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85 Cards in this Set
- Front
- Back
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Bartholin's cyst |
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herpes (micro) L eosinophilic zone of epithelial necrosis; R arrows - intranuclear inclusions |
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HSV cells |
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CMV cells |
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molluscum contagiosum (micro) |
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leukoplakia |
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lichen sclerosis of the vulva |
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vulvar intraepithelial neoplasm |
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candida (micro) |
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trichomonas strawberry cervix |
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trichomonas (micro) |
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normal external os of sphincter (squamous epithelium) |
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red endocervical mucosa vs. pink squamous epithelium |
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top - mature squamous cells side: immature squamous cells, cervical squamocolumnar junction, columnar glandular cells |
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gross herpatic ulcers with yellow-white bases |
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molluscum - gross |
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granuloma inguinale ulcer; Donovanosis (Calymmatobacterium Granulomatis/Klebsiella) |
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chronic lympogranuloma venereum infection (chlamydia) |
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vulvar condylomas (HPV) |
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LSIL - Low grade squamous intraepithelial lesion of cervix |
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condyloma acuminatum - papillary growth of cervical neoplasm |
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koilocytic atypia of squamous epithelium of cervix |
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normal pap smear *=squamous cells, arrow=PMN |
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pap smear of LSIN low-grade squamous intraepithelial lesion |
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condyloma on colposcopy |
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mild dysplasia/low-grade SIL |
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koilocyte in perinuclear halo (CIN I) |
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CIN I -- koilocytes on top; immaturity seen in 1/3 the thickness of the epithelium |
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high grade squamous intraepithelial leison - gross |
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CIN II, moderate dysplasia, high grade SIL, immaturity is 2/3 the thickness -- cervix biopsy |
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CIN II pap smear (moderate dysplasia, high SIL) |
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increased vascularity, mosaic pattern of CIN II |
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CIN III pap smear, severe dysplasia thin arrow=CIN I, double=CIN II, THICK= CIN III |
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carcinoma in situ cells on pap smear |
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CIN III (severe dysplasia) cervix biopsy |
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CIN III colposcopy, (severe dysplasia) - mosaicism, white epithelium |
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CIN III full thickness atypia |
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mitosis in CIN III |
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upregulation of cyclin dependent kinase inhibito p16 of high risk HPV |
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proliferating cells marked with Ki-67. They should only be in basal layer. HPV |
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HPV DNA in koilocytes |
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LSIL koilocytic change = perinuclear halos |
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high grade SIL, in situ |
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microinvasive squamous cell carcinoma of cervix |
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invasive squamous cancer of cervix - gross |
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invasive squamous cancer of cervix - histo |
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invasive squamous cancer pap smear (*tad pole cell) - hyperchromic, kertinized, necrotic |
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spindle cell of invasive squamous cancer pap |
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proliferative endometrium with mitosis in gland and stroma |
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normal proliferative endometrium |
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early secretory endometrium |
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early secretoy endometrium with subnucelar vacuoles at arrows |
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mid secretory phase endometrium |
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late secretory phase endometrium |
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menstrual endometrium |
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menstrual endometrium (top arrow - neurtophils; bottom arrow = dark stroma cell clumps/blue walls) |
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anovulatory bleeding - proliferative type endometrium |
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acute endometritis (necrosis, hemorrhage - postpartum, ripping placental parts etc.) |
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chronic endometritis (arrow - plasma cells) |
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endometriosis externa - chocolate cyst of ovary |
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endometriosis (1=gland; 2=stroma; 3=blood) |
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endometriosis - gross |
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endometriosis on colon mucosa |
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adenomyosis (red lesions on uterus) - endometriosis interna |
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leiomyoma histo - spindle smooth muscle cells associated with hyalinization |
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leiomyomas in uterine myometrium |
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calcified leiomyoma |
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leiomyosarcoma |
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leiomyoma histo - benign |
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malignant leiomyosarcoma histo |
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simple hyperplasia (mild, cystic, swiss cheese) |
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complex hyperplasia |
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atypical hyperplasia of endometrium |
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adenocarcinoma of endometrium |
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type I - grade I endometroid adenocarcinoma (well differentiated) |
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type I - grade III endometroid adenocarcinoma |
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type II endometrial cancer --- endometrial intrapeithlial carcinoma - precursor to serous carcinoma (arrow - malignant cells) |
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p53 stain in serious carcinoma |
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type II endometrial cancer - serous carcinoma with papillary pattern |
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low grade stromal sarcoma (endolymphatic stromal myosis) |
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high grade stromal sarcoma |
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mixed mullerian tumor of uterus (arrow - adenocarcinoma; star= sarcoma) |
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mixed mulerian tumor with heterologous skeletal muscle |
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mixed mullerian tumor, heterologous, with cartilage |
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hematosalpinx-- thin arrow=hydatid cyst; thick arrow=tubal ectopic, star=ovary; 2stars=ampulla |