Dr Jeffrey Kalei

Dr Jeffrey Kalei

Author and illustrator for Hyperexcision. Interested in emergency room medicine. I have a passion for medical education and drawing.

Ovarian Masses

Simple ovarian cyst on ultrasound

Overview Benign mass Malignant mass Size < 8cm > 8cm Consistency Cystic Solid or mixed Solid component None Nodular, Papilary Sepatations None or single Multilocular, thick Doppler Negative Positive Laterality Unilateral Bilateral (50% of tumors) Associated Fx Calcification Ascites, Peritoneal…

Uterine Fibroids

Fibroids are benign smooth muscle neoplasms arising from myometrial cells. Usually clinically insignificant but VERY common (it is the most common benign tumour in women). Average growth is 0.5 cm Fibroids are estrogen and progesterone-sensitive (similar to endometriosis and adenomyosis).…

Endometrial Cancer

Endometrial cancer is the most common cancer of the female genital tract and the fourth most common cause of cancer overall in women. 3% of women will develop endometrial cancer in their lifetime. 75% of endometrial cancers are adenocarcinomas (arising…

Endometrial Hyperplasia

Complex endometrial hyperplasia

Endometrial hyperplasia is endometrial thickening with a proliferation of irregularly sized and shaped glands. Tends to be symptomatic in post-menopausal women. Endometrial hyperplasia in a post-menopausal woman (around 10mm) would be a normal endometrial thickness for a pre-menopausal woman in…

Adenomyosis

Adenomyosis is uterine enlargement caused by focal or diffuse ectopic rests of endometrial tissue within the myometrium. Pathogenesis is not fully understood. Most likely due to direct invasion of the endometrium into the myometrium. The most common symptoms are abnormal…