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85 Cards in this Set

  • Front
  • Back

Bartholin's cyst

herpes (micro) L eosinophilic zone of epithelial necrosis; R arrows - intranuclear inclusions

HSV cells

CMV cells

molluscum contagiosum (micro)

leukoplakia

lichen sclerosis of the vulva

vulvar intraepithelial neoplasm

candida (micro)

trichomonas strawberry cervix

trichomonas (micro)

normal external os of sphincter (squamous epithelium)

red endocervical mucosa vs. pink squamous epithelium

top - mature squamous cells


side: immature squamous cells,


cervical squamocolumnar junction,


columnar glandular cells

gross herpatic ulcers with yellow-white bases

molluscum - gross

granuloma inguinale ulcer; Donovanosis (Calymmatobacterium Granulomatis/Klebsiella)

chronic lympogranuloma venereum infection (chlamydia)

vulvar condylomas (HPV)

LSIL - Low grade squamous intraepithelial lesion of cervix

condyloma acuminatum - papillary growth of cervical neoplasm

koilocytic atypia of squamous epithelium of cervix

normal pap smear *=squamous cells, arrow=PMN

pap smear of LSIN low-grade squamous intraepithelial lesion

condyloma on colposcopy

mild dysplasia/low-grade SIL

koilocyte in perinuclear halo (CIN I)

CIN I -- koilocytes on top; immaturity seen in 1/3 the thickness of the epithelium

high grade squamous intraepithelial leison - gross

CIN II, moderate dysplasia, high grade SIL, immaturity is 2/3 the thickness -- cervix biopsy

CIN II pap smear (moderate dysplasia, high SIL)

increased vascularity, mosaic pattern of CIN II

CIN III pap smear, severe dysplasia


thin arrow=CIN I, double=CIN II, THICK= CIN III

carcinoma in situ cells on pap smear

CIN III (severe dysplasia) cervix biopsy

CIN III colposcopy, (severe dysplasia) - mosaicism, white epithelium

CIN III full thickness atypia

mitosis in CIN III

upregulation of cyclin dependent kinase inhibito p16 of high risk HPV

proliferating cells marked with Ki-67. They should only be in basal layer. HPV

HPV DNA in koilocytes

LSIL koilocytic change = perinuclear halos

high grade SIL, in situ

microinvasive squamous cell carcinoma of cervix

invasive squamous cancer of cervix - gross

invasive squamous cancer of cervix - histo

invasive squamous cancer pap smear (*tad pole cell) - hyperchromic, kertinized, necrotic

spindle cell of invasive squamous cancer pap

proliferative endometrium with mitosis in gland and stroma

normal proliferative endometrium

early secretory endometrium

early secretoy endometrium with subnucelar vacuoles at arrows

mid secretory phase endometrium

late secretory phase endometrium

menstrual endometrium

menstrual endometrium (top arrow - neurtophils; bottom arrow = dark stroma cell clumps/blue walls)

anovulatory bleeding - proliferative type endometrium

acute endometritis (necrosis, hemorrhage - postpartum, ripping placental parts etc.)

chronic endometritis (arrow - plasma cells)

endometriosis externa - chocolate cyst of ovary

endometriosis (1=gland; 2=stroma; 3=blood)

endometriosis - gross

endometriosis on colon mucosa

adenomyosis (red lesions on uterus) - endometriosis interna

leiomyoma histo - spindle smooth muscle cells associated with hyalinization

leiomyomas in uterine myometrium

calcified leiomyoma

leiomyosarcoma

leiomyoma histo - benign

malignant leiomyosarcoma histo

simple hyperplasia (mild, cystic, swiss cheese)

complex hyperplasia

atypical hyperplasia of endometrium

adenocarcinoma of endometrium

type I - grade I endometroid adenocarcinoma (well differentiated)

type I - grade III endometroid adenocarcinoma

type II endometrial cancer --- endometrial intrapeithlial carcinoma - precursor to serous carcinoma (arrow - malignant cells)

p53 stain in serious carcinoma

type II endometrial cancer - serous carcinoma with papillary pattern

low grade stromal sarcoma (endolymphatic stromal myosis)

high grade stromal sarcoma

mixed mullerian tumor of uterus (arrow - adenocarcinoma; star= sarcoma)

mixed mulerian tumor with heterologous skeletal muscle

mixed mullerian tumor, heterologous, with cartilage

hematosalpinx-- thin arrow=hydatid cyst; thick arrow=tubal ectopic, star=ovary; 2stars=ampulla