Vulva Flashcards

1
Q

Patjologic Diseases in Vulva (5)

A
Bartholin Cyst
Nonneoplastic epithelial disorders
Benign epithelial lesions
Squamous neoplastic lesions
Glandular neoplastic lesions
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2
Q

Cystic dilation of the bartholin gland due to obstruction

A

Bartholin cyst

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3
Q

Lining of Bartjolin cyst

A

Squamous or transitional epithelium

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4
Q

Other findings in bartjolin cyst

A

Infection/adenitis

Abscess formation

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5
Q

Epidemiology of Bartholin cyst

A

40 years old

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6
Q

Done to rule out malignancy in Bartholin cyst

A

Biopsy

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7
Q

Noneoplastic epithelial disorders (2)

A

Lichen sclerosus

Squamous hyperplasia

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8
Q

3 parameters to differentiate lichen sclerosus and squamous hyperplasia

A

Gross
Histology
Clinical Significance

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9
Q

Gross of lichens sclerosis

A

Leukoplakia

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10
Q

Histology of Lichen Sclerosus (5)

A
Thinning of the epidermis
Basal cell degradation
Hyperkeratosis
Sclerotic change of the superficial dermis
Dermal lymphocytic infiltrate
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11
Q

Histology of Squamous Hyperplasia

A

Acanthosis
Hyperkeratosis
Dermal lymphocytic infusion
Mitosis evident

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12
Q

Clinical sign of lichen sclerosus

A

Inc risk of vulvar ca

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13
Q

Clinical significance of squamous hyperplasia

A

Found at margins of vulvar ca

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14
Q

Benign epithelial lesion

A

Condyloma acuminata

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15
Q

Benign genital wart

A

Condyloma acuminata

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16
Q

Causative agents of condyloma acuminata

A

HSV 6, 11

17
Q

Histology of Condyloma Acuminata

A

Exophytic papillary architecture
Acanthosis
Hyperkeratosis

18
Q

Nuclear atypia with perinuclear halo seen in condylomata acuminata

A

Koilocytosis

19
Q

Squamous Neoplastic Lesion of the Vulvs

A

Vulvar Squamous Cell Carcinoma

20
Q

Two types and epi of vulvar squamous cell carcinoma

A

HPV related - 30%

NON HPV related- 70%

21
Q

Premalignant lesion of hpv related vscc

A

Vulvar intraepithelial neoplasia

22
Q

Premalignant lesion of non hpv related vscc

A

Diff vulvar intraepithelial neoplasia

23
Q

Glandular Neoplastic Lesions (2)

A

Papillary Hidradenoma

Extramammary Paget Disease

24
Q

Resembles intraductal papilloma of breast

A

Papillary Hidradenoma