13.2 Vagina Flashcards
what epithelium is the vagina lined by
nono-keratinized squamous
Define Adenosis
focal persistence of columnar epithelium in the upper vagina
what is lower 1/3rd of vagina derived from
Urogenital Sinus
What is yupper 2/3rds of vagina derived from
Mullerian ducts
As fetus what is lower and upper vagina lined by respectively?
upper = columnar
lower- stratified squamous epithelium
What causes Adenosis
mothers exposed to DES (diethylstibestrol) in utero
What does Adenosis progress to sometimes?
Clear cell adenocarcinoma
define Adenocarcinoma
malignant proliferation of glands with clear cytoplasm
what is adenocarcinoma a complication of?
DES-asociated vaginal adenosis
what are the other complications of DES usage (2)
smooth muscle abnormalities–> uterine abnormalities–> ectopic pregnancies
Mother has increased risk for Breast Carcinoma
define Embryonal Rhbdomyosarcoma
malignant mesenchymal proliferation of immature skeletal muscle
How does Embryonal Rhbdomyosarcoma present
grape-like mass proteuding from vagina or penis
What population MC has Embryonal Rhbdomyosarcoma
<5 yo girls
what is the chc cell of Embryonal Rhbdomyosarcoma
Rhabdomyoblast
What does a Rhabdomyoblast exhibit in cytoplasm?
cross-striations