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Gynecology 2 Quiz 1
Terms in this set (83)
Malignancy derived from striated or skeletal muscle. most common malignant vaginal and uterine mass in pediatric females. 6-18 month age group. homogeneous mass either filling the vaginal cavity or causing an irregular mass effect of the uterus.
increase in adrenal gland activity seen at the onset of puberty
Cafe au lait skin pigmentation
irregular flat spots of increased skin pigmentation
Synthetic estrogen, used from 1940 to 1971 to aid in pregnancy maintenance, that resulted in a T-shaped uterus in female children
Germ Cell Tumors
Class of tumors that originate in either the egg or sperm
loss of primordial germ cells in the gonads of an embryo
having both male and female sexual characteristics
vascular tumor of the adrenal gland
early onset of puberty, usually before 8 years of age
individual with external genitalia of one sex and the internal organs of another sex
Rokitansky nodule (aka dermoid plug)
Nodule projecting from a thickened cyst wall, usually ovarian in origin
start of breast development at the onset of puberty
genetic syndrome characterized by an X and O chromosome combination resulting in a female with premature ovarian failure and lack of puberty
fluid in the vagina
blood in the vagina
fluid in th euterus
blood in the uterus
fluid in the uterus and vagina
Blood in the uterus and vagina
a differential for patients presenting with localizing pain in the lower pelvis. Torsion is caused by the rotation of the ovary with the vascular pedicle on its axis, resulting in arterial, venous, or lymphatic obstruction.
surgical removal of adhesions
failure to ovulate
Form of carcinoma that grows into the uterine musculature
inflammation of the bowel
Surgery performed with an electrical device such as an electrocautery
blood-filled ovarian cyst resultant from endometriosis implants, benign cystic mass of the adnexa
hormone produced by anterior pituitary gland that stimulates growth of the Graafian follicle
Excessive hair on a woman
genetically abnormal pregnancy that develops into a grape-like mass within the uterus
increased testosterone levels associated with poly-cystic ovary Syndrom
excessive produciton/secretion of androgens
Reconstructive surgery of the uterus
Instrument allowing visualization of the uterus
collapsing and rolling inward
hormone produced by the anterior pituitary gland that stimulates ovulation
Breaking up of tissue
abnormally heavy or prolonged menses
Peritoneal fold supporting the abdominal viscera
growth of the placenta into the myometrium
Implantation of the placenta in the lower uterine segment or on the cervix
Microscopic collection of calcium associated with specific tumor types
cyst forms due to retention of nabothian gland secretions.
NORMAL, asymptomatic variant found in adult CX, often post-pregnancy. Sono: smooth bordered, fluid-filled mass located in the cervical canal, often w/ refractive edge shadowing
Excessive growth of the endometrium is a condition called endometrial hyperplasia.
Adhesion of endometrium result as trauma to uterine lining. Mostly occurs in women who've had D&C due to elected abotion or pregnancy failure. Rare
a term which means "adhesions" or a fibrous scars. Intrauterine adhesions resulting from the uterine trauma, such as curretage, are called Asherman syndrome.
Partial separation of the myometrium at the locaiton of the uterine scar
Most common tumor of the female pelvis 20-30% of women of reproductive age. Cause unknown. typically arise after menarche and regress after menopause, implicating estrogen as a promoter of growth. 10,24 Patients on tamoxifen treatment may see an increase in leiomyoma growth.
pocket of lymph fluid resulting from some type of trauma to the lymph vessels with-in the pelvis.
a distally blocked fallopian tube filled with serous or clear fluid
or physiologic cysts of the ovary include ovarian follicles, follicular cysts, corpus luteum cysts, and theca lutein cysts. Thin walled, posterior enhancement
result from either nonrupture of the dominant mature follicle or failure of an immature fol-licle to undergo the normal process of atresia, with absence of follicular fluid reabsorption
Corpus Luteum Cyst
Failure of absorption of the follicular cyst often results in a corpus luteum cysts. The Great Pretender because of varying appearance. When pregnant resolve by 16th week of gestation.
theca lutein cysts
a.k.a., hyperreactio luteinalis) are the largest of the functional cysts and may range in size from 3 to 20 cm. Theca lutein cysts represent an exaggerated corpus luteum response in patients with high levels of human chorionic gonadotropin (hCG), the hormone produced during pregnancy. Largest Functional cyst
bleeding into a cyst, whether functional or corpus luteal, results in an acute case of pelvic pain. sonographically, fresh blood appears anechoic, progresses subacutely to a mixed echogenicity, and finally becomes anechoic again. In the late acute phase, the cyst appears hyper-echoic because of the hemorrhage mimicking a solid mass.
Polycystic ovary syndrome (PCOS) is the most com-mon androgen disorder and is associated with obesity, amenorrhea, anovulation, hirsutism, and infertility
are the most common germ cell tumor of the pelvis. They are also the most frequently seen ovarian tumor in women younger than age 20 years arising from germ cells found in the embryonic yolk sac. Although teratomas may occur in any age group, they are most often seen during the second to fourth decades.
the terms "dermoid tumor" and "teratoma" are often used interchangeably, though teratomas contain tissue of all three germ layers (ecto-derm, mesoderm, endoderm), whereas dermoids are composed of ectodermal tissue only.
benign tumor originating in glandular tissue.
contain thicker mucin
Contain thinner mucin
in the ovary, the Brenner or transitional cell tumors are an uncommon solid tumor arising from the ovarian surface epithelium. They account for approximately 2% of all ovarian neoplasms.
Granulosa stromal cell tumor sometimes called fibrothecomas, estrogen producing solid ovarian masses that account for 1% to 2% of ovarian tumors
Granulosa Stromal Tumor
tumors arise for the embryonic gonad or ovarian stroma. 10 Classification of these benign stromal tumors, as well as Sertoli-Leydig cell tumors (also referred to as androblastomas and arrhenoblastomas), is achieved through the use of cellular typing, as they often share symptomology and physical and imaging findings.
a rare tumor found in either males or females and is composed of sex cord cells and stromal elements arising from dysplastic gonads.
Sertoli-leydic cell tumor
unilateral tumors have several names: the Sertoli-Leydig cell tumor, Sertoli-stromal cell tumors, arrhenoblastoma, or androblastoma. These account for less than 0.5% of tumors. Patients present with pain or abdominal swelling, and one-third suffer masculinization effects from elevated androgen levels
The triad of ascites, pleural effusion, and an ovarian neoplasm often is referred to as Meigs' syndrome. This mass may be a fibroma, theca, or granulosa tumor. This rare clinical sequelae has several iterations dependent on the disease process.
a type of sarcoma. Sarcoma is cancer of soft tissue usually begins in muscles that are attached to bones. Highest incidence of 3-4 years, more common in males
this type occurs most often in teh head and neck area or in teh genital or urinary organs. Most common type
thyes type occurs most often in teh arms or legs, chest abdomen, genital organs, or anal area
this type rarely occurs in children
any congenital developmental disorder of the reproductive system characterized by a progressive loss of germ cells on the developing gonads of an embryo
Is so rare, that it is thought to be a result of ovarian torsion and eventual necrosis in utero
smaller than normal, commonly associated with endocrine disorders, intersex disorders, and gonadal dysgenesis
Most familiar gonadal dysgenesis, rare chromosomal disorder that affects females, 45 xo karyotype. Dwarfism, webbed neck, shield shaped chest, amenorrhea
Chromosomal Female have both ovarian and testicular tissue
Chromosomal Male, has ovaries and masculine external genitalia
peri and post menopausal. appear increased in echogneicity compared to surrounding endometrium
Garner Duct Cyst
incidentally found on UT. Results from incomplete disappearance of the mesonephric
Most common benign neoplasm of CX. usually asymptomatic but can cause profuse bleeding
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