Reproductive Pathology Lecture 2 Flashcards
What hormones are important in formation of follicles and corpus luteum
FSH and LH
What hormone starts increasing during proestrus and spikes during ovulation
Estrogen
When estrogen is increase, progesterone is ___
Decreased (and vice versa)
When does progesterone increase
During estrus and diestrus
What cells are follicles composed of
Granulosa and theca cells
What do granulosa cells secrete
Estrogen and inhibin
What do theca interna cells secrete
Androgens
What follows the post ovulation follicle
Corpus hemorrhagicm—> Corpus luteum
What hormone is responsible for maintaining corpus luteum and pregnancy
Progesterone
Histo from ovary, label 1-4
- Granulosa cells
- Theca interna
- Blood vessels
- Stroma
Paraovarian cysts are remnants of __ and ___
Wolffian and Müllerian ducts
Paraovarian cysts are common in what species
Cats and dogs
Hydatid or morgagni- fimbrial cyst is common in what species
Mares
Horse ovary- what is wrong- broad and specific type
broad: paraovarian cyst
Mare specific: hydatid or morgangi cyst
Rete ovarii is common in what species
Cats and dogs
What is the issue with rete ovarii cysts
Compress cortex—> atrophy
What species commonly gets epithelial inclusion cysts
Mares
Where do the epithelial inclusion cysts occur
Around ovulation fossa
What is problem with epithelial inclusion cysts
Obstruction ovulation—> infertility
What species commonly get cystic ovarian (Graafian) follicles
Cows and sows
What causes cystic ovarian (Graafian) follicles
Arise because of failure of ovulation—> inhibit ovulation
Ovary from a dog- what is likely dx
Cystic rete ovarii
Ovary from horse- what is likely dx
epithelial inclusion cyst
Ovary from cow- what is likely dx
cystic ovarian (Graafian) follicular cyst
T or F: most ovarian germ cell neoplasms are benign
True
What is a dysgerminoma
Undifferentiated primitive germ cells
What is a teratoma
Totipotent primordial germ cells that have at least 2 of 3 embryonic germ layers
What type of neoplasms is this
teratoma
What cells predominate in sex cord stromal tumors
Granulosa cells
What is the most common ovarian neoplasm in cows and mares
Granulosa cell tumor
T or F: ovarian granulosa cell tumors in cows and mares are typically benign
True
T or F: Ovarian granulosa cell tumors in cats and dogs are often or sometimes malignant
True
Ovarian granulosa cell tumors are often hormonally active and produce ___
Estrogens, testosterone, inhibin and/or AMH
What symptoms are seen in mares with granulosa cell tumors
- Nymphomania
- Stallion like behavior
- Anestrus
What is the gross appearance of granulosa cell tumors
Large, smooth, round to lobulated
Horse ovary- what type of tumor is this. Owner reports mare has been mounting other mares
Granulosa cell tumor
Ovarian Epithelial tumors are common in what species
Dogs
What is the gross appearance of epithelial tumors of ovaries
Large, multinodular, cystic or shaggy appearance
Papillary ovarian epithelial tumors predominates as ___ or ___
Papillary adenoma or adenocarcinoma
Cystic ovarian epithelial tumors predominate as ___ or ___
Cystadenomas or cystadenocarcinomas
What are some important sequela of ovarian epithelial tumors
- Local extension and seeding (carcinomatosis)
- Ascites
Dog ovary- what type of tumor is this
Cystic epithelial tumor
Dog ovary- what type of tumor is this
Papillary epithelial tumor
Adhesions between ovidct and ovary are common in ___
Beef heifers
What is cause of adhesion formation between oviduct and ovary
- Physical trauma from rectal palpation
- Ascending infection
Adhesion formation between oviduct and ovary result in __
Obstruction
Ovarian remnant syndrome is a complication of ___
OVH
T or F: retained piece of ovarian remnant tissue post OVH is functional
True
What are some signs of ovarian remnant syndrome
Recurrent estrus, vulvar swelling, nymphomania
What is salpingitis
Inflammation of uterine tube
What is cause of salpingitis
Bacteria, often related to ascending infection
What is pyosalpinx
Obstruction and dilation with suppurative inflammation of uterine tube
What is hydrosalpinx
Fluid filled uterine tube
What is cause of hydrosalpinx
- Obstruction
- Congenital or acquired- segmental aplasia, trauma
Histo of uterus- label 1-3
- Endometrium
- Myometrium
- Serosa
Which Histo shows estrus vs diestrus and how do you know
Left: estrus- squamous cells with little nuclei
Right: diestrus- plump nuclei with some neutrophils
T or F: there are normal resident micro flora of uterus
False
What are the anatomical/ physical barriers of uterus that protect it from infection
- Cervix
- Conformation of vulva and vagina
When is cervix open
Estrus, parturition, post partum involuation
Infection is more likely if vulva is ___ than pelvic canal floor
Higher
How/what secretions help uterus be resistant to infection
Mucus, lochia- vaginal discharge after birth push contents out and prevent infection
What antibodies are produced in uterus to help prevent infection
IgA and IgG
Normal uterine leukocytosis of __helps uterus be resistant to infection
Estrus
What are the 3 uterus portals of entry and which is most common
- Ascending infection through cervix (most common)
- Hematogenous
- Descending from ovary via uterine tube
What is endometritis
Inflammation limited to endometrium
What is metritis
Inflammation of all layers of uterine wall
What is pyometra
Acute or chronic purulent infection of the uterus in which pus accumulates in the uterine cavity
What is the pathogenesis of pyometra
- Persistent corpus luteum
- High progesterone (diestrus)
- Increased endometrial gland activity/ cystic endometrial hyperplasia
- Closed cervix
- Colonization of uterus by bacteria
- Inflammation
What is the most common bacteria to cause pyometra
E. Coli
Based on the color of fluid from this pyometra what caused this
E. Coli
What are some clinical signs of pyometra
Septicemia, endotoxemia, fever, depression, anorexia, vomiting, PU/PD, vaginal discharge
What are some predisposing factors for bovine postpartum metritis/ pyometra
- Abnormal parturition- abortion, retained placenta, dystocia
- Nutritional issues
- Contaminated calving environment
What is pathogensis of bovine postpartum metritis/ pyometra
- Abnormal parturition
- Uterine involution slowed
- Patent lumen filled with lochia and bacteria gain entrance and thrive
- Infection and inflammation
What are some common bacteria retained in fetal membranes that can cause bovine postpartum metritis/ pyometra
- T. Pyogenes
- Fusobacterium necrophorum
- E. Coli
What are some possible sequela to bovine postpartum metritis/ pyometra
- corpus luteum retained
- Septicemia
- Uterine vein thrombosis and embolism
What is cause of bovine postcoital pyometra
Tritrichomas foetus
bulls serve as carriers for bovine postcoital pyometra therefore one infected animal = __infection
Herd infection
T or F: tritrichomonas foetus Protozoa can survive in frozen semen
True
Endometritis in mares occur d/t contamination during ___ and ___
Parturition and coitus
Post coital endometritis in mares usually resolves in __-__hrs
48-72hrs
What bacteria is an important cause of endometritis in mares
Streptococcus zooepidemicus
How do you grade endometritis in mares and why do you grade
Endometrial biopsies
Grade to assess fertility
What is category 1 endometritis in mares
Normal endometrium
What is category 2 endometritis in mares
Inflammation or fibrosis
What is category 3 endometritis in mares
Widespread pathology that will drastically reduced fertility
What is segmental aplasia on one uterine horn
Uterus unicornis
What wrong here
segmental aplasia of one uterine horn- uterus unicornis
What is hydrometra/ mucometra
Mucus or clear fluid in uterus
What are some problems associate with hydrometra/ mucometra
Obstruction of outflow
Endometrial polyps are common in what species
Dogs and cats
Endometrial polyps often occur with ___
Cystic endometrial hyperplasia
What causes uterine torsion
Uterus is weighed down either d/t fetus or pyometra/ mucometra
What species is uterine torsion common in
Cows
Uterine torsion leads to ___compromise and ___
Circulatory, venous infarctions
What wrong
Uterine torsion
Uterine prolapse is most commonly seen in what species
Cows, ewe, sows
Uterine prolapse usually occurs within __hrs post partum
15hrs
What are some predisposing factors to uterine prolapse
- Prolonged dystocia
- Hypocalcemia
- Ingestion of estrogenic plants
What is a sequela of uterine prolapse
Future reproductive failure
T or F: adenocarcinomas are usually incidental in cows
True
T or F: leiomyomas are benign
True
What species commonly gets leiomyoma
Dogs
Dog uterus, what is likely tumor dx
leiomyoma
What is a common metastatic tumor of bovines that can spread to uterus as well as heart, lymph nodes and abomasum
Lymphoma
What is cause of lymphoma in cows
Bovine leukemia virus
Cow uterus, masses were also noted in heart, LN,. And abomasum. What is likely dx
lymphoma
What is the cause of infectious pustular vulvovaginitis in cows
BHV-1
How is BHV-1 transmitted
Sexual intercourse or close contact
What is the gross appearance of vulva in cow infected with BHV-1 causing infectious pustular vulvovangitis
- Reddened vulva
- Vesicles and pustules
- Ulceration
T or F: infectious pustular vulvovaginitis caused by BHV-1 has no effects on fertility
False- transient infertility
T or F: BVH-1 causing infectious pustular vulvovaginitis can enter a carrier state
True
Cow vulva after breeding with bull- what is likely cause
BHV-1 causing infectious pustular vulvovaginitis
What is the cause of coital exanthema
EHV-3
How is coital exanthema transmitted
Sexual intercourse
What is the gross appearance of coital exanthema
- Vesicles, pustules—> ulcers around perineum and vulva
- Healing lesions- depigmentation
- Scars persist
What secondary infection is common with coital exanthema
Streptococcus
T or f: once mare or stallion heals form coital exanthema they stop shedding virus
True
Horse vulva after breeding with stallion- what is wrong and what is cause
Coital exanthema
Cause: EHV-3
Who is most commonly affected by myoctoxicosis
Prepubertal gilts after first estrus
What does mycotoxicosis cause in sexually mature sows
- Inhibits FSH—> follicular arrest
- Retention of CL and prolonged anestrus
- Prevent implantation and cause early embryonic death
What is the cause of mycotoxicosis
Feeding moldy grains containing fusarium
What is the mycotoxin associated with mycotoxicosis
Zearalenone- estrogen is
What species typically get Transmissble venereal tumor
Canines
How is transmissible venereal tumor transmitted
During coitus
What type of cell tumor is transmissible venereal tumor
Round cell tumor
What is the gross appearance of transmissible venereal tumor
- Mass in dorsal wall of vagina—> protrude through vulva
- Friable, ulcerated
- Pedunculated, modular, papillary or multilobulated
What are some cytology results for transmissible venereal tumor
- Round cells
- Pale-blue cytoplasm
- Small cytoplasmic vacuoles
What type of tumor is this
transmissible venereal tumor
What is the most common Müllerian anomaly where fluid accumulates
Imperforate/ persistent hymen
Pseudopregnancy is associated with what hormones
Prolactin and progesterone
What are some clinical signs of pseudopregnancy
Mammary development, lactation, maternal behavior, endometrial hyperplasia at placental sites
Pseudopregnancy is common in ___at end of diestrus
Bitches
When does vaginal prolapse occur in dogs
During proestrus and estrus
When does bovine vaginal prolapse occur and what is cause
Occurs late gestation
Hereditary component