Extras: Repro Path and Clinical Flashcards
vulvar vestibulitis
vestibular gland infection -> erythematous dots that are severely painful
what causes lichen simplex chronicus vs lichen sclerosis
- simplex chronicus: chronic itching/rubbing
2. lichen sclerosis: inflammatory disorder with T cells
lichen simplex chronicus histo vs lichen sclerosis
- simplex chronicus: thickened epidermis, hyperkeratosis, elongated rete ridges
- lichen sclerosis: thinning, edematous band with lymphocytes, loss of rete ridges
cause of VAIN
HPV 16, 18
mets of vaginal SCC from lowr vs upper vagina
- lower -> inguinal LNs
2. upper -> regional iliac LNs
gartner duct vs mullerian cyst origin
- gartner duct: mesonephros remnants
2. mullerian: paramesonephros
histo of acute vs chronic endometritis
- acute: neutrophils
2. chronic: plasma cells
what causes uterus didelphys**
failure of Mullerian ducts to fuse
how to Dx endometrial hyperplasia in a post-meno woman
Bx: endometrium >4mm
types of endometrial carcinoma in type 1 and 2
type 1: endometrioid
type 2: MMMT, serous
RFs for type 1 vs type 2 endometrial carcinoma
- type 1: unopposed E, obesity (younger age)
2. type 2: age, atrophy, black pts
which type of endometrial carcinoma has a better prognosis?
type I
what is JAZF1 gene mutation associated with?
Endometrial stromal sarcoma
mutation seen in most leiomyomas
MED12
four tx options for leiomyomas
- E + progesterone
- progesterone only
- GnRH agonists
- surgry