Abnormal Pelvis Pt. 1

Question 1

What do we see with cervical carcinoma?

Answer 1

hypoechoic or heterogenous retrovesical masses w/ an endometrial fluid collection.

Question 2

Where are Nabothian cysts located?

Answer 2

cervix

Question 3

3. Nabothian cysts can be solitary or multiple anechoic structures

Answer 3

2cm

Question 4

What is the most common pelvic tumor?

Answer 4

fibroids (myomas/leiomyomas)

Question 5

What is the most common type of leiomyoma?

Answer 5

myometrial/intramural

Question 6

Which leiomyoma locations most likely cause bleeding?

Answer 6

submucosal + intramural

Question 7

What is adenomyomatosis?

Answer 7

when glands and stroma from the basal layer of endometrium penetrate into the myometrium

Question 8

What is the most common gynecological cancer?

Answer 8

endometrial adenocarcinoma

Question 9

What’s the most common clinical presentation of endometrial adenocarcinoma?

Answer 9

PMB

Question 10

What are the risk factors for endometrial adenocarcinoma? (8)

Answer 10

unopposed estrogen stimulation
obesity, nulliparity, diabetes, hypertension
Tamoxifan
chronic anovulation
atypical endometrial hyperplasia

Question 11

The endometrium measures _____ in postmenopausal women with endometrial carcinoma.

Answer 11

> 4mm

Question 12

Can we tell between endometrial carcinoma and hyperplasia, if so, how?

Answer 12

no–bx is needed

Question 13

Polyps are what echogenicity?

Answer 13

isoechoic

Question 14

What do we want to see when we are looking at a polyp?

Answer 14

color stalk

Question 15

Tamoxifen is a drug administered to women with ovarian cancer to block the effects of estrogen on ovarian tissue. True or false

Answer 15

false–given to women with breast cancer to block effects on breast tissue

Question 16

Which of the following does NOT occur as a result of tamoxifen therapy: 
carcinoma
hyperplasia
fibroids
polyps

Answer 16

fibroids (tamoxifen effects the endo…so not fibroids)

Question 17

If RPOC is suspected, what can be seen?

Answer 17

focal mass w/ vascularity (can be w/o vasc tho)

endo thickness >10mm

Question 18

Gartner duct cysts are located:

Answer 18

vagina

Question 19

Hydrosalpinx are usually uni or bilateral?

Answer 19

bilateral