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23 Cards in this Set
- Front
- Back
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Acute inflammation of the uterus is associated with what?
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puerperium (streph, staph, clostridium, mixed)
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Plasma cells within the endometreium
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chronic endometritis
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Endometrium at ectopic sites (tubes, ovary [most common site], sigmoid wall, uterine serosa, bladder, vulva, peritoneum, umbilicus, eye).
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Endometriosis
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Chocolate cysts
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Endometriosis
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Need 2 of 3 of these for dx of endometriosis
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Endometrial glands, stroma and or hemosiderin pigment
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Islands of endometrial glands and stroma deep in myometrium
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Adenomyosis (Endometriosis Interna)
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Most dysfunctional uterine bleeding is caused by what?
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anovulatory cycle (no progesterone, no sloughing and overgrowth of endometrium)
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Endometrial hyperplasia is thought to result from what?
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Prolonged estrogenic stimulation (polycystic ovary, estrogen-producing tumors, estrogen Rx, obesity, etc)
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Fibroid of the uterus AKA
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Leiomyoma
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What separates a Leiomyoma and a Leiomyosarcoma?
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a leiomyosarcoma will have lots of mitotic figures
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whorled fascicles of smooth muscle cells; clear cell and pleomorphic variations
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Leiomyoma
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Fascicles of smooth muscles: individual nuclei are cigar-shaped and there are no mitoses
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Leiomyoma
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Which is MC, Endometrial adenocarcinoma or Leiomyosarcomas?
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Endometrial adenocarciomas are more common
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FIGO staging system is based on what and is used for what?
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Based on how solid the tumor is and is used to grade endometrial adenocarcinoma
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Stage III of Endometrial Adenocarcinoma
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>50% solid
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If you see clear cell adenocarcinoma of the uterus, what do you have to rule out?
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that it didn't come from the ovary
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endometrial adenocarcinoma with malignant stromal differentiation
Muscle, cartilage, osteoid |
Carcinosarcoma (Malignant Mixed Mullerian Tumor) of the uterus
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MC site for ectopic endometrium
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ovary
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Change in endometrium seen with Oral Contraceptives
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Inactive glands, predecidualized stroma (abundant cytoplasm as in pregnancy)
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Change in endometrium seen with postmenopausal
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senile cystic atrophy with cystic dilation of glands
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Endometrial hyperplasia is a RF for what?
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Endometrial Carcinoma
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Uterine polyps _____ more often than cervical polyps
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infarct
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MC of all tumors in females
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Leiomyoma (Fibroid)
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