Uterine and Ov Pathology Flashcards
adenomyosis
benign invasive growth of endo into the myometrium
asherman syndrome
IU adhesions ablating the endo lining
gartner dust cyst
small cyst w/in vag
hematocolpos
blood accumulation in vag
hematometra
blood accumulation in the ut
hematometrocolpos
blood accumulation in the ut and vag
hyperplasia
proliferation of the endo lining
intramural leiomyoma
mass distorting the myo, most common location
leiomyoma
most common benign gynecological tumor of the myo
meigs syndrome
combination of pleural effusion, ascites, and an ov mass that resolve after surgery
submucosal leiomyoma
mass distorting the endo, least common but most likely to cause symptoms
subserosal leiomyoma
mass found on the serosal surface of the UT
tamoxifen
antiestrogen medication used to treast breast cancer
tip of the iceberg
term used to describe the sono appearance of dense ov dermoid tumor
cystic terotima (dermoid)
most common primary ov neoplasm
adenomyosis
ectopic endo tissue within the myo
adenomyosis risk factors
multiparity
elevated estrogen
aggressive curettage
adenomyosis clinical findings
pelvic pain/ cramping
UT enlargement and tenderness
menorrhagia
dysmenorrhea
adenomyosis sono findings
diffuse ut enlargement inhomogeneous myo poorly defined anechoic are w/in myo posterior ut wall affected endo appears normal
Leiomyoma (fibroid)
Intramural
distorts myo
confined to myo
most common
Leiomyoma
Pedunculated
attached to the ut by stalk
appears extrauterine
Leiomyoma
Submucosal
distorts the endo
impedes endo
most symptomatic
Leiomyoma
Subserosal
located under perimetrium
distorts ut contour
Leiomyoma clinical findings
asymptomatic menorrhagia pelvic pain ut enlargement irregular bleeding urinate frequently infertility
Leiomyoma sono findings
well defined hypo ut mass anechoic to hyperechoic heterogenous with necorsis or hemorrhage often mutliple increase in size w/ estrogen stimulation decrease after menopause
leiomyosarcoma
derived from the smooth muscle of the ut
rare
leiomyosarcoma clinical findings
asymptomatic
vag bleeding
leiomyosarcoma sono findings
heterogeneous ut mass
irregular margins
Carcinoma of the cx
epithelial neoplasm
carcinoma of cx risk factors
- early sexual activity
- multiple sex partners
- use of oral contraceptive
- smoking
- 3rd most common gyn malignancy in US
Carcinoma of cx sono appearence
- hypoechoic to heterogeneous retrovescial mass
- irregular margins
- dilated ureter
- anechoic or hypoechoic endo fluid collection
Nabothian cyst
cyst in the cx
Nabothian cyst sono appearence
- round, anechoic
- ## multiple or solitary
hyperplasia sono findings
- thickening of endo
- premenopausal: >14 mm
- postmenopausal: >5 mm w/ symptomatic, > 8 mm w/ asymptomatic
Polyp
- overgrowth of endo tissue
- unresponsive to progesterone
polyp sono findings
- focal area of echogenic endo thickening
- color may demonstrate flow w.in stalk
Follicular cysts of ov
graafin follicle which fails to ovulate and enlarges
If cyst contains blood its termed
hemorrhagic cyst
Corpus Luteum cyst normally regress if
fertilization does not take place
corpus albicans
s small echogenic structure that occurs when corpus luteum regressed
If corpus luteum cyst gets to large, ov can
torsion
Corpus Luteum normally resolves around
16 w
Hemorrhagic cyst sono findings
variable appearance including complex components or entirely echogenic depending on amount of blood and stage