Presenting Signs and Symptoms

The most common presenting signs and symptoms of an ovarian tumor are abdominal pain, palpable abdominal mass, increasing abdominal girth, urinary frequency, constipation and dysuria [10, 28]. Some tumors, however, are asymptomatic and only discovered during routine examinations. Abdominal pain is most often chronic, but torsion of the ovary can be associated with acute pain. Since normal sex cord-stromal cells are involved in steroid hormone produc tion, physical manifestations of excess estrogen or androgen production (hirsutism, virilism) should suggest the possibility of a sex cord-stromal tumor, although isosexual precocity may also be seen in mixed malignant GCTs due to tumor production of 0-HCG [29]. Teratomas may demonstrate sonographic findings suggestive of dermoids, including sonographic evidence of teeth.

Gynandroblastomas are a separate but rare entity comprised of granulosa cell elements, tubules, and Leydig cells, and can cause premature breast development, hyperestrogenism, or androgenism in adolescents [30, 31].

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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