Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Gyne > GYNE SE2 uterus lesions > Flashcards

GYNE SE2 uterus lesions Flashcards

(71 cards)

Start Studying
1
Q

MC benign lesion of uterus

A

leiomyoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

other names of leiomyoma

A

myoma, fibroids, fibromyoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

MC location of myomas

A

BODY of uterus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

5 types of myomas based on position in the uterus

A

intramural (MC), subserous, submucous – also, broad ligament and intracavitary

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

all myomas start as ______ type

A

intramural

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

knobby contour during PE

A

subserous myoma (kasi nakakapa mo siya dahil nasa serosa nga)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

called parasitic myoma if super laki na

A

subserous myoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

most troublesome, assoc with bleeding and distortion of uterine cavity

A

submucous myoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

seen as HUMPS and BUMPS in d and c

A

submucous myoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Ddx of broad ligament myoma

A

adnexal mass

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

current theory for myoma etiology

A

SOMATIC MUTATION of myocyte, with contributions from estrogen and progesterone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

gross appearance of myoma

A

gllistening pearl white, smooth muscle in whorled appearance, with PSEUDOcapsule

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

true or false – more fibrous tissue in histo slide == more atrophy and degeneration

A

TRUE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

fate of myomas depend on _____

A

BLOOD SUPPLY (less blood supply, more degeneration)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

three degrees of degeneration

A

hyaline, red/carneous/infarction, malignant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

mildest and MC degree of degeneration

A

hyaline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

most acute form of degeneration

A

red/carneous/infarction – CAUSES SEVERE PAIN

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

malignant degeneration into what type of CA?

A

leiomyoSARCOMA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

three main symptoms of myoma

A

pressure sx (urinary frequency, constip, hydroureter), pelvic pain (dysme), AUB (menorrhagi)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

classic sign of development of leiomyosarcoma

A

rapid growth of uterine myoma AFTER menopause (cos dapat liliit na siya pag menopause cos la na hormones)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

diagnosis for myoma

A

pelvic exam and ultrasound

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

diagnostic and therapeutic for SUBMUCOSAL myoma

A

hysteroscopy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

main indication for myomectomy

A

women who want to get pregnant pa

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

main indication for hysterectomy

A

kung cancer talaga, and kung complete na ang reproductive career

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
most common medical tx to reduce estrogen and progesterone circulating levels
GnRH agonist
26
advantages of medical tx before surgery
uterine fibroid shrinkage AND induction of amenorrhea
27
mgt for prolapsed myoma of the cervix
Hysteroscopic resection then Abx coverage
28
newest modality, ambulatory non surgical technique
transcatheter UTERINE ARTERY embolization
29
gross appearance of "intravenous leiomyomatosis"
SPAGHETTI tumor (cos smooth muscles invade the venous channels of pelvis and abd peritoneum)
30
benign dse with multiiple small nodules over the surface of pelvic and abd peritoneum
Leiomyomatosis Peritonealis Disseminata (as in disseminated yung leiomyoma sa peritoneum)
31
localized overgrowths of endometrial gland and stroma BEYOND the surface of endometrium
endometrial polyps
32
main symptom of endometrial polyps
wide range of ABNORMAL BLEEDING patterns
33
MC loction of polyps
FUNDUS of the uterus
34
appearance of immature endometrium of endometrial polyps
swiss cheese
35
rate of malignant transformation of polyps
0.50%
36
benign condition in which numerous small polyps are discovered throughout the endometrial cavity
POLYPOID hyperplasia
37
diagnostic criteria of endometrial polyps (MUST KNOW)
endometrial glands, endometrial stroma, central vascular channels
38
management of polyps
remove by hysteroscopy or curettage THEN biopsy (impt)
39
uterus is distended with blood and is secondary to gynatresia
hematometra
40
2 MC congenital causes of hematometra
imperforate hymen AND transverse vaginal septum
41
main ssx of hematometra
primary or secondary amenorrhea, AND cyclic lower abd pain
42
infection of accumulated blood
pyometra
43
how to diagnose hematometra
vaginal UTZ or pag dinilate mo cervix may dark brown black blood na lalabas
44
major determinant of pre-malignant potential of endometrial hyperplasia
degree of cytologic atypia
45
four classifications of endometrial hyperplasia
simple, complex, atypical simple, atypical complex
46
swiss cheese hyperplasia
simple hyperplasia
47
crowded glands with budding and infolding in decreased stroma
complex hyperplasia
48
hyperplasia type with greatest premalignant potential
atypical complex hyperplasia
49
main sx of endometrial hyperplasia
abnormal vaginal bleeding
50
diagnostic and therapeutic for simple and complex hyperplasia
D and C
51
tx for atypical complex hyperplasia BUT wants kids pa
continuous high dose progestin (megestrol acetate 40 mg tid-qid)
52
tx for atypical complex hyperplasia AND ayaw na ng kids / old na
hysterectomy
53
tx for atypical complex hyperplasia AND ayaw na ng kids BUT di kaya ng surgery
LONG TERM high dose progestine (megestrol acetate 40-160mg per day)
54
MC malignancy of the female genital tract
endometrial cancer
55
poorer prognosis, older postmenopausal women, with NO HISTORY of endometrial hyperplasia
estrogen INDEPENDENT (the opposite is true for estrogen dependent)
56
main ssx of endometrial cancer
postmenopausal bleeding AND abnormal premenopausal and perimenopausal bleeding
57
diagnostic procedure of choice for endo CA
fractional D and C (endocervix first then endometrium)
58
grading of endo CA is based on ________
percentage of SOLID COMPONENTS in the tumor (less than 6, 6-50, more than 50%)
59
endo CA with desmoplastic stroma
endometrioid CA
60
endo CA wherein cells have hobne (?) configuration arranged in papilla with hyalinized stalk
Clear cell CA
61
uterine papillary serous CA with high rate of extrauterine disease
Serous CA
62
diagnosed in the presence of progestational stimulation
secretory CA
63
endo CA with poor prognosis
papillary serous, clear cell, poorly differentiated tumors
64
LN mets of endo ca goes to
inguinal femoral nodes, paraaortic nodes, and pelvic nodes
65
three types of hysterectomy for endo ca
supracervical or subtotal, total, radical
66
two types of surgical techniques for hysterectomy
traditional/open AND minimally invasive
67
meaning of tahbso and blnd
total abdominal hysterectomy with bilateral salpingo-oophorectomy AND bilateral lymph node dissection
68
classification of uterine sarcomas is based on _____
presence of either homologous or heterologous tissue
69
MC uterine sarcoma
leiomyosarcoma (homologous type)
70
diagnosis of leiomyosarcoma
>5 mitosis per 10 HPO field with cytologic atypia (benign if 10)
71
most active single agent against leiomyosarcoma
doxorubicin

Gyne (3 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions