Female GU/Breast (Week 3) Flashcards

(30 cards)

1
Q

True or False?

Most breast pathology arises in the terminal duct lobular unit?

A

True

This is where the lobules and ducts branch

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2
Q

Define dysplasia

A

This is somewhere on the spectrum between normal tissue and non-invasive malignancy tissue
(But is NOT cancer)

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3
Q

Which of the following is NOT an inflammatory breast condition?

A) Acute mastitis
B) Fat necrosis
C) Ectopic breast tissue
D) Granulomatous conditions

A

C)

Ectopic breast tissue is a developmental condition

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4
Q

Small aggregates of which substance commonly form in fibrocystic change of breasts?

A

Calcium

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5
Q

What feature can be used to differentiate radical scar from breast cancer?

A

Myoepithelial cells are present in radical scar but not in breast cancer

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6
Q

Name 2 benign neoplasms of the breast

A

Fibroadenoma (firm mobile lump)
and
Intarduct papilloma

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7
Q

Between which ages does breast screening occur and how often?

A

For women aged between 50-70 every three years

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8
Q

What is meant by ‘sentinel node’?

A

The node in the axilla that cancer will likely spread to first

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9
Q

What does ‘carcinoma in-situ’ mean in terms of breast pathology?

A

This is another term for dysplastic breast tissue and can be ductal (DCIS) or lobular (LCIS)

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10
Q

In the TNM staging of breast cancer, what does TNM stand for?

A

T: tumour size in mm
N: how many axially nodes affected
M: metastasis?

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11
Q

What type of epithelium lines the ectocervix?

A

Stratified squamous non-keratinising

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12
Q

Which area of the female genital tract is lined by Columnar epithelium?

A

Endocervix

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13
Q

Which 2 strains of HPV are prevalent in Scotland?

A

HPV 16 and 18

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14
Q

Between which ages and how often is cervical screening carried out in Scotland?

A

25-50 every 3 years

50-65 every 5 years

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15
Q

Define koilocytosis

A

A change in epithelial cells after infection with HPV

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16
Q

Name the condition which involved non-infective inflammation of the vulva

A

Lichen plantus
or
Lichen sclerosus et atrophicus

17
Q

During development, what does the fused portion of the Mullerian duct and urogenital sinus go on to form?

18
Q

Define the condition ‘adenomyosis’

A

The presence of endometrial tissue in the myometrium

19
Q

Hyperplasia and adenocarcinoma of the endometrium is commonly associated with prolonged stimulation by which hormone?

20
Q

What is a leiomyoma?

A

Benign tumour of the myometrium

21
Q

What is the name given to a malignant tumour of the myometrium?

A

Leiomyosarcoma

22
Q

What is meant by a ‘complete molar pregnancy’

A

An egg with no genetic material is fertilised by one sperm which duplicates its chromosomal material

23
Q

In the non-keratinising stratified squamous epithelium of the ectocervix and vagina, where are most dividing cells located?

A

Division occurs just above the basal layer, before cells migrate upwards while maturing and accumulating glycogen

24
Q

What are endometriomas (chocolate cysts)?

A

Endometriosis in the ovaries causing blood filled cysts

25
Which mutations are associated with low grade serous carcinomas?
BRAF and KRAS mutations
26
P53 and BRCA mutations are associated with which type of ovarian cancer?
High grade serious carcinoma
27
Which cysts are formed by the proliferation of cells surrounding an oocyte?
Follicular and luteal cysts
28
Give an example of an alkylating agent chemotherapy drug
Melphalan (for multiple myeloma, ovarian and breast cancers)
29
How does the antimetabolite drug 'Flurouracil' work?
This IV drug prevents thymine formation which disrupts DNA synthesis
30
What is the mechanism of action of microtubule inhibitor drugs as chemotherapy agents?
Bind to microtubules to block tubular polymerisation, preventing spindle formation and altering cell division