MISC gynae

Question 1

A 55 y.0. woman seeks your advice regarding exposure to DES. She used DES during both of her pregnancies. All of the following statements are true except:

A - her daughter has an increased risk of infertility
B - her daughter has an increased risk of developing clear cell CA of the vagina
C - her daughter has an increased risk of cervical dysplasia
D - her son has an increased risk of genital tract abnormalities
E - she has an increased risk of breast cancer

Answer 1

D - her son has an increased risk of genital tract abnormalities

1940-80s to reduce risk of pregnancy complications (e.g. miscarriage)
Interferes with reproductive and endocrine system

male offspring - increased risk of epipdidymal cysts, hypogonadism, undescended testes
- no cancer risk, no infertility risk

Question 2

Small cyst found in midline at the fourchette. Most likely to be?

A - Bartholin’s cyst
B - Epidermal inclusion cyst
C - Sebaceous cyst
D - Gartner’s duct cyst

Answer 2

B - Epidermal inclusion cyst

Gartner duct cyst - along the lateral wall of the uterus or ovary