A space-occupying process in the pelvis can be noticed during a routine pelvic exam.

(Benign gynecological diseases and gynecological tumors.) A space-occupying process in the pelvis can be noticed during a routine pelvic exam. Etiology Space-occupying processes in the pelvis can expect (bowel, bladder, ureters, skeletal muscle, bone) from the inner female genitals (cervix, uterus, adnexa) or other organs in the pelvis. The kind of space-occupying processes varies according to age group. Maternal hormones may cause in utero in infants during the first months of life, the development of Adnexzysten. This occurs in rare cases. During puberty, menstrual blood can accumulate and fill the vagina (Hämatokolpos) when the blood can not flow. The cause is usually a hymen Imperforate. Other causes include congenital malformations of the uterus, cervix or vagina. In women of childbearing age the most common cause of a symmetrical uterine enlargement is a pregnancy that eventually was previously unknown. Also fibroids that can bulge out, often occur. Common adnexal masses are releasing Graafian follicles (usually 5-8 cm in size) that develop normally, but no egg; they are also referred to as functional ovarian cysts. Such cysts often disappear spontaneously after a few months. An adnexal tumor can also ectopic pregnancy, an ovarian or Tubenmalignom, benign tumors (z. B. a benign cystic teratoma) or hydrosalpinx is based. Even endometriosis can be anywhere in the pelvis, but usually cause the ovaries, single or multiple drug resistance. In women after menopause are more likely that a space-occupying process is malignant. Many benign ovarian tumors (eg. As endometriomas or fibroids) are dependent on ovarian hormones so that they are rare after menopause. Clarification History A general and a complete gynecological history is collected. Vaginal bleeding and pelvic pain should the suspicion of an ectopic pregnancy or – more rarely – give a molar pregnancy. Dysmenorrhea is suggestive of endometriosis or uterine fibroids. In young girls a precocious puberty may indicate a masculinizing or feminizing ovarian tumor. In women, virilization symptoms can be caused by a masculinizing ovarian tumor; Menometrorrhagien or bleeding in postmenopause, a feminizing ovarian based liegen.Körperliche investigation During the general examination should signs of nichtgynäkologischen diseases (eg. As gastrointestinal or endocrine) disorders and ascites are respected. It is carried out a complete gynecological examination. The distinction whether a tumor from the uterus or of the appendages emanating can be difficult. Endometriomas arise mostly as immovable resistance in the cul-de-is. Malignant adnexal tumors, benign tumors (z. B. benign cystic teratomas) and Adnexprozesse due to an ectopic pregnancy are movable. A hydrosalpinx is usually fluctuating, pressure-sensitive, not mobile, and sometimes bilateral present. In young girls pelvic organ tumors in the abdomen, may be palpable because the pool is too small to a large tumor to fassen.Tests If the presence or the origin of a tumor is (gynecologic or nichtgynäkologisch) clinically ambiguous, provide imaging techniques most clarity. Usually, sonography of the pelvis is used first. If this size, location and consistency of the tumor can not be clearly shown, this is often by other methods (eg. as CT, MRI) possible. Ovarian tumors, the radiological criteria of malignancy have (z. B. solid components, surface excrescences, irregular shape), or require a needle aspiration biopsy. Tumor markers can be helpful (immunodiagnostics in tumor diseases) in the diagnosis of certain tumors. Ultrasound of a benign Uvarialtumors With permission of the publisher. From Hricak H. Coakley F., Bergman A. Atlas of Cancer. Edited by M. Markman, R. R. Barakat and W.J. Hoskins. Philadelphia, Current Medicine, 2002. var model = {thumbnailUrl: ‘/-/media/manual/professional/images/ultrasound_benign_ovarian_mass_high_de.jpg?la=de&thn=0&mw=350’ imageUrl: ‘/ – / media / manual / professional / images / ultrasound_benign_ovarian_mass_high_de.jpg lang = en & thn = 0 ‘, title:’? ultrasound of a benign Uvarialtumors ‘description:’ u003Ca id = “v37897031 ” class = “”anchor “” u003e u003c / a u003e u003cdiv class = “”para “” u003e u003cp u003eDie characteristics in the ultrasonic these mass indicate in the ovaries (asterisk) that it is a benign lesion. The mass is reflective (indicating the absence of solid components)


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