Gynaecological Pathology

Question 1

Lynch syndrome second most likely cancer?

Answer 1

endometrial cancer

BRCA - breast, not ovary

Question 2

Sarcoma is?

Answer 2

Soft tissue/supporting tissue (non-epithelial)

Question 3

Types of vulval dermatoses?

Answer 3

Dermatitis

Lichen simplex, sclerosis planus

Question 4

Types of vulval cysts

Answer 4

Bartholdi, mutinous, ciliated

Question 5

Vulval malignancies

Answer 5

Squamous cell carcinoma
Melanoma
Extramammary Paget’s disease

Question 6

Extramammary Paget’s disease look like?

Answer 6

Abnormal glandular tissue

Question 7

Cervical conditions benign?

Answer 7

Polyp
Tumours
Cervicitis

Question 8

Hallmark of chronic endometritis?

Answer 8

Plasma cells?

Question 9

What is endometrial hyperplasia?

Answer 9

Hyperplasia without atypia (low progression rate)

Question 10

Risk factors for endometrial carcinoma?

Answer 10

Obesity
Exogenous estrogen
Smoking
Lynch

Question 11

Nasty endometrial carcinomas

Answer 11

Serous

Clear cell

Question 12

Most common endometrial cancer?

Answer 12

Endometrioid adenocarcinoma

Question 13

Fibroids are What term?

Answer 13

Leiyomyoma

Question 14

Adenomyosis is?

Answer 14

Non neoplastic

Endometrial glands and stroma within the myometrium

Question 15

Fallopian tube non neoplastic

Answer 15

Cysts
Ectopics
Endometriosis
PID

Question 16

Fallopian tube Tumours common?

Answer 16

Rare
Adenocarcinoma serous type
High grade serous carcinoma

Question 17

Non-neoplastic ovarian

Answer 17

Cysts
Endometriosis
Abcess
PCOS

Question 18

Germ cell tumours?

Answer 18

Teratomoa

Mature: (Dermoid cyst) all 3 germ lines. Lower risk of metastasis

Question 19

Peritoneum non neoplastic?

Answer 19

Endometriosis

Inflamm army

Question 20

Cause of endometriosis?

Answer 20

Possible retrograde menstruation, deposits

Question 21

3 things needed to Dx endometriosis pathologically?

Answer 21

Endometrial stroma
Glands
Evidence of hemorrhage