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OB GYNE > Gyne > Flashcards

Gyne Flashcards

1
Q

US: cystic mass following the contour of the pelvis with deformed ovary suspended along with the adhesions, centrally or peripherally.
Seen after an inflammatory process in the abdomen (or post-op)

A

Peritoneal inclusion cyst/ Peritoneal pseudocyst

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2
Q

Rotterdam Criteria:
* >/= 12 follicles/ovary (2-9 mm each)
* ovarian volume more than 10 cc

A

Polycystic Ovaries

  • Do not use PCOS as diagnosis in your report
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3
Q

5th most common gyne emergency.
Result from twisting of the ovary, fallopian tube, or both.

A

Ovarian/adnexal Torsion

  • usually occurs in pathologic ovary ( ex. With dermoid tumor most common)
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4
Q

Cystic lesion originating from a MESONEPHRIC duct remnant, seen along the lateral walls of the uterus and vagina, superior to hymen.

A

Gartner Duct Cyst

  • from Duct of Gartner
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5
Q

Thin-walled cyst that is a vesicular appendage to the fallopian tube of PARAMESONEPHRIC duct in origin

A

Hydatids of Morgagni

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6
Q

Presence of normal ovary virtually excludes the diagnosis of torsion refardless of Doppler findings, True or False?

A

True

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7
Q

3rd most common gynecologic malignancy

A

Cervical cancer

  • most are dx only by papsmear
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8
Q

Most significant risk factor of cervical cancer?

A

HPV 16 and 18 infection

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9
Q

Most common gynecologic malignancy

A

Endometrial Carcinoma

-80% endometrioid type
-best prognosis

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10
Q

Single most important predictor of survival at 5-10 years in endometrial carcinoma

A

Depth of myometrial invasion

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11
Q

Most important prognostic factor of cervical carcinoma?

A

Size

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12
Q

Most aggressive uterine tumor

A

Uterine Sarcoma

-large, heterogeneous

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13
Q

Rapidly enlarging pelvic mass; enlarged uterus with heterogeneous mass containing necrosis and calcification

A

Leiomyosarcoma

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14
Q

2nd most common gyne malignancy

A

Ovarian Carcinoma

  • 70% epithelial
  • 15% germ cell
  • marker: CA125
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15
Q

Primary mode of spread of Ovarian Ca

A

Peritoneal seeding

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16
Q

Cystic mass with thin septations and echogenic fluid, filling the pelvis and extending into the abdomen. No solid component

A

Mucinous cystadenoma

17
Q

Cystic mass with solid components exhibiting color flow on doppler. Echogenic fluid. Fills the pelvis and extends to the abdomen. Rupture results in pseudomyxoma peritonei

A

Mucinous cystadenocarcinoma

18
Q

Characterised by loculated collections of fluid which accumulate along peritoneal surfaces, classically resulting in a scalloped appearance of coated abdominal organs andomental caking.

A

Pseudomyxoma peritonei

19
Q

Most common Germ Cell Tumor

A

Ovarian Teratoma

20
Q

Ovarian teratoma composed predominantly of 1 tissue element, commonly mature thyroid tissue

A

Monodermal teratoma (Struma Ovarii)

21
Q

Most common Ovarian Teratoma; most common ovarian mass in children and is usually asymptomatic

US: “Tip of the Iceberg” appearance

A

Mature cystic teratoma

22
Q

Raised protruberance projecting in the cyst cavity of a mature cystic teratoma

A

Rokitansky Nodule
A.k.a Dermoid Plug

23
Q

Ovarian stromal tumor associated with ascites and pleural effusion (Meig’s Syndrome)

A

Ovarian Fibroma

24
Q

Ovarian stromal tumor causing musculinization; 10% malignant

A

Sertoli-Leydig cell tumor

25
Q

Ovarian stromal tumor producing ESTROGEN

A

Thecoma

26
Q

Mucinous tumor metastatic to ovary coming from mucinous gastric carcinoma

A

Krukenberg Tumor

27
Q

Most common location of fallopian tube carcinoma

A

Ampulla

28
Q

Most common vaginal malignancy arising from the posterior wall of the upper third of the vagina

A

Squamous cell carcinoma of the vagina

29
Q

Most common metastasis to breast

A

Melanoma

30
Q

Most common metastasis to ovary

A

Colon Ca

OB GYNE (5 decks)

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