Benign conditions of the Uterus, Cervix, Ovary, and fallopian tubes Flashcards
What does Uterus didelphysis result from?
-failure of the paramesonephric duct to fuse
What syndrome is associated wtih mullerian agenesis?
- Meyer-Rokitansky-Kuster-Hauser syndrome
- complete lack of development of the paramesonephric system
What is that maternal exposure that can give girls a small t-shaped endometrial cavity?-=
-DES
What is the mos common neoplasm of the uterus?
- Leiomyomas
- or “fibroids”
are most leiomyomas symptomatic?
- no
- 80% are asymptomatic
Tx of LEiomyomas
- COC
- Progesterone only…. depo provera
- GnRH agonist: Depo lupron… usually used to alter route of surgery
How should all babies be delivered after a myomectomy?
-c section
Do endometrial polyps evade in office endometrial sampling?
- yes
- most are benign hyperplastic masses
What is a nabothian cervical cyst?
- when columnar cells continue to secrete mucus and a mucus retention cyst is formed
- pretty normal variant
What are the most common benign growths on the cervix?
-endocervical and ectocervical polyps
What is that really important thing we are supposed to know about endometrial hyperplasia?
-in U/S the endometrial lining > 4 cm in a postmenopausal female
How do we treat simple and complex hyperplasia without atypia?
-with progestin and resample in 3 months
tx of simple and complex hyperplasia WITH atypia?
-hysterectomy
which ovarian cyst is the one that is reddish brown nodules and SURGICAL RESECTION IS NOT INDICATED?
- Luteoma of pregnancy
- they usually spontaneously regress postpartum
What is the single most common benign ovarian neoplasm in a premenopausal female?
-Benign cystic teratoma
What is the most common GROUP of epithelial tumors of the ovary?
-epithelial
What do the cells of the mucinous ovarian tumors resemble?
-endocervical epithelium
what do the serous ovarian tumors resemble?
-fallopian tubes
What is the histologic finding for serous cystadenomas?
-psammoma bodies, more common in malignant ones
Most common epithelial ovarian tumor?
-serous cystadenoma
Which ovarian tumor is the one that gets really big?
- mucinous cystadenoma
- can lead to pseudomyxoma peritonei
Which tumor has transitional cells of the bladder?-
-Brenner tumor
Do granulosa-theca cells have high malignant potential?
-no
What is the most common benign SOLID ovarian tumor?
- fibroma
- does not secrete sex steroids
What is MEigs syndrome?
- ascites and right pleural effusion
- associated with ovarian fibroma
- flow of ascitic fluid through the transdiaphragmatic lymphatics into the right pleural cavity
If there is an ovarian neoplasm in a child, what is it most likely?
-germ cell tumor
What is the most common ovarian neoplasm found in women of all ages?
-cytstic teratoma
What do we worry about most with a cystic teratoma?
-rupture can lead to chemical peritonitis
What is the marker we use for benign ovarian tumors especially in post menopausal women?
-CA-125
IF there is a fibroma and there is Meigs syndrome with it, is it still benign?
-yes
hydrosalpinx?
-fluid filled tubes from PREVIOUS infection
pyosalpinx?
-purulent filled tube from ACTIVE infection
most common gynecologic emergency?
- ovarian torsion
- primary risk is ovarian mas >5 cm
