Cervical Disorders Flashcards
what is the name of the location where the inner lining meets the exterior surface of the cervix?
squamocolumnar junction (SCJ)
what kind of cells makes up the inner lining of the cervix
columnar cells
what kind of cells makes up the exterior surface of the cervix
squamous cells
what is the clinical significance of the SCJ?
it’s where cervical cancer occurs
what should you be thinking if the cervix is BRIGHT RED?
“ectropion” or “cervical ectopy” - the cervix basically everts
is ectropion/cervical ectopy a normal finding?
yes, happens with age
what is the “transformation zone,” and what structures is it made up of?
where neoplastic changes occur on the cervix
extends from “true” SCJ to “original” SCJ (like when there is ectropion)
which condition is pearl-like and 1-3mm on the ectocervix
nabothian cyst
are nabothian cysts malignant or benign
benign
which condition is common over 20y, is from the endocervix, bleeds easily, and is 2-300mm?
cervical polyp
are cervical polyps malignant or benign?
benign, but remove just to be sure
how do you remove a cervical polyp?
grasp with ring forceps and twist
which condition is characterized by purulent discharge +/- post-coital bleeding or urethritis?
acute cervicitis
is acute cervicitis malignant or benign?
well it depends on how you look at it… it’s an STD so it needs to be treated but it’s not gonna kill ya
which condition is characterized by leukorrhea, vulvar irritation, postcoital bleeding, and spotting, +/- dysmenorrhea, dyspareunia, low abd pain, low back pain, and urinary sx?
chronic cervicitis
is chronic cervicitis malignant or benign?
benign!
which condition is characterized by a narrowed endocervical canal?
cervical stenosis
is cervical stenosis malignant or benign?
benign
what causes cervical stenosis (4)?
congenital
low estrogen
neoplastic
post-surg
what may cervical stenosis lead to?
may cause obstructed menstrual flow and infertility
what is the most common type of cervical cancer, and what HPV strain causes it?
squamous cell - strain 16
what is the 2nd most common type of cervical cancer, and what HPV strain causes it?
adenocarcinoma - strain 18
true or false: the OLDER you get, the LESS likely you are to get cervical cancer.
TRUE! It takes about 20y to develop, so if you haven’t gotten by like 60 you probably won’t get it
at what age do we stop screening for cervical cancer?
age 65
