Term
| 27 y/o with INFERTILITY and MULTIPLE OVARIAN CYSTS that look hemorrhagic on lap- dx? |
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Definition
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Term
| Bx of vaginal mass in 40 y.o. shows clear cells. Due to what? |
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Definition
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Term
| 20 y.o. with right ovarian mass and endometrial hyperplasia. Dx? |
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Definition
| granulosa cell tumor or PCO |
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Term
| 30 y.o. post birth with uncontrolled bleeding. Dx? |
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Definition
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Term
| 50 yo with white itching vulvar lesion |
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Definition
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Term
| 50 yo with red itching vulvar lesion |
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Definition
| Pagets Dz of the vulva.. Melanoma also a possibility but cells do not stain with PAS |
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Term
| 50 bx. Of vulva shows atrophic skin-dx and other systemic findings. |
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Definition
| Lichen sclerosis due to autoimmune dz |
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Term
| 50 women with squamous cell carcinoma of the vulva. What are the causes? |
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Definition
| HPV-16, cigs, AIDS/HIV or LICHEN SCLEROSIS |
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Term
| 27 yo with wart like lesion in anorectal area- most likely to progress to carcinoma?? T or F |
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Definition
| FALSE!!! prob not, its prob HPV 6 or 11 which can but unlikely to be CA. |
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Term
| Bleeding from the cervix and you see on colpo pedunculated mass? Dx? |
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Definition
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Term
| 62 yo with endometrial mass and bleeding- precursor is? |
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Definition
| Papillary serous- sporadic type |
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Term
| 32 yo infertile- you see little on D/C – in desperation you do endo. Bx. And see plasma cells- dx???? |
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Definition
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Term
| 35 yo found unresponsive on apt. floor with pool of blood near between legs- traum ruled out- hgb. Was 5.0. Mass found during emergency surgery in uterus- dx? |
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Definition
| Massive fibroid that ruptured. RARE |
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Term
| 42 yo on D/C and you see polyp- most likely hyperplastic right?? |
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Definition
| No-its fibrous tissue and a few glands!!! |
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Term
| 22 yo with infertility and obesity- you do lap and see bilat. Ovarian enlarged with multiple cysts |
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Definition
| Polycystic Ovarian Dz: classic, obese F in repro age |
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Term
| 55 yo with hyperplasia of uterus and right ovarian mass- pathologist says Call-Exner and you say- who is Exner??? |
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Definition
| GRANULOSA THECA CELL TUMOR |
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Term
| 62 yo with bilateral ovarian mass showing signet cell carcinoma- primary or secondary?? |
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Definition
| Secondary-->its a krukenberg tumor |
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Term
| 17 yo with ovarian mass, breast enlargement and positive pregnancy test? Denies having intercourse over the last year. |
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Definition
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Term
| 54 yo with vaginal bleeding- PAP shows adenocarcinoma- most likely from uterus right?? |
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Definition
| No. the CERVIX. caused by HPV |
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Term
| 40 yo with ascites- ovarian mass found- solid- pathologist says _”Gee look at all this B-9 stroma- can’t believe she had ascites!!” |
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Definition
| fibroma- sex cord stromal tumor |
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Term
| 40 yo with ascites and SOB. Pleural effusion seen on xray. Same pathologist- same lesion in ovary. Pathologist says “Gee I can’t believe she had a pleural effusion and ascites!!!” |
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Definition
| Meigs syndrome--a fibroma! |
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Term
| 34 yo with abdominal mass (big) and lots of facial hair and a deep voice |
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Definition
| sertoli-leydig cell tumor (makes androgens) |
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Term
| Where would you find an invasive mole? |
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Definition
| penetrates uterine wall and invades myometrium via hydropic villi. Can embolize to brain and lungs |
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Term
| 53 yo w metromenoragha, hgb 8, large uterus on pelvic exam.. at surg, mass is 10 cm, soft and fleshy with hemorrhage and necrosis. Spindle cell neoplasm with atypical mitosis. Dx is? (asks this Q twice!) |
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Definition
leiyomyosarcoma.
--what is the origin??? MYOMETRIUM |
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Term
| Pt c/o bloody stains in her bra. What is the dx? |
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Definition
| intraductal- large duct papilloma (fibrocystic change) |
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Term
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Definition
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Term
| when do you see gynecomastia in a male? |
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Definition
hormonal imbalance, as may occur in puberty or old age
exogenous hormones
drugs, including dilantin, digitalis, marijuana
Klinefelter's syndrome (47 XYY)
testicular tumors
liver disease--shitty E metabolish |
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Term
| 36 year old with abd enlargement and RESP difficulty. Dx is? |
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Definition
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Term
| 50 yr old pt pw abd pain and abnormal vaginal bleeding. On histo there is no whorled pattern but LOTS of mitosis and spindle cells |
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Definition
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Term
| 40 yo w/ mobile lump in breast with several smaller lesions in the area felt on inspection. Pt complains breast is painful w/ menses. See blue domb cyst (this one is 2x) Dx is? |
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Definition
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Term
| 60 yo excision bx from breast. 3 cm lesion with ill-defined margins. On section: gritty and densely fibrous tissue. What is it: (x2 question) |
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Definition
| invasive ductal carcinoma |
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Term
| image of a lesion: weeping lesion in the vulvar area with a special stain! |
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Definition
| Pagets Dz --stains + with pas |
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Term
| endometrial hyperplasia a/w (matching) |
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Definition
| granulosa-theca cell tumor OVARY |
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Term
| transitional cell epithelium (matching) |
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Definition
| Brenner Tumor (an adenofibroma).. cells look like the cells lining the bladder. usually benign |
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Term
| lined by cervical cells with mucin (matching) |
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Definition
| Stage 2 endometrial Cancer of the mucinous type |
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Term
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Definition
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Term
| spindle cells and collagen (matching) |
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Definition
| fibroma-thecomas (if there is collagen, this is the tumor) |
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Term
| anaplastic cells with no villi (matching) |
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Definition
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Term
| 17 yr old 31 wks pregnant p/w abd pain with vag bleeding..red unclotted blood. Cervix is not dilated, thick and firm. Dx? |
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Definition
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Term
| Pt p/w marked virulization. Dx? |
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Definition
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Term
| What would cause galactorrhea besides suckling? |
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Definition
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Term
| true or false, you get teh HPV vaccine and you never need another pap? |
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Definition
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