Weibliche Geschlechtsorgane - Vagina

Question 1

Vaginitis

What characterizes a candidal vaginitis (the first thing you obviously see)?

Answer 1

Vaginitis is characterized by a curdy(Quarkisch) white discharge(Absonderung)

Question 2

Vaginitis

What does the vagina do during the vaginitis?

Answer 2

It produces vaginal discharge(Absonderung) -leukorrhea

Question 3

Vaginitis

What organism are associated?

Answer 3

A large variety of organism, like bacteria, fungi, parasites

Question 4

Vaginitis

What is the reason for vaginitis? Why does the normal flora gets disrupted?

Answer 4

Many organism belong to the normal flora that become pathogenic only in the setting of diabetes, systemic antibiotica therapy, immunodeficiency, pregancy, or recent abortion

Question 5

Vaginitis

How common is primary gonorrheal infection of the vagina?

Answer 5

Really uncommon

Question 6

Vaginitis

What organism are worth mention to cause a primary vaginitis?

Answer 6

Candida albicans and Trichomonas vaginalis

Question 7

Vagnitis

How does affected people get candida albicans?

Answer 7

In about 5%, Candida albicans is part of the normal vaginal flora

Thus, almost always involves one of the predisposing like antibiotic therapy or superinfection by a new, more aggressive strain(Rasse-Stamm)

Question 8

Vaginitid

How does the discharge of T. vaginalis looks like? What is in it?

Answer 8

T. vaginitis produces a watery, copious gray-green discharge

in which parasites can be identified in about 10% of asymptomatic women

Question 9

Vaginitis

How does a women usually gets an T. vaginalis infection?

Answer 9

Usually stems (zurückzuführen) from sexual transmission of new stains

Question 10

Malignant neoplasms

What kinds of Malignant neoplasms can be found at the vagina?

Answer 10

• Squamous cell carcinoma
• Clear cell adenocarcinoma
• Sarcoma botryoides

Question 11

Malignant neoplasms - Squamous cell carcinoma

1. How common are Squamous cell carcinoma of the vagina?
2. When does it usually occur?

Answer 11

1. extremely uncommon cancer
2. this typ of cancer usually occurs in women older than 60 years
   of age

Question 12

Malignant neoplasms - Squamous cell carcinoma

1. What is the precursor (Vorläufer) of the squamous cell
   carcinom?

Answer 12

1. Vaginal intraepithelial neoplasia is a precursor lesion that is
   nearly always associated with HPV infection

Question 13

Malignant neoplasia - Clear cell Adenocarcinom

1. How common is a clear cell adenocarcinom?
2. What possible precursor is related with clear cell
   adenocarcinom?

Answer 13

1. a very rare tumor
2. Diethylstilbestrol during pregnancy to prevent threatened
   abortion.However, the pathological precursor are small grandular or
   microcytic inclusions(Einschluss) which appear in the vaginal
   mucosa. This red, granular-appearing lesion is called vaginal
   adenosis. And these precursor lesions are the basis of
   Clear cell adenocarcinoma.

Question 14

Malignant neoplasms - Sarcoma botryoides

1. Name the synonym and the German translation of Sarcoma
   botryoides!

Answer 14

1. embryonal rhabdomyosarcoma

German: Sarcoma botryoides or Traubensarkom

Question 15

Malignant neoplasms - Sarcoma botryoides

1. How common is Sarcoma botryoides?
2. How does it manifest in the vagina?

Answer 15

1. very rare!

2. It manifests as soft polyoid masses

Question 16

Malignant neoplasms - Sarcoma botryoides

1. What ages are affected?
2. Which Organs are affected?

Answer 16

1. this typ of cancer is usually encountered (begegnen) in infants
   and children younger than 5 years of age
2. Vagina, urinary bladder and bile ducts