Vulva and Vagina (Moulton) Flashcards
(55 cards)
Pathogenesis of clitoral agenesis?
failure of the genital tubercle to form
Cloaca
no definite separation between the vagina and bladder
with ambiguous genitalia, what gender is the infant usually assigned at birth?
female
female pseudohermaphroditism
caused by masculinization in utero of the female fetus; usually caused by endogenous hormonal milieu
male pseudohermaphroditism
results from mosaicism and varying degrees of virulization and mullerian development (ie androgen insensitivity)
Androgen insensitivity
46 XY; x linked; deficiency in androgen receptors; testes are undescended
Labial agglutination
benign neoplastic condition of the vulva; treated by estrogen cream and massage
Fox-Fordyce disease
benign neoplastic condition of the vulva severe pruritic raised yellow retention cyst in the axilla and labia major and minor, resulting from keratin-plugged inflammation aprocrine glands
Inclusion cyst
benign neoplastic condition of the vulva; located beneath the epidermis and are mobile, nontender, spherical and slow growing; no treatment required
Vulvar varicosities
benign neoplastic condition of the vulva; can enlarge during pregnancy and become very painful; have characteristic blue color
Urethral caruncles
benign neoplastic condition of the vulva; small fleshy red outgrowth at the distal edge of the urethral; caused by prolapse of the urethral epithelium
Vulvar vesitbulitis
benign neoplastic condition of the vulva; infected minor vestibular glands; presents with SEVERE over the top pain (severe introital dyspareunia)
Sebaceous cyst
benign neoplastic condition of the vulva; caused by blockage of sebaceous gland; contain cheesy sebaceous material
Fibromas of the vulva
benign neoplastic condition of the vulva; most common solid tumor of the vulva; slow growing but can become gigantic (250 lbs)
What is most common solid tumor of the vulva?
Fibroma; slow growing but can become gigantic (250 lbs)
Lipoma
slow growing tumor comprised of adipose tissue
Hidradenoma
benign neoplastic condition of the vulva arising from sweat glands
Syringoma
benign tumor of the vulva arising from an eccrine gland
Neurofibroma
benign neoplastic condition of the vulva from Von Recklinghausen’s disease
Vulvar hematoma
located collection of blood that collect following trauma; bike injuries - straddle injury, birth trauma or sexual assault
Atrophic vaginitis
dermatologic condition of the vulva; due to loss of estrogen; atrophy of external genitalia; treat with topical estrogen
Lichen Simplex Chronic
AKA Squamous cell hyperplasia; dermatologic condition of the vulva; thickening of epithelium due to prolonged itch-scratch cycle; biopsy will show **rete ridges and hyperkeratosis of keratin layer
Lichen Sclerosis
dermatologic condition of the vulva; menopausal women; 10% of untreated will develop SCC of the vulva; intense pruritus, dyspareunia and burning pain; **NO rete ridges and inflammatory cells lining the BM; “onion skin, cigarette paper, parchment like”
Characteristic finding on examination for lichen sclerosis
“onion skin, cigarette paper, parchment like” appearance; biopsy NO rete ridges and inflammatory cells lining the BM
