Repro Flashcards
teratogenic period
weeks 3-8
conyloma association
HPV 6&11
koilocytic change
HPV
HPV 16, 18 lesions
dysplasia-intraepithelial neoplasia, progress to carcinoma
thin white vulvar skin vs thick white
lichen sclerosis, lichen simplex chronicus (rule out carcinoma)
paget’s disease vs. melanoma labs
paget=PAS+ keratin+ S100-, melanoma opposite
female reproductive tract derivation
mullarian duct(paramesonephric)
vaginal adenosis association
DES in pregnancy(persistent columnar epithelium) then possible clear cell adenoma
grape-like mass
rhabdomyosarcoma(desmin&myogenin+)
vaginal cancer spread
lower 1/3=inguinal, upper 2/3=iliac
HPV virus type& high risk protein targets
DNA, e6=p53, e7=Rb
complication of cervical cancer
bladder invasion
asherman syndrome lesion
post procedural uterine adhesions(loss of basalis)
endometrial polyp cause
tamoxifen
unopposed estrogen causes
endometrial hyperplasia(possibly endometroid carcinoma)
sporadic endometrial cancer lesion
p53, serous papillae on atrophic endometrium
psammoma body causes
papillary cancer thyroid, papillary sporadic endometrial, meningioma, mesothelioma
leiomyoma vs leiomyosarcoma
multiple white whorled vs. one hemorrhaging
endometriosis common lesions
ovary chocolate cysts, uterus/pouch of douglas/fallopian, soft tissue gunpowder lesions
theca cell function
LH causes androgen production
granulosa cell function
FSH converts androgen to estrogen(egg maturation)
corpus luteum function
secrete progesterone
polycystic ovarian syndrome
increased LH(LH:FSH>2) associated to T2DM(fat)
BRCA1 reproductive tumors
serous carcinoma of ovary/fallopian tubes
brenner tumor characteristic
urothelium cells
most common germ cell tumor in females
cystic teratoma
most common malignant germ cell tumor
dysgerminoma(looks like egg, high LDH)
endodermal sinus tumor pathology
schiller-duvall bodies, high AFP, mimics yolk sac(most common in kids)