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85 Cards in this Set

  • Front
  • Back

Herpes Simplex Virus

Red papules to vesicles to ulcers

Herpes Simplex Virus

Fever, malaise, tender inguinal nodes

Herpes Simplex Virus

Cytopathic effect

Molluscum Contagiosum

Pearly dome shaped papules with dimpled center with cellular center waxy core containing cytoplasmic viral inclusions

Candidiasis

Disturbance of normal flora due to Diabetes Mellitus, antibiotics, pregnancy and compromised neutrophils

Candidiasis

Pruritis, erythema, swelling , curd-like discharge

Trichomoniasis

Yellow, frothy discharge, dysuria, dyspareunia

Trichomoniasis

Strawberry Cervix

Bacterial Vaginosis

Malodorous fishy vaginal discharge

Bacterial Vaginosis

Superficial and intermediate cell covered by coccobaccili

Bacterial Vaginosis

Caused by Gardnerella vaginalis causing premature labor

Chlamydia trachomatis

Causes endometriosis in uterus and salphingitis in fallopian tube

Pelvic Inflammatory Disease

Infection begins in vulva and vagina then ascends

Pelvic Inflammatory Disease

Caused by Neisseria gonorrhea

Pelvic Inflammatory Disease

Acute suppurative salphingitis to pyosalphinx to chronic salphingitis to salphingo-oophoritis to Tubo-ovarian abscess

Pelvic Inflammatory Disease

Scarring or repair of tubal lumen and fimbriae causes infertility

Bartholin Cysts

Bartholin gland infection to abscess to duct obstruction to cyst formation

Leukoplakia

White plaques

Lichen Sclerosus

Increased chance to develop SCCA

Lichen Sclerosus

Porcrlain or parchment smooth white plaques or macules

Squamous Cell Hyperplasia

Not a premalignant lesion with thock epidermis with no atypia

Squamous Cell Hyperplasia

Due to scratching or rubbing of skin

Lichen Sclerosus

Thin epidermis, degeneration of bqsal cells, hyperkeratosis , dermal band-like lymphocytic infiltrates

Skin Tag/Fibroepithelial Polyp/Squamous Papilloma

Benign non-keratinizing squamous epithelium

Condyloma acuminatum

Low oncogenic risk HPV 6 and 11 and not a pre-cancerous lesion

Condyloma acuminatum

Tree-like cores covered by thickened epothelium with koilocytic atypia

Classic Vulvar Intraepithelial Neoplasia

Reproductive age with thick epidermis, nuclear atypia, increased mitoses, lack cellular maturation

Differentiated Vulvar Intraepithelial Neoplasia

Marked atypia with normal appearing superficial layer

Papillary Hidradenoma

Similar with intraductal breast papilloma

Extramammary Paget Disease

Pyuritic, red crusted, map-like appearance

Vaginal Intraepithelial Neoplasia

Premalignant to SCCA

Squamous Cell Carcinoma

1% of malignany neoplasms in Female Gential Tract associated with HPV at posterior upper vagina

Embryonal Rhabdomyosarcoma

Less than 5 y/o with grape-like clusters

Cervicitis

Increased pH leading to overgrowth of microorganism (gonococci, chlamydia, mycoplasma , hsv

Endocervical Polyps

Bumps or polypoid mass with fibromyxomatous stroma covered by mucin secreting endocervical glands

Endocervical Polyp

Main significance: bleeding

Human Papilloma Virus

Infect immature basal cells of squamous epithelium

Human Papilloma Virus

E6 and E7 viral proteins

Sertoli-Leydig Cell Tumor

Masculinization and DICER1 mutation

Fibrothecoma

Fibroblasts + plump spindle cells with lipid droplets (thecoma)

Fibroma

Differentiated firboblasts with scant collagenous stroma

Meigs Syndrome

Ovarian tumor + ascites + hydrothorax

Granulosa Cell Tumor

Potentially malignant composed of cells that resemble granulosa cells of developing ovarian follicle

Choriocarcinoma

Extraembryonic differentiation of germ cells and elaborates hCG

Transitional Cell Tumor

Brenner tumor resembling urothelium

Cystadenofibroma

Benign proliferation of the fibrous stroma

Clear Cell Carcinoma

Similar genetic aberrations with endometrioid adenocarcinoma

Mucinous Tumor

KRAS proto-oncogene mutation and mucin secreting

Yolk Sac Tumor

2nd most common malignant germ cell tumor

Yolk Sac Tumor

Elaborates a-fetoprotein

Yolk Sac Tumor

Schiller Duval bodies

Dysgerminoma

Counterpart of seminoma and malignant with gray-pink, soft , fleshy and vacuolated clear cytoplasm

Monodermal/Specializef Teratoma

Struma Ovarii composed of thyroid

Mature Teratoma

Most common germ cell tumor

Low Grade Serous Tumor

KRAS, BRAF ERBB2 mutation

High Grade Serous Tumor

TP53 mutation

Stromal Hyperthecosis

Hypercellular luteinized stroma with striking virilization

Polycystic Ovarian Syndrome

Hyperandrogenism, menstrual abnormalities, polycystic ovaries, chronic anovulation, decreased fertility

Polycystic Ovarian Syndrome

Endometrial hyperplasia risk to carcinoma

Luteal Cyst

Cyst lined of luteinized granulosa cells

Cystic Follicles

Unruptured graafian follicle or ruptures but sealed immediately

Follicle Cyst

>2cm cysts

Cystic Follicles

With gray, glistening membrane, clear serous fluid

Paratubal Cyst

0.1-0.2 cm fluid filled cyst with remnants of mullerian ducts

Hydatids of Morgagni

Larger cysts, near the fimbria or in broad ligaments

Suppurative Salphingitis

Gonococcus

Leiomyosarcomas

From myometrium or stromal precursor cells

Leiomyosarcoma

10 or more mitoses/10 HPO


5 mitoses/10 HPO with nuclear atypia or large epithelioid cells

Leiomyoma

aka Fibrioids

Leiomyoma

With interlacing bundles of smooth muscle cells that resemble normal myometrium with scarce mitosis

Adenosarcoma

Benign glands, malignant stroma

Type I Endometrial Carcinoma

Due to unopposed estrogen, obesity, hypertension and diabetes, precursor hyperplasia

Type II Endometrial Carcinoma

Due to atrophy and thin physique from serous endometrial intraepithelial carcinoma

PTEN

Encodes lipid phosphatase

Endometrial Hyperplasia

Increased proliferation of glands relative to stroma and increased estrogenic stimulation

Endometrial Polyp

Exophytic mass with glands may be atrophic, hyperplastic or with secretory activity

Endometrial Polyp

With firbous stroma and thick-walled blood vessels enclosed with fibroblast

Adenomyosis

Endometrial tissue within myometrium

Endometriosis

Ectopic endometrial tissue causing infertility, dymenorrhea and pelvic pain

Chronic Endometritis

Due to retained gestation tissue, miscarriage, IUD Tuberculosis

Chronic Endometritis

With plasma cells in stroma in endometrium

Inadequate Luteal Phase

Inadequate progesterone production after ovulation

Anovulatory Cycle

Failure to ovulate with excessive estrogen stimulation, unopposed by progesterone

Dysfunctional Uterine Bleeding

Bleeding that lacks underlying structural abnormality (chronic endometritis, polyp, leiomyoma)

Dysfunctional Uterine Bleeding

Due to hormonal disorder