B9 Conditions Of Uterus, Cervix, Etc - Moulton Flashcards
Which is more common: endo or ectocervical polyps?
Which is beefy red in color?
Pale?
Endo
Endo
Ecto
What fx ovarian cyst is reddish-brown nodule and spontaneously regress postpartum?
Luteoma of pregnancy
Definitive therapy for leiomyomas?
Hysterectomy
What is a small, smooth solid ovarian neoplasm, usually b9, w/large fibrotic component that resemble transitional cells of bladder?
Brenner tumor
Most common presenting sx of fibroids?
Prolonged or heavy bleeding
What is a normal variant in which columnar cells secrete mucus and a retention cyst is formed resulting from squamous metaplasia?
Nabothian cyst
Endometrial hyperplasia is a precursor to what?
Diagnose how?
Endometrial cancer
US reveals endometrial lining > 4 mm in post-menopausal female
What presents w/acute onset of u/l pain, nausea and vomiting?
Diagnose how?
Ovarian torsion
US then direct visualization
Most common congenital cervical anomalies?
Didelphys and septate cervix
Hydrosalpinx is what?
Previous infection of fallopian tubes
What % of endometrial polyps are cancerous?
2% pre-menopause
5% post
Pyosalpinx is what?
ACTIVE infection of fallopian tube
What tumor marker is useful in diagnosing epithelial type ovarian cancer in post-menopausal woman?
CA 125
Epithelial b9 ovarian tumors usually managed how?
Stromal cell tumors?
U/l salpingo-oophorectomy
SAME
Primary RF for ovarian torsion?
Tx if necrotic or malignant?
Ovarian mass > 5cm
Salpingo-oophorectomy
What is the most common b9 SOLID ovarian tumor?
Part of what syndrome?
Fibroma
Meigs
DES exposure causes what abnormality?
T shaped endometrial cavity
Cervical collar deformity
How to diagnose b9 ovarian tumor?
To remove it?
US or laparoscopy
Laparotomy
Upper vagina, cervix, uterus and fallopian tubes formed from what?
Paramesonephric (mullerian) ducts
What functional cyst is more likely to cause sx?
Caused by what?
Hemorrhagic cyst
Hemorrhage in CL cyst 2-3 days after ovulation
What is usually b/l and can become large (> 30cm) and may have high hCG levels?
Theca-lutein cyst
Serous ovarian tumors resemble what?
Mucinous?
Lining of fallopian tubes
Endocervical epithelium
What tumor is assoc. w/Rokintanksy’s protuberance?
Rupture can lead to what?
Cystic teratoma
Peritonitis
What is the single most common B9 ovarian neoplasm in pre-meno female?
Dermoid cyst (B9 cystic teratoma)
Top 3 locations for uterine fibroids?
Intramural - #1, myometrium
Subserosal - beneath uterine serosal surface
Submucosal - prolonged/heavy bleeding, beneath endometrium
Incomplete dissolution of the midline fusion of the paramesonephric ducts leads to what?
Septate uterus
Fx ovarian cyst can do what?
Management?
Become large and undergo torsion
Asx - OCP
Sx and pre-meno - r/o ectopic, torsion, tubo-ovarian abscess
What can endometrial polyps cause?
Menorrhagia, spontaneous or post menopausal bleeding
Tx for simple and complex hyperplasia w/out atypia?
W/atypia?
Progestin and resample in 3mo
Hysterectomy
Benign tumors derived from localized proliferation of smooth muscle cells of the myometrium are what?
When do they arise?
Leiomyomas (fibroids)
> 70% by 5th decade
What are spherical, well-circumscribed, white firm lesions w/whorled appearance?
What happens to these during pregnancy?
Fibroids
5-10% get painful degen caused by bleeding into the tumor
What location has increased incidence of infertility for fibroids?
Submucosal
Tx of leiomyomas (fibroids)?
Combo estrogen and progesterone
Progesterone only
GnRH agonists
Absence of uterus and most of vagina seen in what?
MRKH syndrome
