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Applied Anatomic Pathology > GYN > Flashcards

GYN Flashcards

1
Q

which HPV strain causes the most amount of cervical cancer cases

A

HPV-16

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2
Q

what is the CPT code for a cervical biopsy or ECC

A

88305

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3
Q

define ASCUS

A

atypical cells of undetermined significance

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4
Q

define AGUS

A

atypical glandular cells of underdetermined significance

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5
Q

when would you use LGISL and HGSIL language

A

describing results of a Pap smear (cytology)

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6
Q

define LEEP

A

loop electrosurgical excision procedure

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7
Q

what is a LEEP

A

removal of a cone of tissue from the cervix that is a same day procedure

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8
Q

what is a cold knife cone

A

removal of a cone of tissue from the cervix that is performed in a hospital under anesthesia

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9
Q

what is the CPT code for a LEEP and top-hat LEEP

A

88307

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10
Q

what is a top-hat LEEP

A

second excision of the cervix following a LEEP

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11
Q

what is considered stage 0 cervical cancer

A

carcinoma in-situ

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12
Q

what is considered stage 1 cervical cancer

A

confined to cervix

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13
Q

what is considered stage 2 cervical cancer

A

disease beyond cervix but not into pelvic wall or lower third of vagina

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14
Q

what is considered stage 3 cervical cancer

A

diseases to pelvic wall or lower 1/3rd of vagina

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15
Q

what is considered stage 4 cervical cancer

A

invades bladder, rectum, or has metastasized

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16
Q

which two stains can be useful for confirming cervical intraepithelial lesions

A

Ki-67 and p16

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17
Q

what is the CPT code for fallopian tubes for sterilization

A

88302

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18
Q

what is the CPT code for fallopian tubes for ectopic pregnancy

A

88305

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19
Q

what is an impertinent negative in a fallopian tube specimen for ectopic pregnancy

A

chorionic villi

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20
Q

what is the CPT code for a hydrosalpinx/hemosalpinx

A

88305

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21
Q

what is a hydrosalpinx

A

fluid in the fallopian tube due to obstruction
causes: surgery, infections, adhesions, and torsion

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22
Q

what does a radical hysterectomy include

A

uterus
adenexa
parametria
vaginal cuff

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23
Q

what does a total hysterectomy include

A

ovaries (possibly)
tubes (possibly)
uterus

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24
Q

what does a subtotal hysterectomy include

A

only a certain part of the uterus
ex. supra cervically amputated uterus

25
Q

what is a morcelated hysterectomy

A

removal of all or part of the uterus laparoscopically

26
Q

what is a myomectomy

A

removal of leiomyoma from the uterus

27
Q

what is the difference between a didelphys uterus and a bicornuate uterus

A

didelphys: two cervices
bicornuate: one cervix

28
Q

how do you gross a morcelated uterus

A

weigh
measure in aggregate
endometrial (shiny) and myometrial thickness

29
Q

where are you most likely to find serosal endometriosis

A

corneal regions and posterior cul-delsac

30
Q

define nullipara

A

never birthed a child

31
Q

what is the difference in the appearance of a cervix in a nullipara vs primipara woman

A

nullipara: circular
primipara: slit like

32
Q

how can the endocervical canal be commonly described

A

herringbone-patterned

33
Q

what is a nabothian cyst

A

cyst on the cervix or in the endocervical canal - note and submit one section

34
Q

what is an important measurement for an endometrial cavity

A

cornu to cornu

35
Q

what two descriptors can be used for a thickened (>3cm) endometrium

A

heaped up or lush

36
Q

what is a pertinent negative for a uterus

A

with or without adenexa (tubes and ovaries)

37
Q

what is important about grossing uterine polyps

A

you should submit them all in their entirety

38
Q

what is important to note about an IUD within a specimen

A

is it free or embedded within the cavity

39
Q

how can you identify a Mirena IUD

A

3.2 cm
white
used postpartum

40
Q

how can you identify a jaydess/kyleena/skyla IUD

A

2.8 cm
pink/white with blue strings

41
Q

what is a common appearance of adenomyosis

A

trabeculation

42
Q

what does it mean if you see a puckering defect in an endometrial cavity

A

likely from a C-section

43
Q

how much of an atypical endometrial hyperplasia specimen should you submit

A

all of it

44
Q

what is important about grossing endometrial carcinoma/sarcomas

A

need to submit full thickness sections
note how deep (< or > 50%) the invasion is into the myometrium

45
Q

what is important about grossing adenosarcomas of the endometrium

A

staged based on tumor size (5 cm) and infiltration

46
Q

how would you gross a malignant cervical case

A

amputate cervix and gross like a leep in gross description)
gross the uterus as you normally would

47
Q

what is cervical malignancy staging based on

A

parametrial invasion

48
Q

what is an endometrioma

A

chocolate cyst caused by endometriosis

49
Q

in which GYN condition would you see thyroid tissue

A

stuma ovarri

50
Q

what is Rokitansky’s protuberance

A

nipple-like structure covered with hair in an ovarian teratoma

important to submit as it has the highest possibility to undergo malignant change

51
Q

what is the rule for submitting serous ovarian neoplasms

A

1-2 sections per cm

52
Q

what can a blunted fallopian tube indicate

A

pelvic inflammatory disorder

53
Q

what is SEE-FIM and what is its importance

A

sectioning and extensively examination the fimbriated end

a specific way of grossing a fallopian tube for a prophylactic removal due to BRCA gene

54
Q

what is the important size for omentum staging

A

2 cm

55
Q

what is the most common malignancy of the vulva

A

squamous cell carcinoma

56
Q

what is the important size for staging vulva

A

2 cm

57
Q

what is the CPT code for uterine prolapse

A

88305

58
Q

what is the CPT code for the uterus for something other than prolapse or malignancy

A

88307

Applied Anatomic Pathology (17 decks)

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