Chapter 43- Uterine Pathology Flashcards

(40 cards)

1
Q

What is cervical stenosis?

A

An acquired, narrowing of the cervix that creates an obstruction.

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2
Q

Who is most at risk for cervical stenosis?

A

Patients with history of cervical cancer and surgeries.

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3
Q

What is the most common congenital abnormality of the female genitals?

A

Imperforate hymen

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4
Q

What is an imperforate hymen? Is it congenital or acquired?

A

A congenital pathology where there is not a hole in the hymen

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5
Q

What is a Gartner’s duct cyst? Where does it come from?

A

A congenital, vaginal mass from a remnant of the Wolffian duct

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6
Q

What is a Nabothian cyst

A

Benign chronic inflammatory retention cysts located in the cervix.

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7
Q

How do Nabothian cysts appear sonographically?

A

Several small anecohic areas located in the cervix

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8
Q

What is the most common cervical cancer?

A

squamous cell carconoma

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9
Q

What is cervical carcinoma?

A

A malignant cervical tumor that affects women of menstrual age.

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10
Q

What is another name for fibroid?

A

A leiomyoma or myoma tumor

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11
Q

what is the most common gynecological tumor

A

leiomyoma/fibroids

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12
Q

Who is at risk for leiomyomas?

A

20-30% of women over the age of 30, especially african americans.

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13
Q

what is an estrogen-dependent, benign tumor

A

Fibroids

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14
Q

What are symptoms of leiomyoma

A

Enlarged uterus, excess bleeding, pelvic pain

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15
Q

what is a polyp

A

A benign protrusion of epithelium in endo/exo cervix

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16
Q

Who is most at risk for cervical polyps

A

Women in late middle age

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17
Q

What are the symptoms of cervical polyps

A

irregular bleeding

18
Q

What is adenomyosis

A

Ectopic occurrence of endometrial tissue within the myometrium

19
Q

What is leiomyosarcoma

A

A rare but aggressive, rapidly enlarging solid, malignant mass, typically in the uterine fundus

20
Q

Who does leiomyosarcoma affect

A

women aged 40-60

21
Q

What are the symptoms of leiomyosarcoma

A

abnormal bleeding

22
Q

What is endometrial hyperplasia

A

abnormal thickening of the endometrium that may be a precursor for endometrial cancer

23
Q

What are the symptoms of endometrial hyperplasia

A

heavy menstruation

24
Q

What is the most common cause of abnormal uterine bleeding?

25
what is an endometrial polyp?
Overgrowth of endometrial tissue covered by epithelium.
26
Who is most likely to develop endometrial polyps?
women around menopause
27
What are the possible symptoms of endometrial polyps?
Asymptomatic or uterine bleeding, infertility
28
What is endometritis
infection located within the endometrium. infection could spread to tubes/adnexa
29
Who is likely to develop endometritis?
Postpartum patients could develop after long labor, rupture of membranes, vaginitis, retained product of conception
30
When might someone be at risk for synechiae?
post-trauma or surgery
31
What are some common symptoms of synechiae
Infertility, pregnancy loss
32
When might it be easier to diagnose synechiae?
With fluid in the endometrium, in the secretory phase, or with a gravid uterus
33
what is endometrial carcinoma
a malignancy in the endometrium. Likely begins with thickened uterus
34
Who is most likely to be at risk for endometrial carconoma
Menopausal patients. especially anovulatory, obese, and taking estrogen replacement
35
what is the most common gynecological malignancy in America?
endometrial carcinoma
36
What is the most common cervical finding?
nabothian cysts
37
What is the most common cause of uterine calcifications
myomas
38
After myoma, what is the next most common cause of uterine calcifications
arcurate artery calcification
39
the cervical canal extends from the internal os where it joins the uterine cavity to the...?
external os where it projects into the vagina
40
how does degeneration of a fibroid appear sonographically?
internal cystic areas and calcifications