.2012.01.002}}</ref>
*[[Hypotension]] or [[shock]] may occur in case of spontaneous [[rupture]].<ref name="LowIlancheran2012">{{cite journal|last1=Low|first1=Jeffrey J.H.|last2=Ilancheran|first2=Arunachalam|last3=Ng|first3=Joseph S.|title=Malignant ovarian germ-cell tumours|journal=Best Practice & Research Clinical Obstetrics & Gynaecology|volume=26|issue=3|year=2012|pages=347–355|issn=15216934|doi=10.1016/j.bpobgyn.2012.01.002}}</ref>
**Spontaneous [[rupture]] may happen in <4% of affected individuals.
**Spontaneous [[rupture]] may happen in <4% of affected individuals.


===Skin===
===Skin===
* [[Skin]] [[examination]] of patients with [[germ cell]] [[tumors]] of the [[ovary]] is usually normal.
* [[Skin]] [[examination]] of patients with epithelial ovarian tumors is usually normal.
===HEENT===
===HEENT===
* HEENT [[examination]] of patients with [[germ cell]] [[tumors]] of the [[ovary]] is usually normal.
* HEENT [[examination]] of patients with epithelial ovarian tumors is usually normal.
===Neck===
===Neck===
* [[Neck]] [[examination]] of patients with [[germ cell]] [[tumors]] of the [[ovary]] is usually normal.
* [[Neck]] [[examination]] of patients with epithelial ovarian tumors is usually normal.
===Lungs===
===Lungs===
* [[Pulmonary examination]] of patients with [[germ cell]] [[tumors]] of the ovary is usually normal.
* [[Pulmonary examination]] of patients with epithelial ovarian tumors is usually normal.
===Heart===
===Heart===
* [[Cardiovascular]] [[examination]] of patients with [[ovarian]] [[germ cell]] [[tumors]] is usually normal.
* [[Cardiovascular]] [[examination]] of patients with epithelial ovarian tumors is usually normal.
===Abdomen===
===Abdomen===
* [[Abdominal examination]] of patients with [[germ cell]] [[tumors]] of the [[ovary]] may be remarkable for a [[mass]] or [[Abdominal distention|distention]].<ref name="LowIlancheran2012">{{cite journal|last1=Low|first1=Jeffrey J.H.|last2=Ilancheran|first2=Arunachalam|last3=Ng|first3=Joseph S.|title=Malignant ovarian germ-cell tumours|journal=Best Practice & Research Clinical Obstetrics & Gynaecology|volume=26|issue=3|year=2012|pages=347–355|issn=15216934|doi=10.1016/j.bpobgyn.2012.01.002}}</ref>
* [[Abdominal examination]] of patients with epithelial ovarian tumors may be remarkable for a [[mass]] or [[Abdominal distention|distention]].<ref name="LowIlancheran2012">{{cite journal|last1=Low|first1=Jeffrey J.H.|last2=Ilancheran|first2=Arunachalam|last3=Ng|first3=Joseph S.|title=Malignant ovarian germ-cell tumours|journal=Best Practice & Research Clinical Obstetrics & Gynaecology|volume=26|issue=3|year=2012|pages=347–355|issn=15216934|doi=10.1016/j.bpobgyn.2012.01.002}}</ref>
* [[Ascites]] can also be present.<ref name="Tewari2000">{{cite journal|last1=Tewari|first1=K|title=Malignant germ cell tumors of the ovary|journal=Obstetrics & Gynecology|volume=95|issue=1|year=2000|pages=128–133|issn=00297844|doi=10.1016/S0029-7844(99)00470-6}}</ref>
* [[Ascites]] can also be present.<ref name="Tewari2000">{{cite journal|last1=Tewari|first1=K|title=Malignant germ cell tumors of the ovary|journal=Obstetrics & Gynecology|volume=95|issue=1|year=2000|pages=128–133|issn=00297844|doi=10.1016/S0029-7844(99)00470-6}}</ref>


===Back===
===Back===
* Back [[examination]] of patients with [[germ cell]] [[tumors]] of the [[ovary]] is usually normal.
* Back [[examination]] of patients with epithelial ovarian tumorsis usually normal.
===Genitourinary===
===Genitourinary===
*A [[pelvic]]/[[adnexal]] [[mass]] may be palpated.<ref name="LowIlancheran2012">{{cite journal|last1=Low|first1=Jeffrey J.H.|last2=Ilancheran|first2=Arunachalam|last3=Ng|first3=Joseph S.|title=Malignant ovarian germ-cell tumours|journal=Best Practice & Research Clinical Obstetrics & Gynaecology|volume=26|issue=3|year=2012|pages=347–355|issn=15216934|doi=10.1016/j.bpobgyn.2012.01.002}}</ref>
*A [[pelvic]]/[[adnexal]] [[mass]] may be palpated.<ref name="LowIlancheran2012">{{cite journal|last1=Low|first1=Jeffrey J.H.|last2=Ilancheran|first2=Arunachalam|last3=Ng|first3=Joseph S.|title=Malignant ovarian germ-cell tumours|journal=Best Practice & Research Clinical Obstetrics & Gynaecology|volume=26|issue=3|year=2012|pages=347–355|issn=15216934|doi=10.1016/j.bpobgyn.2012.01.002}}</ref>
* Although rarely, [[Mature cystic teratoma|mature teratoma]] may present as a [[vaginal]] [[mass]].<ref name="VuralVural2015">{{cite journal|last1=Vural|first1=F.|last2=Vural|first2=B.|last3=Paksoy|first3=N.|title=Vaginal teratoma: A case report and review of the literature|journal=Journal of Obstetrics and Gynaecology|volume=35|issue=7|year=2015|pages=757–758|issn=0144-3615|doi=10.3109/01443615.2015.1004525}}</ref>
* May present as a [[vaginal]] [[mass]].<ref name="VuralVural2015">{{cite journal|last1=Vural|first1=F.|last2=Vural|first2=B.|last3=Paksoy|first3=N.|title=Vaginal teratoma: A case report and review of the literature|journal=Journal of Obstetrics and Gynaecology|volume=35|issue=7|year=2015|pages=757–758|issn=0144-3615|doi=10.3109/01443615.2015.1004525}}</ref>


===Neuromuscular===
===Neuromuscular===
* [[Neuromuscular]] [[examination]] of patients with [[ovarian]] [[germ cell]] [[tumors]] is usually normal.
* [[Neuromuscular]] [[examination]] of patients with epithelial ovarian tumors is usually normal.


===Extremities===
===Extremities===
* [[Extremities]] [[examination]] of patients with [[germ cells]] of the [[ovary]] is usually normal.
* [[Extremities]] [[examination]] of patients with epithelial ovarian tumors is usually normal.
==References==
==References==
{{reflist|2}}
{{reflist|2}}

Latest revision as of 13:59, 2 April 2019

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hannan Javed, M.D.[2]

Overview

Patients with epithelial tumors of the ovary usually appear normal. Physical examination of these patients is usually unremarkable and the tumors tend to be discovered incidentally or during imaging workups for another reason. When symptomatic, the physical examination may be remarkable for Abdominal/pelvic mass and/or signs of virilization, precocious puberty, and pregnancy depending on the capacity of the tumor for the production of hormones.

Physical Examination

Physical examination of patients with epithelial tumors of the ovary is usually normal.

Appearance of the Patient

  • Patients with epithelial tumors of the ovary usually appear normal.

Vital Signs

  • Fever is present in 10% to 25% of individuals with epithelial ovarian tumors.[1]
  • Hypotension or shock may occur in case of spontaneous rupture.[2]
    • Spontaneous rupture may happen in <4% of affected individuals.

Skin

  • Skin examination of patients with epithelial ovarian tumors is usually normal.

HEENT

  • HEENT examination of patients with epithelial ovarian tumors is usually normal.

Neck

  • Neck examination of patients with epithelial ovarian tumors is usually normal.

Lungs

Heart

Abdomen

Back

  • Back examination of patients with epithelial ovarian tumorsis usually normal.

Genitourinary

Neuromuscular

Extremities

References

  1. ↑ 1.0 1.1 Tewari, K (2000). "Malignant germ cell tumors of the ovary". Obstetrics & Gynecology. 95 (1): 128–133. doi:10.1016/S0029-7844(99)00470-6. ISSN 0029-7844.
  2. ↑ 2.0 2.1 2.2 Low, Jeffrey J.H.; Ilancheran, Arunachalam; Ng, Joseph S. (2012). "Malignant ovarian germ-cell tumours". Best Practice & Research Clinical Obstetrics & Gynaecology. 26 (3): 347–355. doi:10.1016/j.bpobgyn.2012.01.002. ISSN 1521-6934.
  3. ↑ Vural, F.; Vural, B.; Paksoy, N. (2015). "Vaginal teratoma: A case report and review of the literature". Journal of Obstetrics and Gynaecology. 35 (7): 757–758. doi:10.3109/01443615.2015.1004525. ISSN 0144-3615.

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