Causes of Ovarian Mass - Differential Diagnosis Algorithm
Hyperplastic:
• Polycystic ovary
• Endometrioid cyst
Functional:
• Follicular cyst
• Corpus lutein cyst
• Theca lutein cyst
Epithelial Benign Neoplasm:
• Serous cystadenoma
• Mucinous cystadenoma
Germ Cell Benign Neoplasm:
• Mature teratoma (may be cystic)
• Gonadoblastoma (can become malignant)
Sex Cord Stromal Benign Neoplasm:
• Fibroma
• Thecoma
• Granulosa cell tumor
Epithelial Malignant Neoplasm:
• Serous cystadenocarcinoma
• Mucinous cystadenocarcinoma
• Endometrioid
• Clear Cell
Germ Cell Malignant Neoplasm:
• Dysgerminoma
• Immature teratoma
• Yolk Sac
Sex Cord Stromal:
• Granulosa cell tumor
• Sertoli Cell
• Sertoli - Leydig
Metastases:
• Krukenberg tumor (gastrointestinal metastasis)
• Breast
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