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Benign Tumors
Benign Tumors
Sebaceous cyst
The most common small cyst of vulva Resulting from inflammatory blockage of sebaceous duct Excision, heat, incision and drainage
Benign Tumors
Lipoma
Circumscribed tumor of fat cells Arising from the subcutaneous tissue of vulva Labium major Excision
Benign Tumors
Benign Tumors
Benign Tumors
Benign Tumors
Cervical myoma
Smooth, firm mass Pressure symptoms (dysuria, urgency,) Dyspareunia Myomectomy,
hysterectomy
Benign Tumors
Endometrial Polyps
Sessile or pedunculated projection of endometrium Localized overgrowth of endometrial glands and stroma Single or multiple, most polyps arise from fundus Asymtomatic, bleeding Tip may be necrotic and inflamed or squamous metaplasia Removed by curettage or via hysteroscopy
Benign Tumors
Tumor of myometrium Well-circumscribed, noncapsulated Smooth muscle and fibrous connective tissue Myoma, fibromyoma, fibroma, fibroid The most common pelvic tumor Intramural, submucous, subserous, parasitic, intraligamentous
Benign Tumors
Benign Tumors
Pressure
On bladder: urinary frequency, urgency On rectum: constipation On ureter: hydroureter, hydronephrosis
Pain
Dysmenorrhea, Pelvic heaviness or bearing down
Benign Tumors
Benign Tumors
Treatment
Observation
Asymptomatic, small, postmenopausal
Medical
Symptoms treatment Reduce estrogen level GnRH analogues
Surgery
Myomectomy, hysterectomy Age, parity, future reproductive plans
Benign Tumors
Benign Tumors
Endometrioma Of Ovary
Small, superficial blue-black implants Large hemorrhagic cyst (chocolate cyst) Pelvic pain, dyspareunia, infertility Medical or surgical treatment
Benign Tumors
Mucinous cystadenoma
Benign Tumors
Thecoma
Unilateral, encapsulated Postmenopausal bleeding TAH+BSO
Benign Tumors
Benign Tumors
Excision or TAH+BSO