Benign conditions of the Uterus, Cervix, Ovary, and fallopian tubes

Question 1

What does Uterus didelphysis result from?

Answer 1

-failure of the paramesonephric duct to fuse

Question 2

What syndrome is associated wtih mullerian agenesis?

Answer 2

• Meyer-Rokitansky-Kuster-Hauser syndrome

- complete lack of development of the paramesonephric system

Question 3

What is that maternal exposure that can give girls a small t-shaped endometrial cavity?-=

Answer 3

-DES

Question 4

What is the mos common neoplasm of the uterus?

Answer 4

• Leiomyomas

- or “fibroids”

Question 5

are most leiomyomas symptomatic?

Answer 5

• no

- 80% are asymptomatic

Question 6

Tx of LEiomyomas

Answer 6

• COC
• Progesterone only…. depo provera
• GnRH agonist: Depo lupron… usually used to alter route of surgery

Question 7

How should all babies be delivered after a myomectomy?

Answer 7

-c section

Question 8

Do endometrial polyps evade in office endometrial sampling?

Answer 8

• yes

- most are benign hyperplastic masses

Question 9

What is a nabothian cervical cyst?

Answer 9

• when columnar cells continue to secrete mucus and a mucus retention cyst is formed
• pretty normal variant

Question 10

What are the most common benign growths on the cervix?

Answer 10

-endocervical and ectocervical polyps

Question 11

What is that really important thing we are supposed to know about endometrial hyperplasia?

Answer 11

-in U/S the endometrial lining > 4 cm in a postmenopausal female

Question 12

How do we treat simple and complex hyperplasia without atypia?

Answer 12

-with progestin and resample in 3 months

Question 13

tx of simple and complex hyperplasia WITH atypia?

Answer 13

-hysterectomy

Question 14

which ovarian cyst is the one that is reddish brown nodules and SURGICAL RESECTION IS NOT INDICATED?

Answer 14

• Luteoma of pregnancy

- they usually spontaneously regress postpartum

Question 15

What is the single most common benign ovarian neoplasm in a premenopausal female?

Answer 15

-Benign cystic teratoma

Question 16

What is the most common GROUP of epithelial tumors of the ovary?

Answer 16

-epithelial

Question 17

What do the cells of the mucinous ovarian tumors resemble?

Answer 17

-endocervical epithelium

Question 18

what do the serous ovarian tumors resemble?

Answer 18

-fallopian tubes

Question 19

What is the histologic finding for serous cystadenomas?

Answer 19

-psammoma bodies, more common in malignant ones

Question 20

Most common epithelial ovarian tumor?

Answer 20

-serous cystadenoma

Question 21

Which ovarian tumor is the one that gets really big?

Answer 21

• mucinous cystadenoma

- can lead to pseudomyxoma peritonei

Question 22

Which tumor has transitional cells of the bladder?-

Answer 22

-Brenner tumor

Question 23

Do granulosa-theca cells have high malignant potential?

Answer 23

-no

Question 24

What is the most common benign SOLID ovarian tumor?

Answer 24

• fibroma

- does not secrete sex steroids

Question 25

What is MEigs syndrome?

Answer 25

• ascites and right pleural effusion
• associated with ovarian fibroma
• flow of ascitic fluid through the transdiaphragmatic lymphatics into the right pleural cavity

Question 26

If there is an ovarian neoplasm in a child, what is it most likely?

Answer 26

-germ cell tumor

Question 27

What is the most common ovarian neoplasm found in women of all ages?

Answer 27

-cytstic teratoma

Question 28

What do we worry about most with a cystic teratoma?

Answer 28

-rupture can lead to chemical peritonitis

Question 29

What is the marker we use for benign ovarian tumors especially in post menopausal women?

Answer 29

-CA-125

Question 30

IF there is a fibroma and there is Meigs syndrome with it, is it still benign?

Answer 30

-yes

Question 31

hydrosalpinx?

Answer 31

-fluid filled tubes from PREVIOUS infection

Question 32

pyosalpinx?

Answer 32

-purulent filled tube from ACTIVE infection

Question 33

most common gynecologic emergency?

Answer 33

• ovarian torsion

- primary risk is ovarian mas >5 cm