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Flashcards in Male Genital Tract Deck (57)
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1

most common cause of infectious urethritis

N. gonorrhoeae

2

most common common cause of non-infectious urethritis

chlamydia trachomatis, ureaplasma urealyticum

3

most common cause of non-infectious urethritis

reactive arthritis (Reiter syndrome)

4

[diagnosis]

inflamed granulation tissue covered with friable mucosa

may ulcerate and bleed

urethral caruncle

5

[diagnosis: penis]

abnormal opening on the ventral shaft of the penis

hypospadia

6

[[diagnosis]

abnormal opening on the dorsal shaft of the penis

epispadia

7

[diagnosis]

foreskin orifice too small to permit normal retraction; favors infection and CA

phimosis

8

[diagnosis]

infection of glans and prepuce

balanoposthitis

9

[diagnosis]

single, multiple, sessile, pedunculated, red papillary excrescences, noted koilocytosis, papillomatosis, acanthosis with irderly maturation and no atypia rarely progresses to cancer

condyloma acuminatum

HPV 6 and 11

10

[diagnosis]

associated with HPV 16, solitary, thickened, fgray-white, opaque plaque

shiny, red velvety plaque

Histo: dysplastic with large hyperchromatic nuclei, lack of orderly maturation, Basement membrane is intact

10% risk of penile SCCA

bowen disease

11

erythroplasia of queyrat is see in ____

bowen disease

12

[diagnosis]

associated with HPV 16, multiple, reddish-brown papules

Histo: dysplastic with large hyperchromatic nuclei, lack of orderly maturation, Basement membrane is intact

no risk of penile SCCA

bowenoid papulosis

13

most common site of location of testis in cryptochordhism

inguinal canal

14

most common phase of arrest in cryptochordism

inguinoscrotal

15

what month of gestation in which the testis descends the abdomen at the inguinoscrotal level

4th to 7th month AOG

16

gonorrhea and TB first affects this part of the male genital tract

epididymis

17

syphilis first affects this part of the male genital tract

testis

18

this part of the male genital tract is spared in syphilis infection

epididymis

19

tender mass with or without fever, painless mass (mimics testicular tumor), non-caseating granulomas in spermatic tubules

granulomatous orchitis

20

____ (tuberculous/non-tuberculous) diffuse caseating granulomas in testis confined to seminiferous tubules

tuberculous

21

[diagnosis]

post-pubertal males, unilateral, occurs a week after parotitis,

mumps orchitis

22

[diagnosis]

characteristics of mumps orchitis are not associated with infertility

unilateral, interstitial involvement, patchy and haphazard involvement

23

golden period in testicular torsion

6 hours

24

___ deformity associated with increased mobility of testis

bell-clapper deformity

25

most common cause of painless testicular enlargement

testicular tumor

26

most common type of testicular tumor

germ cell tumor

27

most common method of metastasis of testicular tumor is via lymphatic spread via the ____ nodes

retroperitoneal para-aortic nodes

28

peak age of seminoma

3rd decade

29

[diagnosis: testis]

large, polyhedral, with clear cytoplasm, central nuclei with one or two prominent nucleoli; moderate lymphatic infiltrate

CD117 (c-kit), PLAP (+), AFP (-)
(+) HCG

seminoma

30

other term for yolk sac tumor

endodermal sinus tumor
infantile embryonal carcinoma

31

[diagnosis]

patient 20-30 years old, extend through tunica albuginea and epididymis

gross: smaller than seminomas, poorly demarcated mass, punctuated with foci of hemorrhages

cytology: large, anaplastic cells with indistinct borders, tumor giant cells and frequent mitosis

CD30 (+) CD117 ckit (-)

embryonal carcinoma

32

[diagnosis]

patient is <3 years old

gross: encapsulated, solid; homogenous, yellow-white, mucinous/gelatinous cut surface

cytology: lace-like, reticular network; medium-sized cuboidal or flattened cells

(+) AFP (highly charactestics)

yolk sac tumor

33

[diagnosis]

schiller-Duval bodies/glomeruloid (50%), hyaline-like globules

(+) alpha 1 antitrypsin
(+) AFP

yolk sac tumor

34

[diagnosis]
normal sized testis, small palpable nodule

(+) HCG

cyto: atypical cytotrophoblasts and syncitiotrophoblast without villi

choriocarcinoma

35

[diagnosis]

complex tumor, more than 1 germ cell later

well-differentiated cells and organoid structures in a fibrous stroma

mature testicular teratoma

36

[diagnosis]

second most common testicular tumor in infants and children

teratoma

37

most common form of testicular neoplasm in men >60 years old

testicular lymphoma

38

[diagnosis]

patient 20 years old, testicular swelling, gynecomastia, sexual precocity

cyto: well-differentiated polygonal cells with abundant granular cytoplasm

leydig cell tumor

produce androgen or estrogen

39

[diagnosis]

crystalloids of reinke

leydig cell tumor

40

[diagnosis]

patient 40 years old, testicular swelling, hormonally silent

cyto: trabeculae, cords resemble semineferous tubules

sertoli cel tumor

41

most common site of prostatic epithelial neoplasia and cancer

peripheral zone

42

most common site of nodular prostatic hyperplasia

transitional zone (inner periurethral)

43

most common cancer in males

prostate cancer

44

[diagnosis]

65 year old male with urinary obstruction, prostate is fibromuscular and glandular lcoated in the transitional zone

nodular prostatic hyperplasia

45

[diagnosis]

fever, chills, dysuria, tender, boggy prostate

prostatic secretion: >15/HPF without pyuria

(+) cultrue

acute bacterial prostatitis

46

[diagnosis]

fever, chills, dysuria, tender, boggy prostate

(+) E. coli on culture

prostatic secretion: >15/HPF without pyuria

chronic bacterial prostatitis

47

most common cause of chronic abacterial prostatitis

C. trachomatis
M. hominis
Trachomonas
U. urealyticum

48

[diagnosis]

(-) history of recurrent UTI
painful ejaculation
fever, chills, dysuria, tender, boggy prostate

prostatic secretion: >10/HPF
negative culture

chronic abacterial prostatitis

49

[diagnosis]

dysuria, increased urinary frequency, complete urinary retention, hematuria, back or hip pain

PSA is not so elevated

prostatic adeno CA

50

most common site of bone metastasis of prostatic CA

lumbar

51

predominant lesion of bone metastasis from prostatic CA

blastic lesion

52

PSA is synthesized by what cell of the prostate gland

epithelial cell

53

normal PSA value range is ____

0-4 ng/mL

54

If free PSA is high, what is the diagnosis

BPH

55

if complex PSA is high, what is the diagnosis

CA

56

in gleason scoring, positive for this status is associated with a fatals outcome regardless of T

nodal status

57

in gleason scoring, the best prognostic factors includes

grade and stage