Ovarian carcinosarcoma
Clinical case A 76-year-old female presents with vague abdominal pain, increased abdominal girth, and early satiety over the past 3 months. On physical exam, she was noted to have abdominal…
GYNECOLOGY
Sex cord stromal tumors of the ovary
Clinical case A 58-year-old G2P2 female presents with a 10 cm complex adnexal mass and postmenopausal bleeding. CT imaging also demonstrates a 4 cm perihepatic tumor implant ( Fig. 2.1…
Malignant ovarian germ cell tumors
Clinical case A 22-year-old G0 presents to an emergency department with pain and vomiting. CT scan of the abdomen/pelvis reveals a complex mass with cystic and solid components, including scattered…
Laparoscopic considerations in the pediatric and teen patient
Laparoscopic surgery is an important topic in pediatric and adolescent gynecology (PAG) and is becoming the mainstay of operative management for many conditions in this patient population. This chapter aims…
Obstructive reproductive tract anomalies
Introduction, prevalence, and epidemiology Similar to nonobstructive reproductive tract anomalies, approximately 7% of those born with female reproductive anatomy will have differences in the formation of the reproductive tract, resulting…
Adnexal masses in infants, children, and adolescents
Introduction Adnexal lesions occur in infants, children, and adolescents with varying frequency and may represent ovarian or tubal pathology. Consideration of a patient’s age, pubertal status, clinical presentation, and physical…
Differences of sex development: Overview and clinical guide
Introduction Differences of sex development (DSDs; also known as disorders of sex development ) is a group of congenital conditions of the urogenital and reproductive tracts that affects human sex…
Nonobstructive reproductive tract anomalies
Introduction, prevalence, and epidemiology Approximately 7% of those born with female anatomy will have differences in the formation of the reproductive tract, resulting in varying degrees of vaginal, uterine, or…
Neonatal ovarian cysts
Introduction Neonatal ovarian cysts are rare, but they are the most common cystic abdominal finding in neonatal imaging. Cysts are usually discovered in the third trimester at 28 weeks gestation…
