Pathology Of The Female Genital Tract Practical Class 1 Flashcards

1
Q

Histology of the Ectocervix

A

Non-keratinising stratified squamous epithelium

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2
Q

Describe the histology of the endometrium during the secretory phase

A

Presence of the corpus luteum

Early secretory phase- day 15/16 show subnuclear/vacuolation (i.e clear spaces in a row)

Late secretory phase- long, tortuous endometrial glands contain luminal secretions ready for implantation

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3
Q

What is the name of a malignant smooth muscle tumour?

A

Leiomyosarcoma

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4
Q

How can abruptio placenta present?

A

Anterpartum haemorrhage

APH

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5
Q

Describe the histology of cells infected by HPV?

A

cells show clear cytoplasm

called KOILOCYTOSIS

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6
Q

CIN 1

A

precancerous or dysplastic cells involve the lower third of the epithelium.

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7
Q

CIN 2

A

two third of epithelium involved by dysplastic epithelium

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8
Q

CIN 3

A

Dysplastic cells involve the full thickness of the epithelium→ carcinoma in situ

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9
Q

Possible symptoms of cervical cancer?

A
  • Post coital bleeding
  • foul smelling discharge
  • intermenstrual bleeding
  • weight loss when advanced
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10
Q

Histology of cervical cancer

A

95% of cervical cancers are squamous cell carcinoma

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11
Q

Histology of TZ

A

metaplastic squamous epithelium

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12
Q

How SCC of the cervix typically classified?

A

can be well, moderate or poorly differentiated and this depends on the amount of keratin produced

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13
Q

What does the presence of the corpus luetuem signify?

A

secretory phase of endometrium

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14
Q

What is the corpus lutuem?

A

The collapsed Graafian follicle following the ovulation of the secondary oocyte

lives for 14 days and then becomes corpus albacians which doesnt produce any hormones

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15
Q

Submucosal fibroid uterus

A

under the endometrium

(leiomyoma)

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16
Q

intramural fibroid uterus

A

within myometrium

leiomyoma

17
Q

subserosal fibroid uterus

A

under the peritoneum

leiomyoma

18
Q

Clinical Presentation of Leiomyomas

A
  • Can be asymptomatic
  • Abnormal uterine bleeding
  • Pain which may include dysmenorrhoea
  • Bladder symptoms due to pressure effect
  • Impaired fertility, recurrent miscarriage
  • Fibroid in pregnancy: preterm labour, abnormal lie, obstructed labour, pain if infarcted due to increased vascularity
19
Q

Grading of tumours

A

well
moderate or
poorly differentiated

20
Q

Staging in cancer

A

TNM staging
(T=tumour, N=lymph node spread, M=metastases)
FIGO staging