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A cyst is a fluid-filled sac, and can be located anywhere in the body.

On the ovary, different types of cysts can form and can contain fluid or semi-solid material. The most common type of ovarian cyst is called a functional cyst, which often forms during the normal menstrual cycle. Each month, a woman's ovaries grow tiny cysts that hold the eggs. When an egg is mature, the sac breaks open to release the egg, so it can travel through the fallopian tube for fertilization. Then the sac dissolves. In one type of functional cyst, called a follicular cyst, the sac doesn't break open to release the egg and may continue to grow. This type of cyst usually disappears within one to three months. A corpus luteum cyst, another type of functional cyst, forms if the sac doesn't dissolve. Instead, the sac seals off after the egg is released. Fluid then builds up inside of it. This type of cyst usually goes away on its own after a few weeks. However, it can grow to almost four inches and may bleed or twist the ovary and cause pain. Clomid or Serophene, which are drugs used to induce ovulation, can raise the risk of getting this type of cyst. These cysts are almost never associated with cancer.

There are also other types of cysts:

Endometriomas. These cysts develop in women who have


endometriosis, when tissue from the lining of the uterus grows outside of the uterus. The tissue may attach to the ovary and form a growth. These cysts can be painful during sexual intercourse and during menstruation. Cystadenomas. These cysts develop from cells on the outer surface of the ovary. They are often filled with a watery fluid or thick, sticky gel. They can become large and cause pain.

Dermoid cysts. The cells in the ovary are able to make hair, teeth,
and other growing tissues that become part of a forming ovarian cyst. These cysts can become large and cause pain.

Polycystic ovaries. The eggs mature within the follicles, or sacs, but
the sac does not break open to release the egg. The cycle repeats, follicles continue to grow inside the ovary, and cysts form.

Menstrual cycle-surge of luteinizing hormone-after ovulation, follicular remnants forms a corpus luteum-hormonal stimulation causes cyst to continue to grow-ONG Medical mngt.-PROMETHASINE AND CEFAZOLIN
FETAL DEVELOPMNENT

EMBROYONIC PERIOD The embryonic time comprises 56 days, i.e., 8 weeks from the moment of fertilization. This time span is divided into 23 Carnegie

stages and the stage classification is based solely on morphologic features. Carnegie stages are thus neither directly dependent on the chronological age nor on the size of the embryo. This can be illustrated by two examples: The closure of the rostral neuropore occurs by definition in stage 11 and that of the caudal neuropore in stage 12. Further, between the 25th and 32nd days of the pregnancy, the stages are determined according to the number of the somites 9-13 that have been engendered. The individual stages thus differ in how long they last . During the embryonic period most of the organ systems are established and this with an enormous rapidity. Cell divisions, movement and differentiation are the basic processes taking place during this phase. It is thus hardly surprising that this pregnancy phase is very vulnerable and that deformities are produced most often during this time. The type of deformity depends on the embryonic developmental FETAL PERIOD According to estimates, over 90% of the 4500 designated structures of the adult body are already established - and can be distinguished - during the embryonic period (1). During the fetal period the organs that formed during the embryonic period grow and differentiate (organogenesis). The embryonic period (A) lasts 8 weeks and the fetal period (B) from the 9th week to the birth.

After the 8th week, the fetus takes on typical human features, even though at the end of the first trimenon, the head is still relatively large in appearance. The eyes shift to the front and the ears and nasal saddle are formed. The eyelids are also clearly recognizable now. On the body, fine lanugo hairs are formed, which at the time of birth are replaced by terminal hairs. The physiologic umbilical hernia that arises in the embryonic period 15-20 has mostly disappeared. In the second trimenon the mother feels the first movements of the child. In the last trimenon the subcutaneous fatty tissue is formed and stretches the still wrinkled skin of the fetus. The skin becomes covered more and more with vernix caseosa. This is a whitish, greasy substance und consists of flaked off epithelial cells and sebaceous gland secretions. In neonatology this vernix caseosa is an important criterion for judging the maturity of the child. If the birth occurs post-term, it disappears again.

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