Gyn

Question 1

Massive edema of ovary

Answer 1

from intermittent torsion

Question 2

Mature cystic teratomas can be associated with…

Answer 2

mucinous cystadenoma

Question 3

3 associations with mucinous neoplasms:

Answer 3

1. Malignant stromal nodule
2. Brenner tumor
3. Teratoma

Question 4

Mucinous tumor frozen dx…

Answer 4

Mucinous cystic neoplam (then can qualify if necessary- “at least borderline”)

Question 5

Endometrial bx with cherry red nucleoli

Answer 5

Think about pap serous

Question 6

Pap serous immunos

Answer 6

• p53 positive or completely dead neg in ~10% (this is still aberrant though b/c should see scattered positive)
• p16 is positive (completely different pathway from HPV driven tumors)

Question 7

Endometrial bx with small fragments of epithelium suggestive of pap serous

Answer 7

“Limited tissue with high grade features, see comment”

Comment: Cannot tell if invasive vs EIC

Question 8

If you see benign appearing mucinous tumor with small focus of complexity (borderline)

Answer 8

Mention it in a comment, however if <10% it does not matter (should quantify % in comment)

Question 9

Stain to help tell B9 from malignant endocervical glands

Answer 9

p16 (and Ki67 can also be helpful too)

Question 10

Clear cell carcinoma is…

Answer 10

• not always clear
• hobnailed
• ugly
• chemoresistant

Question 11

Endometrial CA risks

Answer 11

• obesity
• Lynch syndrome
• PCOS

Question 12

Tumor Depth Measurement for:

Vulva, Cervix, Endomx

Answer 12

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