Ch 18 : Female Reproductive System: Cervix and Start of Uterus Flashcards Preview

Pathology Unit 5 > Ch 18 : Female Reproductive System: Cervix and Start of Uterus > Flashcards

Flashcards in Ch 18 : Female Reproductive System: Cervix and Start of Uterus Deck (13):
1

This smooth cervical growth typically manifests as vaginal bleeding and discharge

Endocervical polyp

2

The precursor to invasive squamous cell neoplasia of the cervix

Cervical Intraepithelial Neoplasia (CIN)

3

CIN is a result of infection from this virus

HPV (high risk types 16, 18, 31, 33)

4

High risk HPV produces these proteins which act to inactivate p53 and Rb

E6 and E7, respectively

5

CIN usually affects this region of the cervix

Transition zone

6

Most pronounced changes are in the basal third of the epithelium

CIN I

Abnormal cells are present throughout the epithelium

7

Most pronounced changes are less than 2/3 of the cervical epithelium, affecting the lower and middle regions

CIN-2/moderate dysplasia

8

Dysplasia of the cervix in which the full thickness of the epithelium is affected

CIN-3

Rubin's equates CIN-3 with severe dysplasia and carcinoma in situ. The key feature is that abnormal cells occupy the full thickness of the cervical epithelium with no epithelial maturation. Once you get invasion through the basement membrane it's Invasive Carcinoma.

9

Presentation in the earliest stages of cervical cancer

Vaginal bleeding after intercourse or douching

10

This is the most important prognostic factor when considering the outcome of cervical cancer

Nodal involvement to determine clinical stage

11

What do you have to worry about in regards to the spread of cervical cancer? What does this put you at risk for?

You need to worry about local spread and extension into the surrounding tissue. This can cause ureteral compression leading to hydroureter, hydronephrosis, and renal failure.

Renal Failure is the most common cause of death in patients with cervical cancer

12

The presence of plasma cells in the endometrium should immediately make you think of...

Chronic endometritis

13

Your patient presents with pelvic pain and dysmenorrhea. Upon histological examination you discover endometrial glands in the myometrium of her uterus. What's the diagnosis?

Adenomyosis