Gyn Flashcards by Tenzin Dechen

the fourth most common cancer in women

cervical cancer

How well did you know this?

Not at all

Perfectly

this form of HPV is implicated in 60% of cervical cancers

HPV-16

How well did you know this?

Not at all

Perfectly

this form of HPV is implicated in 10% of cervical cancers

HPV-18

How well did you know this?

Not at all

Perfectly

if a pap smear is abnormal then this is performed

colposcopy

How well did you know this?

Not at all

Perfectly

cervical biopsy/ECC cpt code

88305

How well did you know this?

Not at all

Perfectly

a cervical biopsy is often accompanied by this

ECC

How well did you know this?

Not at all

Perfectly

ink the ___________ surface of the ectocervical mucosa

opposite

How well did you know this?

Not at all

Perfectly

filter these in either paper or mesh bags

ECC

How well did you know this?

Not at all

Perfectly

How well did you know this?

Not at all

Perfectly

atypical squamous cells of undetermined significance

ASCUS

How well did you know this?

Not at all

Perfectly

atypical glandular cells of undetermined significance

AGUS

How well did you know this?

Not at all

Perfectly

refers to an abnormality in the glandular cells that produce mucus

AGUS

How well did you know this?

Not at all

Perfectly

describes any changes that are mildly abnormal such as infection or development of precancerous cells

ASCUS

How well did you know this?

Not at all

Perfectly

LEEP stands for

loop electrosurgical excision procedure

How well did you know this?

Not at all

Perfectly

leep or cone biopsy CPT code

88307

How well did you know this?

Not at all

Perfectly

this procedure is performed at a hospital under anesthesia

cold knife cone biopsy

How well did you know this?

Not at all

Perfectly

6 possible complications of a cone procedure

-hemorrhage
-infection
-cervical stenosis
-premature birth
-cervical scarring
-tissue damage

How well did you know this?

Not at all

Perfectly

this may make it more difficult to become pregnant naturally

cervical stenosis

How well did you know this?

Not at all

Perfectly

this may occur due to an incompetent cervix

premature birth

How well did you know this?

Not at all

Perfectly

this may cause pain during period, fertility problems, and delivery problems

cervical scarring

How well did you know this?

Not at all

Perfectly

tissue damage can occur to the _______ and ________ as a complication of the cone procedure

bladder, bowel

How well did you know this?

Not at all

Perfectly

you ink these two margins different colors in the cone biopsy

endocervical and ectocervical margin

How well did you know this?

Not at all

Perfectly

a second excision of the endocervical canal is made after the first pass of the wire loop

top hat LEEP

How well did you know this?

Not at all

Perfectly

most important thing to do for a cervical specimen is to maintain the

squamocolumnar junction/transformation zone

How well did you know this?

Not at all

Perfectly

these two stains are highly correlated with HPV infection and are useful for confirming the diagnosis of squamous intraepithelial lesions

Ki-67, p16

fallopian tube for tubal ligation CPT code

88302

you must demonstrate the evidence of this to rule out a vessel in tubal ligation

fallopian tube

device that is now being increasingly removed due to suspected adverse events

Essure

fallopian tube for ectopic pregnancy CPT code

88305

these four things can cause hydrosalpinx, hemosalpinx, hematosalpinx

-torsion -infection -adhesions -scarring due to previous tubal surgery

includes adnexa, parametria, vaginal cuff

radical hysterectomy

can include/not include ovaries/fallopian tubes

total hysterectomy

removal of part of the uterus

subtotal hysterectomy

removal of all or part of the uterus laparoscopically

morcellated hysterectomy

removal of fibroids without the uterus

myomectomy

you should ________ a morcellated uterus

weigh

may appear as a subtle granularity as part of areas of adhesions or within cystic foci filled with dark red or brown fluid

endometriosis

a parous cervix will be

patulous

the endocervical canal has this pattern

herringbone

these form from either squamous metaplasia/inflammation may block the cleft of a gland orifice while endocervical columnar cells will continue to secrete, forming a mucous retention cyst

Nabothian cysts

this part of the polyp is most likely to have atypia

tip

IUD cpt code

88300

adenomyosis occurs in up to ___% of uteri

white, whorled, homogenous appearance of these lesions

leiomyoma

it's important to document these two things for hysterectomy for accreta, increta, or percreta

-implantation site of retained placenta -depth of placental invasion into myometrium

endometrial hyperplasia appears

thickened and lush

for endometrial malignancy, this must be determined

depth of invasion

take a full thickness section of these parts of the endometrium

anterior and posterior

key staging for endometrial carcinoma

depth of invasion

key staging for endometrial adenosarcoma (2)

size of tumor (5cm) and infiltration

key staging for endometrial sarcoma

depth of invasion

this status is critical for cervical cancer staging

margin

the most important factor for staging cervical cancer

getting clean sections with ink

including these sections are also important in staging cervical cancer

parametrial sections

if these are not present, you should note that they are not included with the specimen in the gross description

ovaries and fallopian tubes (adnexa)

has the highest propensity to undergo malignant change in an ovarian teratoma

Rokitansky's protuberance

if a teratoma is received as a standalone specimen CPT code is

88307

ectodermal structures are in ___% of cystic teratomas

100

mesodermal structures are in ___% of cystic teratomas

endodermal structures are in ___% of cystic teratomas

makes up 40% of all cancers of the ovary

serous ovarian neoplasms

70% of serous ovarian neoplasms are

benign

30% of serous ovarian neoplasms are

malignant

these bodies are found in yolk sac tumors

Schiller-Duval bodies

95% of Brenner tumors are

benign

the histologic grading for endometrioid ovarian neoplasms is the same for

endometrial endometrioid adenocarcinoma

documentation of the percent of solid and cystic component must be included in the gross for this neoplasm

endometrioid ovarian neoplasms

adenocarcinoma with signet ring cells due to mets from the stomach, colon, appendix, and breast

Krukenberg tumor

take ___ sections of the ovary for benign cases

take ___ section of simple benign cysts

take __ section per cm for complex cysts with thickened/papillary excrescences

take __ section per cm of greatest dimension for mucinous cysts

for malignant ovary tumors, take ___ section per cm of tumor and include relationship to surface

take __ section of the residual ovary in a malignant case

neoplasms here usually occur due to direct extension from the ovary or uterus

fallopian tube

SEE-FIM stands for

sectioning and extensively examining the FIMbriated end

if theres a gross tumor in the omentum, document the largest size and __ cm is important for staging

pelvic and peri-aortic lymph nodes are typically evaluated for (2)

uterine/adnexal malignancies

most common malignancy of the vulva

squamous cell carcinoma

indicative of flat or papular lesions that are white, gray-brown

VIN (vulvar intraepithelial neoplasia)

these appear as exophytic irregular masses often with central ulceration

squamous cell carcinoma

important tumor size for staging the vulva

2 cm

key staging for vulva

tumor size and extension to adjacent structures

vulva partial/total resection CPT code

88309

non neoplastic ovary CPT code

88305

neoplasic ovary CPT code

88307

neoplastic uterus CPT code

88309

uterine prolapse CPT code

88305

Uterus other than neoplasm or prolapse

88307