9 Flashcards
vulvar lesions and their appearances
lichen sclerosis- crumped tissue paper
condyloma verrucous- cauliflower
melanoma- pigmented
paget’s: erythematous with lacy white mottling
squamous cell carc- 90%, elevated, firm, ulcerated, erythematous
risk factors for vulvar squamous cell cars.
older- 65 HPV smoker immunosuppressed long standing lichen sclerosis
treatment for VIN III
superficial excision
treatment for VIN II
laser ablation
treatment for warts
trichloroacetic acid
if 21 year old gets ASCUS on pap and HPV neg, whats next step?
repeat pap in 3 years
if she has ASCUS and HPV pos. , whats next step?
colpo and repeat pap in 1 year
white plaque on cervix
leukoplakia!
biopsy or colpo regardless of pap
next step in positive endocervical curettage for high grade lesion in cervix
cervical colonization
punctuations, mosaicism, and atypical vessels
new vascular abnormalities during cervical dysplasia
punctuations: new vessels on end
mosaicism: new vessels on their sides
atypical vessels : greater degree of angiogenesis, more concerning
ectropion
area of columnar epithelium that has not yet undergone squamous metaplasia
reddish tissue of tissue surrounding external os
should you follow fibroids during pregnancy if they aren’t in scary locations and have no symptoms?
no
indications for cesarean if fibroids found in which locations
below fetus
lower uterine segment
cervix
(because the cause of a soft tissue dystocia)
which locations of fibroids would cause miscarriages?
submucosal or intracavitary
treatment of fibroids for post menopausal women
sample endometrial cavity for cancer
reassurance and observation if no iron def. anemia
hysterectomy if done with child bearing
treatment of fibroids for pre menopausal women
sample endometrial cavity for cancer
reassurance and observation if no iron def. anemia
GnRH analogues (for 3-6 mo)
myomectomy
what happens when you cease GnRH agonists?
fibroid returns to pre-treatment growth rate in 3-4 months
menses returns in 4-10 weeks
indication for finding pelvic mass in pre menopausal woman with minimal symptoms
pelvic/transvaginal US
risk factors for endometrial carc
**complex atypical hyperplasia
**obesity
post menopausal state
HRT
nulliparous
what percent of women with endometrial carcinoma present with symptoms
80-90% present with vaginal bleeding and discharge
if endometrial carcinoma confirmed by biopsy, what is next step?
TH BSO
risk factors for ovarian cancer
nulliparity
family history
early menarche, late menopause
white, N. america and europe
by what percent does taking OCPs for 5 years reduce your chance of ovarian cancer?
by 50%
functional ovarian cysts
result of normal ovulation
unilocular simple cyst
whats main source of vag lubrication for sex
transudate of vaginal mucosa
