19 - Female Genital System and the Breast Flashcards
Lesion of the female vulva characterized by thinning of the epidermis and disappearance of rete pegs, hydropic degeneration of basal cells, superficial hyperkeratosis, dermal fibrosis with scant perivascular, mononuclear inflammatory cell infiltrate. Occu
Lichen sclerosus (TOPNOTCH) Robbins Basic Pathology, 8th ed., p 713
This disorder of the vulva is marked by epithelial thickening, expansion of the stratum granulosum, significant surface hyperkeratosis and pronounced leukocytic infiltrate. Appears clinically as an area of leukoplakia.
Lichen simplex chronicus (TOPNOTCH) Robbins Basic Pathology, 8th ed., p 713
These are flat, moist, minimally elevated lesions that occur in secondary syphilis.
Condyloma lata (TOPNOTCH) Robbins Basic Pathology, 8th ed., p 713
Lesions of the anogenital area which may be papillary and distinctly elevated or may be somewhat flat and rugose. Characteristic cellular morphology is the presence of cytoplasmic vacuolization with nuclear angular polymorphism and koilocytosis. Hallmark
Condyloma acuminata (TOPNOTCH) Robbins Basic Pathology, 8th ed., p 713
Red, scaly plaque, microscopically characterized by the spread of malignant cells within the epithelium, occasionally with invasion of underlying dermis. May have underlying carcinoma of a vulvar or perineal gland.
Paget disease of the Vulva (TOPNOTCH) Robbins Basic Pathology, 8th ed., p 715
A soft polypoid mass, which is a rare form of primary vaginal cancer. Usually encountered in infants and children less than 5 y/o.
Sarcoma botryoides (embryonal rhabdomyosarcoma) (TOPNOTCH) Robbins Basic Pathology, 8th ed., p 716
Most commonly develops in the transformation zone of the cervix. Produces a “barrel cervix” if the tumor encircles the cervix and invades the underlying stroma.
Invasive carcinoma of the cervix (TOPNOTCH) Robbins Basic Pathology, 8th ed., p 719
Protruding polypoid masses which are inflammatory in origin, soft, yields to palpation, and have a smooth, glistening surface with underlying cystically dilated spaces filled with mucinous secretion.
Endocervical polyp (TOPNOTCH) Robbins Basic Pathology, 8th ed., p 721
Refers to the growth of the basal layer of the endometrium down to the myometrium. Nests of endometrial stroma, glands or both are found in the myometrium, in between muscle bundles.
Adenomyosis (TOPNOTCH) Robbins Basic Pathology, 8th ed., p 721
Characterized by the presence of endometrial glands and stroma in a location outside the endomyometrium. Undergoes cyclic bleeding. Also called “chocolate cysts”.
Endometriosis (TOPNOTCH) Robbins Basic Pathology, 8th ed., p 722
These are sharply circumscribed, firm, gray-white masses of the uterus, with “whorled” cut surface.
Leiomyoma (TOPNOTCH) Robbins Basic Pathology, 8th ed., p 721
Solitary tumors of the uterus which arise de novo from the mesenchymal cells of the myometrium. Characterized by the presence of tumor necrosis, cytologic atypia and mitotic activity.
Leiomyosarcomas (TOPNOTCH) Robbins Basic Pathology, 8th ed., p 725
Type of endometrial carcinoma associated with estrogen excess and endometrial hyperplasia.
Endometroid carcinoma (TOPNOTCH) Robbins Basic Pathology, 8th ed., p 727
Type of endometrial carcinoma which occurs in older women and is usually associated with endometrial atrophy.
Serous carcinoma (TOPNOTCH) Robbins Basic Pathology, 8th ed., p 727
Small, fluid-filled cysts which originate from the unruptured graafian follicles or in follicles that have ruptured and immediately sealed.
Follicle and luteal cysts (TOPNOTCH) Robbins Basic Pathology, 8th ed., p 728
Triad of oligomenorrhea, infertility and obesity in young women secondary to excessive production of estrogens and androgens.
Polycystic ovaries (TOPNOTCH) Robbins Basic Pathology, 8th ed., p 728
Other name for polycystic ovary syndrome?
Stein-Leventhal syndrome (TOPNOTCH) Robbins Basic Pathology, 8th ed., p 728
Two most important risk factors for development of ovarian cancer.
Nulliparity and family history (TOPNOTCH) Robbins Basic Pathology, 8th ed., p 729
Mutation of this gene is associated in the development of both ovarian and breast cancers.
BRCA 1 (TOPNOTCH) Robbins Basic Pathology, 8th ed., p 729
Mutation of this gene is associated with the development of breast cancer only,
BRCA 2 (TOPNOTCH) Robbins Basic Pathology, 8th ed., p 729
Benign lesion of the ovary most commonly seen in women 30-40 years old. Most frequent of the ovarian tumors. Serosal covering is smooth and glistening. Characterized histologically by tall, columnar epithelium and the presence of Psammoma bodies.
Serous tumor of the ovary (TOPNOTCH) Robbins Basic Pathology, 8th ed., p 730
Large, multilocular tumors of the ovaries, without psammoma bodies. Composed of mucin-producing epithelial cells.
Mucinous Tumors (TOPNOTCH) Robbins Basic Pathology, 8th ed., p 731
Metastasis of mucinous tumor of the gastrointestinal tract to the ovaries is called?
Krukenberg tumor (TOPNOTCH) Robbins Basic Pathology, 8th ed., p 731
A rare, solid, unilateral ovarian tumor consisting of an abundant stroma containing nests of transitional-like epithelium resembling that of the urinary tract.
Brenner Tumor (TOPNOTCH) Robbins Basic Pathology, 8th ed., p 732
Unilateral ovarian tumor composed of sheets or cords of large cleared cells separated by scant fibrous strands. Stroma may contain lymphocytes and occasional granuloma. Usually occur on the 2nd-3rd decade of life.
Dysgerminoma (TOPNOTCH) Robbins Basic Pathology, 8th ed., p 732
Unilateral ovarian tumor which occur during the 1st 3 decades of life. Characterized by small, hemorrhagic focus with syncitiothrophoblast and cytotrophoblast. Metastasize early.
Choriocarcinoma (TOPNOTCH) Robbins Basic Pathology, 8th ed., p 732
Sex cord tumor seen most commonly in postmenopausal women. Lesions may be tiny or large, gray to yellow (with cystic spaces). Produce large amounts of estrogen. (+) Call-Exner bodies
Granulosa-thecal cell tumor (TOPNOTCH) Robbins Basic Pathology, 8th ed., p 732
Sex cord tumor characterized by solid gray fibrous cells to yellow (lipid-laden) plump thecal cells. Most hormonally inactive.
Thecoma-fibroma tumor (TOPNOTCH) Robbins Basic Pathology, 8th ed., p 732
Sex cord tumor seen as small, gray to yellow-brown, and solid lesions. May resemble development of testis with tubules, or cords and plump pink Sertoli cells. May be masculinizing or defeminizing.
Sertoli-Leydig cell tumor (TOPNOTCH) Robbins Basic Pathology, 8th ed., p 732
On transection, filled with sebaceous secretion and matted hair, bone and cartilage, nests of bronchial or gastrointestinal epithelium, and other recognizable lines of development are also present.
Benign (Mature) Cystic Teratomas / Dermoid Cyst (TOPNOTCH) Robbins Basic Pathology, 8th ed., p 733
Microscopically, the distinguishing feature is a variety of immature or barely recognizable areas of differentiation toward cartilage, bone, muscle, nerve, and other structures. Found early in life.
Immature Malignant Teratomas (TOPNOTCH) Robbins Basic Pathology, 8th ed., p 733
Tumor of the ovary composed entirely of mature thyroid tissue. May hyperfunction and produce hyperthyroidism. Appear as small, solid, unilateral brown ovarian masses
Struma ovarii (TOPNOTCH) Robbins Basic Pathology, 8th ed., p 733
A voluminous mass of swollen, sometimes cystically dilated, chorionic villi, appearing grossly as grapelike structures.
Hydatidiform Mole (TOPNOTCH) Robbins Basic Pathology, 8th ed., p 735
This type of H. mole shows hydropic swelling of chorionic villi and virtual absence of vascularization of villi. No fetal parts seen.
Complete mole (TOPNOTCH) Robbins Basic Pathology, 8th ed., p 736
This type of H. mole shows villous edema that involves only some of the villi and the trophoblastic proliferation is focal and slight, with characteristic irregular scalloped margin. Fetal parts/embryo may be seen.
Partial mole (TOPNOTCH) Robbins Basic Pathology, 8th ed., p 736
These are complete moles that are more invasive locally but do not metastasize. Microscopically, the epithelium of the villi is marked by hyperplastic and atypical changes, with proliferation of both cuboidal and syncytial components.
Invasive Mole (TOPNOTCH) Robbins Basic Pathology, 8th ed., p 736
Appear as very hemorrhagic, necrotic masses within the uterus. The tumor is purely epithelial, composed of anaplastic cuboidal cytotrophoblast and syncytiotrophoblast, chorionic villi are not formed. High propensity for metastasis.
Choriocarcinoma (TOPNOTCH) Robbins Basic Pathology, 8th ed., p 737
A cystic dilation of an obstructed duct that arises during lactation.
Galactocele (TOPNOTCH) Robbins Basic Pathology, 8th ed., p 739
Multifocal, bilateral blue-brown cysts (“blue dome cysts”) of the breast, measuring 1-5 cm diameter, filled with serous turbid fluid. Occurs normally in the menstrual cycle.
Simple fibrocystic change of the breast (TOPNOTCH) Robbins Basic Pathology, 8th ed., p 739
Term used to describe hyperplasia that cytologically resemble lobular carcinoma in situ, but the cells do not fill or distend more than 50% of the acini within a lobule.
Atypical lobular hyperplasia (TOPNOTCH) Robbins Basic Pathology, 8th ed., p 739
The lumen of the ducts, ductules, or lobules of the breast is filled with a heterogeneous population of cells of different morphologies. Irregular slit-like fenestrations are prominent at the periphery.
Epithelial Hyperplasia (TOPNOTCH) Robbins Basic Pathology, 8th ed., p 739
These lesions are characterized by proliferation of lining epithelial cells and myoepithelial cells in small ducts and ductules, yielding masses of small gland patterns within a fibrous stroma. The acini are arranged in a swirling pattern, and the outer b
Sclerosing Adenosis (TOPNOTCH) Robbins Basic Pathology, 8th ed., p 741
A nonbacterial chronic inflammation of the breast associated with inspissation of breast secretions in the main excretory ducts.
Mammary duct ectasia (periductal or plasma cell mastitis) (TOPNOTCH) Robbins Basic Pathology, 8th ed., p 742
The lesion is small, often tender, rarely more than 2 cm in diameter, and sharply localized, with a central focus of necrotic fat cells surrounded by neutrophils and lipid-filled macrophages. Caused by some antecedent trauma to the breast.
Traumatic fat necrosis (TOPNOTCH) Robbins Basic Pathology, 8th ed., p 742
The most common benign neoplasm of the female breast.
Fibroadenoma (TOPNOTCH) Robbins Basic Pathology, 8th ed., p 742
A discrete, usually solitary, freely movable nodule, 1 to 10 cm in diameter, easily “shelled out” lesion of the breast. Histologically there is a loose fibroblastic stroma containing ductlike, spaces lined by a layer of epithelium that are regular and hav
Fibroadenoma (TOPNOTCH) Robbins Basic Pathology, 8th ed., p 742