Pathology Female Genital Tract 1 Flashcards

1
Q

Ovum is surrounded by?

A

Pink wall- zona pellucida

And follicular cells

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2
Q

Graafian follicle is surrounded by?

A

Stroma containing collagen

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3
Q

What corpus luteal degenerates it becomes?

A

Corpus albicantis if women not pregnant

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4
Q

Hormones produced by corpus luteum?

A

Progesterone

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5
Q

Hormones produced by corpus albicantis?

A

None

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6
Q

Why ovaries are removed in patients with breast cancer?

A

Remove source of oestrogen which promotes growth of breast cancer

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7
Q

Corpus luteum is yellow because of?

A

Lipids

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8
Q

Ovarian tumours arise from?

A

Surface epithelial cells or stroma

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9
Q

Cyst?

A

Closed hollow lesion lined by epithelium

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10
Q

Stromal tumours can do what?

A

Produce hormones such as oestrogen hence patient has post menopausal bleeding e.g granulosa cell tumour

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11
Q

How do teratomas arise embryologically?

A

From endoderm, mesoderm and ectoderm

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12
Q

Testicular teratomas are classified as?

A

Malignant and rarely contain hair

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13
Q

What is CA125?

A

Tumour marker for ovarian cancer but can be raised in other conditions

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14
Q

Why is it important to remove an ovarian cyst intact?

A

Otherwise leakage of cystic contents into the abdomen will seed the peritoneal cavity with cancer cells which can lead abdominal recurrence

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15
Q

What does borderline mean?

A

Mitotic activity
Nuclear stratification
No invasion of wall
Cytological atypical- variation in nuclear size and shape
Complex architecture with papillary structures ( long thin finger like structures)

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16
Q

Chocolate cysts arise from?

A

Endometriosis in ovary, presence of endometrial stroma and glands outside endometrial cavity

17
Q

How does endometriosis arise and what areas?

A
18
Q

What symptoms of cyst so large pressing on bladder?

A

Increased frequency of urination
Constipation/bloating
Shortness of breath
Gasto-oesophageal reflux/heartburn

19
Q

Why should you drain a cyst prior to surgery?

A

Reduce risk of cyst bursting

Draining fluid also reduces size and therefore smaller surgical incision