4 - Gynae - The Cervix and its disorders - Benign Conditions of the Cervix

Question 1

6 conditions?

Answer 1

cervical ectropion
acute cervicitis
chronic cervicitis
cervical polyps
nabothian follicles
congen malformations (uterus and cervix absent/duplicated)

Question 2

Cervical ectropion - aka ??

• when columnar epithelium of endocervix is ??
• due to what? which is normal in who?

Answer 2

erosion

visible as red area around os on surface of cervix

due to eversion - normal in young women, esp if preg, or taking pill

Question 3

Cervical ectropion - Sx? trt? but only after what? prone to?

Answer 3

normally aSx - can cause PCB, or discharge

trt - cryotherapy w/o anaesthetic, but only after smear and colposcopy exclude Ca - prone to infection

Question 4

acute cervicitis - often due to what? common or rare? what is occasionally found in severe prolapse? why?

Answer 4

STI
rare
ulceration and infection
cos cervix protrudes/held back by pessary

Question 5

Chronic cervicitis - chronic what or what? often of what? common cause of ? may give an ? trt? what depends on culture?

Answer 5

infection/inflam
often of ectropion
vaginal discharge
may give inflam smear
cryo used w/w/o ABx depending on culture

Question 6

Cervical polyps - benign tumours of what ? size? age group? Sx? trt of small ones? what are still Ix’d?

Answer 6

endocervical epithelium
mostly in women >40, rarely >1cm 
may be aSx or cause PCB, IMB
small ones avulsed w/o anesthetic and histo done
still must Ix bleeding abnormalities

Question 7

Nabothian follicles - when ? formed by metaplasia over ? cells - columnar ? trapped leading to what? appearance?
trt?

Answer 7

squamous epthelium formed by metaplasia over endocervical cells
columnar secretions trapped > retention cysts
white or opaque swellings on ectocervix
trt only if Sx (rare)