gynae Flashcards
greenish nipple discharge
mammary ductal ectasia or fibrocystic disease
young female, highly mobile, smooth, non-tender, well-defined lump
fibroadenoma
first time breastfeeding mother, engorged, erythematous, tender breast after 1 week
mastitis caused by staph aureus
large mass in breast with frond-like architecture
phyllodes tumour
young female, tender lumpiness, firm and soft, pain varying with menstrual cycle
fibrocystic change of breast
most common cause of bloody nipple discharge
intraductal papilloma
strawberry cervix (punctate and papilliform)
trichomonas vaginalis
breast lump assessment
clinical exam + mammogram + core biopsy
breast carcinoma with best prognosis
ductal carcinoma IN SITU (not invasive)
diffuse infiltrative pattern with minimal desmoplasia
lobular carcinoma (invasive)
globular enlargement of uterus (like it really really looks like a globe fr)
no well-defined mass; punctated black hemorrhagic foci + trabeculated myometrium
histo: endometrial glands and stroma abnormally located in myometrium
adenomyosis
“chocolate cyst” or in pots when they remove the fluid: brownish to. blackened lining due to hemorrhage
histo: hemosiderin-laden macrophages
endometriotic cyst
chocolate is due to altered blood from reccurent bleeding
usually affects both ovaries although severity may differ
intramural, large rounded, well circumscribed nodule. no evidence of infiltration into surrounding myometrium, fleshy and somewhat whorled, no necrosis/haemorrhage
leiomyoma
pruritic crusted area of labia majora
intra-epidermal spread of atypical cells
extramammary paget disease
condyloma acuminatum
or presence of koilocytes
HPV (normally 6,11 the low risk ones)
most common type of cervical cancer is
scc (usually hpv 16, 18 the high risk ones)
do vaccines for hpv cover all serotypes?
no (esp not all the high risk ones) (the high risk ones cause scc) (low risk = condyloma acuminatum)
ectopic occurrence of endometrial tissue outside the uterus (which looks like red spots grossly)
endometriosis
how does CIN present?
asymptomatic
does endometriotic tissue respond to hormones like the normal endometrium?
yup so can use hormone therapy
heavy menstrual bleeding and dysmenorrhea are signs of?
adenomyosis
most common cervical cyst
nabothian cyst
[benign and do not require treatment]
[mucin filled histologically]
papillary serous carcinoma of ovary and papillary thyroid carcinoma have what? (histo)
psamomma bodies (concentric rings of calcification)
