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Pelvic Pathology > Lesson 4 (Part 2) > Flashcards

Lesson 4 (Part 2) Flashcards

1
Q

What are 5 uterine abnormalities?

A
  1. Leiomyoma
    - fibroids
  2. Lipomatous Uterine tumors
  3. Leiomyosarcoma
  4. Adenomyosis
  5. Arteriovenous Malformations
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2
Q

Leiomyoma

A

Benign solid tumour of the uterus

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3
Q

What is a fibroid composed of? (2)

A
  1. Smooth muscle cells

2. Fibrous connective tissue

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4
Q

What is another name for a fibroid?

A

Leiomyoma

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5
Q

What is the most common neoplasm of the uterus?

A

Fibroid

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6
Q

How common are leiomyomas? (2)

A
  1. 20-30% of women who are >30 years of age

2. Black women

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7
Q

Are fibroids usually single or multiple?

A

Multiple

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8
Q

What is the most common cause of enlargement of a nonpregnant uterus?

A

Fibroids

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9
Q

What are fibroids dependent on?

A

Estrogen

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10
Q

What happens to estrogen during menopause?

A

It decreases

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11
Q

What are symptoms of leiomyomas? (2)

A
  1. Pain
    - compression on other structures
  2. Uterine bleeding
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12
Q

Lipo

A

Fat

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13
Q

What is considered the bad type of cancer?

A

Sarcoma

- should be scared

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14
Q

What are classifications of a fibroid? (3)

A
  1. Intramural
  2. Submucosal
  3. Subserosal
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15
Q

What is the most common classification of a leiomyoma?

A

Intramural

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16
Q

Where is intramural confined to?

A

The myometrium

- completely surrounded

17
Q

What does submucosal project into?

A

The uterine cavity

18
Q

What does submucosal do?

A

It disrupts or displaces the endometrium

19
Q

What does submucosal produce?

A

Symptoms frequently associated with infertility

20
Q

Where does subserosal project?

A

Outward from the myometrium

21
Q

What does the subserosal do?

A

Distorts the outer contour of the uterus

22
Q

Intra

23
Q

Mural

24
Q

Pedunculate

A

Little attachment

25
Q

What is the term peduculated assocated with?

A

Subserosal classification

26
Q

What are some pitfalls of pedunculated subserosal fibroids? (2)

A
  1. Seen or confused with an adnexal mass
    - there should be nothing in the adnexa
  2. Can project between leaves of the broad ligament
    - called intraligamentous
27
Q

What is cervical fibroids strickly classified based on?

A

Cervix location

28
Q

What % of all fibroids are located in the cervix?

29
Q

What can a fibroid on the cervix propose a problem for?

A

Pregnancy

- it can grow and get bigger and block the exit way for the baby

30
Q

What is a way to resolve a fibroid on the cervix?

A

Planned C section

- if its higher up it does not pose a threat

31
Q

What is the sonographic appearance of a fibroid? (2)

A
  1. Most common hypoechoic with heterogeneous echotexture with areas of attenuation
  2. Frequently distort the external contour of the uterus
32
Q

What can submucosal fibroid cause?

Pelvic Pathology (21 decks)

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