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16 Cards in this Set

  • Front
  • Back
Puntcate area on the cervix on pelvic exam can raise suspicion for what?
duplicate uterus

developmental issue
what 2 things can commonly lead to acute endometritis?
Follows normal pregnancy that didn't shed all endometrial tissue

abortion
Chronic endometritis is associated with what 2 things?

what is the defining cell found microscopically?
pelvic inflammatory disease

intrauterine devices (IUD)

key cell: plasma cell
What causes the discomfort in endometriosis?
RBCs leaking into the cavity
a scope of the pelvis is done and the report comes back saying there are "powder burns" on the bladder..what is going on?
Endometriosis
What is a chocolate cyst?
endometrioma
What is adenomyosis? how can you tell the difference btw this and endometriosis
the wall of the uterus is irregularly thickened and contains small hemorrhagic foci that cycle

pt will have achy miserable crampy pelvic pain... you will not see powder burns on scope like in endometriosis
a post menopausal woman comes to you with abnormal uterine bleeding...what does she have?
endometrial hyperplasia
Atypical hyperplasia of the endometrium is associated with what?

****TEST
increased risk of adenocarcinoma
most common cause of endometrial adenocarcinoma?
excess estrogenic stimulation

Typically occurs in elderly women/80% being postmenopausal at the time of diagnosis
a perimenopausal lady who is obese, diabetic, and hypertensive has a high risk chance of what?
endometrial adenocarcinoma
Breast cancer patients treated with tamoxifen are at a higher risk of what?
endometrial adenocarcinoma
Papillary serous carcinoma – has a propensity for
lymph vessel permeation
clinically apparent lesions are less common in premenopausal than postmenopausal women
they are known to shrink after menopause
are much more common in black women/in whom they are usually very numerous

what is this?
leiomyomas (commonly called fibroids)
if a pt has a leiomyoma, what is the likelihood it will progress to a leiomyosarcoma?
NONE

Leiomyosarcomas are DE NOVO TUMORS
What is a Leiomyoma?

gross findings?

micro?

clinical?
benign smooth muscle neoplasm that is not premalignant

commonly in uterus

Gross: large fibroid (shrink after menopause)

Micro: ongated spindle cells with fibrillary acidophilic cytoplasm in the usual type of uterine leiomyoma

clinical: may lead to excessive menstrual bleeding (menorrhagia), often cause anemia and may lead to infertility