Reproductive Flashcards
Lens dislocation seen where? Positions?
Homocysteinuria - infero-nasal
Marfan’s - supero-temporal
Enzyme converting testosterone to DHT
5 £ reductase
Most common precursor of choriocarcinoma?
Characterisic appearance?
Hydatidiform Mole
‘cluster of grapes’ or ‘honeycomb uteus’
Most common gynecologic malignancy
Prognosis?
Cervical cancer (worldwide) Endometrial carcinoma (US) Peak @ 55-65
Worst prognosis: ovarian > cervical > endometrial
Most common of all tumors in females?
Progression to malignancy?
Characteristic appearance?
Leiomyoma (fibroid)
- Estrogen sensitive
- 20-40 years old
- Do not progress to Leiomyosarcoma
Whorled pattern with smooth muscle bundles
Most common ovarian mass in young women
Follicular ovarian cysts
Where do you find Schiller Duval bodies
Yolc sac ( Endodermal sinus) tumor
Characteristic feature of Yolkc sac Endodermal sinus tumor resembling glomeruli
Schiller Duval Bodies
Most common (90%) ovarian germ cell tumor
Benign? Malignant?
Mature Teratoma
Benign
Characteristic bodies in Serous cystadenocarcinoma
Psammoma bodies
What gynecologic pathology do you see Pseudomyxoma peritonei?
Mucinous Cystadenocarcinoma (ovarian non germ cell tumor)
Meig’s Syndrome
Ovarian Fibroma
Ascites
Hydrothorax
Call Exner Bodies
Granulosa Cell Tumor
Characteristic feature of Granulosa Cell Tumor
Call Exner Bodies
- small follicles filled with eosinophilic secretions
Mucin-secreting Signet Cell Adenocarcinoma
Krukenberg Tumor
- GI malignancy that metastasizes to ovaries
Single most important prognostic factor in breast malignancy
Axillary LN involvemment
Most common (76%) of all breast CA
Invasive Ductal Breast CA
worst prognosis
Most invasive
Breast CA with characteristic ‘Indian file’ order of cells
Invasive Lobular Breast CA
Causes of Gynecomastia
Klinefelter's syndrome Drugs: estrogen, marijuana, heroin, psychoactive Spirinolactone Digoxin Cimetidine Alcohol Ketoconazole
Prostate CA location
Posterior lobe (Peripheral zone) of Prostate gland
Drugs for BPH
£1 antagonists ( terazosin, tamaulosin)
5-£ reductase inhibitor (Finasteride)
Most common (~95%) of all testicular tumor
Seminoma painless 'fried egg' appearance high Placental Alk Phisphatase (PLAP) excellent prognosis
Most common testicular tumor among elderly men (over age of 60)
Testicular Lymphoma
agressive Non hodgkin Lymphomas
Peynoire’s Disease
Bent penis due to acquired fibrous tissue formation (fibromatosis of the Buck’s fascia)
Bent penis secondary to acquired fibrous tissue formation (fibromatosis of the Buck’s fascia)
Peynoire’s Disease
Most common cause of testicular enlargement in adult males
Varicocoele
- dilated veins of the pampiniform plexus
- Left>Right (90’ angle entrance of Left spermatic vein to Left Renal cein thus less continuous – increase resistance)
Conplete absence of breast, costal cartilage and rib defects, hypoplasia of chest wall, brachysyndactly
Poland’s Syndrome
Accessory glands in areola
Montgomery’s tubercles
Tietze’s syndrome
Nerve compression (T4 level) by surrounding muscle can cause breast pain
Accessory glands in areola
Montgomery’s tubercles
Tietze’s syndrome
Nerve compression (T4 level) by surrounding muscle can cause breast pain
Makes up the Pelvic Brim
Pelvic brim=Pelvic Inlet
Ant- symphisis pubis
Lat-iliopectineal line
Post- sacral promontory
Pelvic outlet
Ant-pubic arch
Lat-ischial tuberosities
Post-tip o coccyx
Perineal body
Convergence of:
Bulbospongiosus
Ext anal sphincter
Superficial/Deep tranverse perineal muscles
*Ischicavernosus cannot be cut during episiotomy
Delineates deep and supericial perineal pouches
Perineal membrane
perineal gland in Superficial perineal pouch
Greater vestibular gland
*bulbourethral gland - deep pouch
Binding and penetration of what layer of te ovum triggers acrosome reaction leading to release of acrosin
Zona pellucida
Storage and maturation of sperm cells
Epididymis
Ejaculatory duct
Seminal vesicle(duct) + Vas Deferens
*Opens into Prostatic urethra
Stratum functionale
Stratum spongiosum
Stratum compactum
Layer not cut during Vasectomy
Tunica Vaginalis
continuation of the Parietal Peritoneum
