uterine pathology

Question 1

Leiomyomas

Answer 1

uterine fibroids - very common + frequently multiple, benign (NOT precursor for leiomyosarcoma)

estrogen/progesterone dependent

S/S: pain, dysuria, abnormal bleeding, fertility issues

Question 2

Leiomyosarcoma

Answer 2

RARE malignant smooth muscle tumor

Question 3

myometrium job

Answer 3

smooth muscle layer in uterus that protects and expels fetus

Question 4

endometriosis

Answer 4

deposits of endometrial tissue outside uterine cavity (tubes, ovaries, abdominal cavity)

S/S: abdominal pain, dysmenorrhea, infertility

Question 5

Endometrial cyst (chocolate cyst)

Answer 5

Due to endometriosis - ovarian cyst

Question 6

Adenomyosis

Answer 6

Endometriosis of the myometrium

Question 7

Endometrial hyperplasia

Answer 7

estrogen driven excessive proliferation

Causes: unopposed estrogen (obesity, HRT, nullparity, early menarche, late menopause)

Can lead to development of endometrial polyps

S/S: abnormal bleeding

Can lead to endometrioid cancer

Question 8

Endometrial cancer

Answer 8

Dx: endometrial biopsy