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31 Cards in this Set

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where are 95% of leiomyomas located?
uterine
where are 5% of leiomyomas located?
cervical
common benigh tumors in femals of reproductive age?
uterine leiomyomas
aka:
myoma
fibroid
fibromyoma
benign myomata uteri
what are the 3 layers in which leiomyomas can be located?
1. submucosal
2. intramural/interstitial
3. subserosal
which leiomyoma is the most suspicious?
intramural leiomyomas: usually will be biopsied to verify fibroid vs. a lesion of the uterus
most leiomomas are asymptomatic? TRUE/FALSE
true
when are leiomyomas palpable?
once they have grown and been present for some time
what is the MC reason women will present with suspicion of a leiomyoma?
abnormal uterine bleeding:
menorrhagia, metrorrhagia
when will leiomyomas become painfuL?
if it becomes too large and has grown to the point of suppressing other organs, if
vascular comprmise, torsion, infection
what is the worst diagnostic modality for seeing a fibroid?
xray.
what is the best modality to use to see a uterine fibroid?
MRI.
although US is mc used
the peptide hormone responsible for the release of FSH and LH from the anterior pituitary; that is synthesized and released by the hypothalamus
GnRH= releasing hormone
aka: LH
removal of fibroid only
myomectomy
removal of uterus
hysterctomy
give an example of a GnRH agonist mentioned in class
Lupron=
Leuprorelin (INN) or leuprolide acetate (USAN
a medical condition characterized by the presence of ectopic endometrial tissue (the inner lining of the uterus) within the myometrium (the thick, muscular layer of the uterus).
adenomyosis
uterine tenderness on palpation is known as?
a + halban's sign
local invasion of endometirla tissue in the myometrium more that 3 mm beneath the endometrium, muscular hypertrophy
adenomyosis
what is the difference between endometriosis and adenomyosis?
endometriosis can occur anywhere while adenomyosis is localized to the uterus
what is the definitive treatment for adenomyosis?
hysterectomy
why are oral contraceptives contra-indicated for tx of adenomyosis?
esp estrogen based BC can exacerbate symptoms
what is the best imaging modality to dx polyps?
transvaginal US
what is the added benefit of performing a hysteroscopy on an endometrial polyp?
it allows you to obtain a sample of the lesion while you are monitoring it
MC site of endometriosis?
ovary
aberrant growth of endometrial tissue outside the uterus?
endometriosis
what disease causes 50% of infertility in the world?
endometriosis
a retrograde menstruation subsequent bleeding from the fallopian tubes into the abdomen. Desquamated endometrium implants on the pelvic viscera is the classic theory of??
John Sampson
what is the key symptom in differentiating endometriosis from dysmenorrhea?
dysparenunia
if your patient dx with endometriosis comes in complaining of frank hematuria where can you suspect a lesion to be?
the bladder
what is the pharmacolgic pain tx of choice for endometriosis?
danazol (danocrine) 200-800mg BID x 6 months for pain
how can you treat endometriosis hormonally?
by interrupting the menstral cycles using Depo Provera 150mg/month x 6 months