Most common ovarian tumor to undergo torsion:
Now, which ovarian tumors are most prone to this? I remember that tumors with a large size or those with a long stalk are more likely to twist. Serous cystadenomas are often mentioned in this context. They are usually unilateral, which might make them more susceptible. Also, they can grow quite large, increasing the risk of torsion.
Wait, what about other types? Dermoid cysts (teratomas) are also big and can cause torsion, but are they more common? I think serous cystadenomas are more common in general. Let me check: according to some sources, serous cystadenomas are indeed the most common benign ovarian tumors and are frequently associated with torsion. They have a smooth, fluid-filled structure which might contribute to the torsion risk.
Other options could include mucinous cystadenomas, but I think they are less common than serous. Fibromas can cause torsion too, but they are solid and might be less likely to twist compared to the cystic ones. The key here is the combination of being the most common and having a morphology that predisposes to torsion. So serous cystadenoma fits both aspects. Let me confirm by thinking about clinical cases. Yes, in textbooks and high-yield notes, serous cystadenoma is highlighted as the most common ovarian tumor associated with torsion. That makes sense because their size and structure make them more prone to this complication.
**Core Concept**
Ovarian torsion occurs when an ovarian tumor twists around its pedicle, compromising blood flow. The most common tumor type associated with this is the **serous cystadenoma**, due to its unilateral, large size, and mobile stalk, which increase torsion risk.
**Why the Correct Answer is Right**
Serous cystadenomas are **unilateral, fluid-filled tumors** that grow rapidly and have a long, mobile stalk. Their size and weight pull the ovary into a position where torsion is likely. The torsion causes acute pain, ischemia, and necrosis if untreated. This tumor accounts for ~30-40% of ovarian torsion cases.
**Why Each Wrong Option is Incorrect**
**Option A:** **Dermoid cysts (mature teratomas)** are prone to torsion but are less common than serous cystadenomas.
**Option B:** **Mucinous cystadenomas** are large but less frequently associated with torsion due to their shorter stalk and lower prevalence.
**Option C:** **Fibromas** are solid tumors that rarely torsion due to their compact, non-elastic structure.
**Clinical Pearl / High-Yield Fact**
Remember **“SALT”** for torsion-prone tumors: **S**erous, **A**denomas, **L**arge, **T**orsion. Serous cystadenomas dominate in both frequency and torsion risk, making them the “gold standard” answer in exams.
**Correct Answer: C. Serous cystadenoma**