COMSAE #3 EXAM QUESTIONS AND
ANSWERS
Which-Ovarian-Tumor-?
-Tumor-markers-are-hCG,-LDH
-Associated-with-Turner-Syndrome
-Sheets-of-uniform-cells
-Large-Cells-with-clear-cytoplasm-and-central-nuclei-(egg-like)
-Most-common-malignant-germ-cell-tumor---ans-✔✔Dysgerminoma
Which-Ovarian-Tumor?
-malignancy-of-trophoblastic-tissue
-chorionic-villi-are-NOT-present.
-increased-frequency-of-theca-lutein-cysts
-Early-Hematogenous-spread-to-lungs.-
-Tumor-marker-is-hCG.---ans-✔✔Choriocarcinoma
Which-Ovarian-Tumor?
-Yellow,-friable,-solid-masses
-Schiller-Duval-bodies-(resemble-glomeruli)
-makes-AFP---ans-✔✔Yolk-sac-(endodermal-sinus)-tumor
Which-Tumor?
-2-or-3-germ-layers.---ans-✔✔Teratoma
contains-functional-thyroid-tissue
can-present-as-hyperthyroidism.---ans-✔✔Struma-ovarii
Which-tumor?
-looks-like-bladder-(contains-urothelium)
, -pale-yellow-tan-in-color
-appears-encapsulated
-coffee-bean*-nuclei-on-H&E-staining.---ans-✔✔Brenner-Tumor
What-tumor?
-primary-GI-malignancy-that-metastasizes-to-the-ovaries-->-causing-mucin-secreting-
signet-cell-adenocarcinoma
-signet-cells---ans-✔✔Krukenberg-tumor
What-tumor?
-fallopian-tube-like-epithelium
-single-cyst-with-flat-lining---ans-✔✔Serous-Cystadenoma
General-ovarian-cancer-marker---ans-✔✔CA-125
What-tumor?
-cystic-and-is-from-surface-epithelium
-psammoma-bodies
-risk-factors-include-BRCA---1-BRCA---2-and-HNPCC
-malignant-clear-invasion-of-cells-in-CT
-larger-tumor-with-complicated-cysts-with-thick-shaggy-lining.-*---ans-✔✔Serous-
Cystadenocarcinoma
What-tumor?
-mucous,-from-surface-epithelium
-multiocular-cyst
-benign,-intestine-like-tissue.---ans-✔✔Mucinous-Cystadenoma
What-tumor?
-pseudomyxoma-peritonei-(jelly-belly---appendix)---ans-✔✔Mucinous-
Cystadenocarcinoma
What-tumor?
-Meig's-Triad-("answer-to-this-card",-ascites-and-hydrothorax)
-bundles-of-spindle-shaped-fibroblasts---ans-✔✔Fibromas
What-tumor?
-secretes-estrogen-=-precocious-puberty-in-young-kids-&-can-cause-endometrial-
hyperplasia-or-carcinoma-in-adults
ANSWERS
Which-Ovarian-Tumor-?
-Tumor-markers-are-hCG,-LDH
-Associated-with-Turner-Syndrome
-Sheets-of-uniform-cells
-Large-Cells-with-clear-cytoplasm-and-central-nuclei-(egg-like)
-Most-common-malignant-germ-cell-tumor---ans-✔✔Dysgerminoma
Which-Ovarian-Tumor?
-malignancy-of-trophoblastic-tissue
-chorionic-villi-are-NOT-present.
-increased-frequency-of-theca-lutein-cysts
-Early-Hematogenous-spread-to-lungs.-
-Tumor-marker-is-hCG.---ans-✔✔Choriocarcinoma
Which-Ovarian-Tumor?
-Yellow,-friable,-solid-masses
-Schiller-Duval-bodies-(resemble-glomeruli)
-makes-AFP---ans-✔✔Yolk-sac-(endodermal-sinus)-tumor
Which-Tumor?
-2-or-3-germ-layers.---ans-✔✔Teratoma
contains-functional-thyroid-tissue
can-present-as-hyperthyroidism.---ans-✔✔Struma-ovarii
Which-tumor?
-looks-like-bladder-(contains-urothelium)
, -pale-yellow-tan-in-color
-appears-encapsulated
-coffee-bean*-nuclei-on-H&E-staining.---ans-✔✔Brenner-Tumor
What-tumor?
-primary-GI-malignancy-that-metastasizes-to-the-ovaries-->-causing-mucin-secreting-
signet-cell-adenocarcinoma
-signet-cells---ans-✔✔Krukenberg-tumor
What-tumor?
-fallopian-tube-like-epithelium
-single-cyst-with-flat-lining---ans-✔✔Serous-Cystadenoma
General-ovarian-cancer-marker---ans-✔✔CA-125
What-tumor?
-cystic-and-is-from-surface-epithelium
-psammoma-bodies
-risk-factors-include-BRCA---1-BRCA---2-and-HNPCC
-malignant-clear-invasion-of-cells-in-CT
-larger-tumor-with-complicated-cysts-with-thick-shaggy-lining.-*---ans-✔✔Serous-
Cystadenocarcinoma
What-tumor?
-mucous,-from-surface-epithelium
-multiocular-cyst
-benign,-intestine-like-tissue.---ans-✔✔Mucinous-Cystadenoma
What-tumor?
-pseudomyxoma-peritonei-(jelly-belly---appendix)---ans-✔✔Mucinous-
Cystadenocarcinoma
What-tumor?
-Meig's-Triad-("answer-to-this-card",-ascites-and-hydrothorax)
-bundles-of-spindle-shaped-fibroblasts---ans-✔✔Fibromas
What-tumor?
-secretes-estrogen-=-precocious-puberty-in-young-kids-&-can-cause-endometrial-
hyperplasia-or-carcinoma-in-adults
