Chapter 43- Uterine Pathology Flashcards
What is cervical stenosis?
An acquired, narrowing of the cervix that creates an obstruction.
Who is most at risk for cervical stenosis?
Patients with history of cervical cancer and surgeries.
Explain the symptoms of cervical stenosis in menopausal and pre-menopausal patients.
Menopausal patients are often asymptomatic. Premenopausal experience abnormal bleeding, pelvic pain.
What is the most common congenital abnormality of the female genitals?
Imperforate hymen
What is an imperforate hymen?
A congenital pathology where there is not a hole in the hymen
What are symptoms of imperforate hymen?
Amenorrhea, pelvic pain, fluid in endometrium
What is a Gartner’s duct cyst? Where does it come from?
A congenital, vaginal mass from a remnant of the Wolffian duct
What are the symptoms of a Gartner’s duct cyst
Asymptomatic, but may be associated with renal anomalies.
What is a Nabothian cyst
Benign chronic inflammatory retention cysts located in the cervix.
What are the symptoms of Nabothian cysts?
Asymptomatic
How do Nabothian cysts appear sonographically?
Several small anecohic areas located in the cervix
What is the most common cervical cancer?
squamous cell carconoma
What is cervical carcinoma?
A malignant cervical tumor that affects women of menstrual age.
What are the symptoms of cervical carcinoma
Early lesions are asymptomatic, vaginal discharge, bleeding, obstruction
What is another name for fibroid?
A leiomyoma or myoma tumor
what is the most common gynecological tumor
leiomyoma/fibroids
Who is at risk for leiomyomas?
20-30% of women over the age of 30, especially african americans.
what is an estrogen-dependent, benign tumor
Fibroids
What are symptoms of leiomyoma
Enlarged uterus, excess bleeding, pelvic pain