Ovarian Cysts Homeopathic Remedies
Pleomorphic adenoma 80-85 of parotid gland tumours. Epithelial or myoepithelial cells without a true capsule hence propensity to recur after removal. Warthin's tumour (papillary cystadenoma lymphomatosum previously known as adenolymphoma) Only parotid, 15 of neoplasms, 10 bilateral or multicentric with glandular and cystic elements with eosinophilic epithelium. Malignant carcinomas
The main gynecological conditions causing acute abdominal pain are functional ovarian cysts, ovarian torsion, and hydrometrocolpos. Transabdominal US will commonly show the lesion. Transvaginal US should not be routinely done as a primary investigation in adolescent girls, but may supplement the abdominal examination in sexually active patients. Ovarian cysts usually result from failure of involution during the normal menstrual cycle. They may cause acute lower abdominal or pelvic pain in pre-pubertal and pubertal girls if they are complicated by rupture, torsion, or hemorrhage, or if they become significantly enlarged. Transabdominal US in uncomplicated cysts usually show a thin-walled, well-defined, echo-free ovarian mass, and excellent through-transmission (CARtY 2002). Simple cysts may be quite large, but most of them resolve spontaneously, only requiring clinical and sonographic follow-up. Rarely, there is a complication, the most common being ovarian torsion. Functional cysts...
These lesions arise from surface epithelium implanted at sites of embryological folding and, if situated anteriorly within the orbit, are commonly noted soon after birth. Due to the accumulation of epithelial debris and sebaceous oil in the lumen of the cyst, the cysts slowly enlarge and leakage of the contents into the surrounding tissues may cause marked inflammation - with deeper dermoid cysts tending to present in this fashion. A dermoid cyst contains dermal structures (hairs, sebaceous glands), whereas more rarely there is only an epithelial (epidermoid cyst) or a conjunctival lining (conjunctival dermoid). The commonest dermoid cysts are firm and smooth, mobile preseptal masses overlying the supero-temporal quadrant of the orbit and, less commonly, the supero-nasal quadrant. Many cysts have a variable periosteal attachment near the underlying fronto-zygomatic or fronto-ethmoidal sutures, but occasionally the dermoid will pass into or through defects in the neighbouring bone. In...
Although valuable information can be gleaned from cells in culture, very often, biological effects differ in animal or human tissue. An excellent animal model system that can be used to evaluate the effects of increased polyamine biosynthesis in an epithelial tissue type is the K6 ODC transgenic mouse. Overexpression of ODC enzyme activity is targeted to the outer root sheath cells of hair follicles in the skin of K6 ODC mice (19). Cellular proliferation is increased in epithelial cells that overexpress ODC, causing the loss of hair and the formation of follicular cysts in the dermis. Although overexpression of ODC in the skin of K6 ODC mice does not lead to tumor formation, ODC overexpression cooperates with a mutated H-ras to produce spontaneous skin tumors in ODC Ras double transgenic mice (20). We have capitalized on the ODC transgenic mouse models to provide in vivo evidence of polyamine effects on chromatin structure.
Ovarian cysts due to endometriosis are called endometriomas (Fig. 14.5). An endometrioma that is 3 cm in diameter automatically qualifies for a classification of stage III or IV in severity. GnRHa treatment is ineffective in reducing the size of endometriomas of 1 cm. Treatment is surgical. It can be achieved either by fenes-tration and ablation (removal part of the cyst wall followed with coagulation of the inner side of the wall) or excision of the endometrioma cyst wall (Fig. 14.5). Excision of the endometrioma is associated with a higher pregnancy rate than fenestra-tion and ablation. Furthermore, recurrence after fenestration and ablation is more likely than after excision.
Sathananthan N, Moseley IF, Rose GE, Wright JE. The frequency and significance of bone involvement in outer canthus dermoid cysts. Br J Ophthalmol 1993 77 789-94. Shields JA, Kaden IH, Eagle RC Jr, Shields CL. Orbital dermoid cysts clinicopathologic correlations, classification, and management. The 1997 Josephine E. Scheler Lecture. Ophthal Plast Reconstr Surg 1997 13 265-76.
Although there are exceptions, most orbital tumours have a fairly low T1 signal, a medium-to-high T2 signal, and show variable Gadolinium-DTPA enhancement. Nonspecific orbital inflammation tends to have a medium T1 signal, with a relatively low signal on T2. Lesions containing melanin, or the breakdown products of blood, and those with lipid, fat or mucus will give high signal on T1-weighted images examples include orbital haemorrhage, orbital melanomas, cholesterol granulomas, dermoid cysts and sinus mucocoeles.
The size, shape, texture and fixation of an anterior orbital mass provide guidance to the likely site of origin and possible diagnosis. Tenderness suggests an acute inflammation, such as that seen with dacryoadenitis. Dermoid cysts in the supero-temporal quadrant, when mobile, are typical (Figure 10.2a) when fixed, they may simply have periosteal attachment, or they may extend through a defect in the lateral orbital wall. Fixed lesions in the supero-medial quadrant are usually frontal mucocoeles in adults, but dermoid cysts in children (Figure 10.2b) or - very rarely - an anterior encephalocoele. Soft masses causing swelling of the eyelids should be regarded as infiltrative tumours or inflammation, until otherwise proved, and a salmon patch subconjunctival lesion is characteristic of lymphoma (Figure 10.3).
Julie is a 43-year-old, single woman who was admitted to the state hospital in 1996 at age 35 and has been hospitalized there on and off through 2005. Her IQ is 55, putting her in the range for mental retardation. Before being hospitalized, she was living with her sister. On the day of her admission, she felt depressed when her sister left the house. She called the police threatening to harm herself. Previously, she had been hospitalized twice at the Elm Foundation Hospital. She was exhibiting self-mutilating behaviors, depression, and suicidal ideation. She was diagnosed as suffering from impulse control disorder and returned to live with her sister. Julie has numerous medical problems including diabetes, obesity, anemia, and ovarian cysts. She lived with her parents until her father died in 1995. Then she went to live with her sister. Julie has several close relatives who are mentally ill and or mentally retarded and has a daughter who is around 17 years old, who lives with her...
Peripheral precocity can be caused by a number of disorders. A careful history will eliminate rare iatrogenic causes such as hormone containing lotions or meat from animals fed steroids. Gonadal neoplasms occur in about 10 of both boys and girls diagnosed with precocious puberty. The most common cause of precocity from gonadal estrogen production in girls is a follicular cyst. Careful follow up (including ultrasound to document ovarian size) and observation is appropriate. Surgery should be avoided because it might lead to an unnecessary oophorectomy. The most common malignant tumor that causes peripheral precocity is the granulosa-theca cell tumor, although these are very rare. They are almost always unilateral and diagnosed at an early stage,. In boys, tumors that produce hCG can cause precocious puberty. Treatment is usually surgical, and if malignant, adjuvant therapy may be indicated. Hepatoblastomas and hepatomas usually present with bilateral testicular enlargement and have a...
A Primary Due to genetic or developmental weakness in the vein wall resulting in elasticity, dilation over time and valvular incompetence. Secondary Venous outflow obstruction Pregnancy, pelvic malignancy, ovarian cysts, ascites, lymphadenopathy, retroperitoneal fibrosis. Valve damage After DVT. High flow Arteriovenous fistula.
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