13.2 Vagina Flashcards

1
Q

what epithelium is the vagina lined by

A

nono-keratinized squamous

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2
Q

Define Adenosis

A

focal persistence of columnar epithelium in the upper vagina

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3
Q

what is lower 1/3rd of vagina derived from

A

Urogenital Sinus

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4
Q

What is yupper 2/3rds of vagina derived from

A

Mullerian ducts

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5
Q

As fetus what is lower and upper vagina lined by respectively?

A

upper = columnar

lower- stratified squamous epithelium

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6
Q

What causes Adenosis

A

mothers exposed to DES (diethylstibestrol) in utero

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7
Q

What does Adenosis progress to sometimes?

A

Clear cell adenocarcinoma

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8
Q

define Adenocarcinoma

A

malignant proliferation of glands with clear cytoplasm

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9
Q

what is adenocarcinoma a complication of?

A

DES-asociated vaginal adenosis

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10
Q

what are the other complications of DES usage (2)

A

smooth muscle abnormalities–> uterine abnormalities–> ectopic pregnancies
Mother has increased risk for Breast Carcinoma

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11
Q

define Embryonal Rhbdomyosarcoma

A

malignant mesenchymal proliferation of immature skeletal muscle

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12
Q

How does Embryonal Rhbdomyosarcoma present

A

grape-like mass proteuding from vagina or penis

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13
Q

What population MC has Embryonal Rhbdomyosarcoma

A

<5 yo girls

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14
Q

what is the chc cell of Embryonal Rhbdomyosarcoma

A

Rhabdomyoblast

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15
Q

What does a Rhabdomyoblast exhibit in cytoplasm?

A

cross-striations

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16
Q

What 2 substances will a Rhabdomyoblast stain positive for?

A

desmin, myogenin

17
Q

what is desmin

A

intermediate filament in muscle cells

18
Q

what is myogenin

A

nuclear TF present in immature Skeletal muscle

19
Q

What does vaginal carcinoma arise from

A

squamous epithelium of vagina

20
Q

what is vaginal carcinoma related to

A

high risk HPV (16, 18, 31, 33)

21
Q

What is the precursor lesion to vaginal carcinoma

A

Vaginal intraepithelial neoplasia (VAIN)

22
Q

cancers from the lower 1/3 of the vagina drain to which LNs?

A

inguinal LNs

23
Q

cancers from the Upper 2/3 of the vagina drain to which LNs?

A

regional iliac LNs