Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Download The uterus communicates with the fallopian tubes at
Document related concepts
no text concepts found
Transcript
The uterus communicates with the fallopian tubes at the Fundus Endos Cornu+ Ilios Pouch of Douglas Located at the base of the broad ligament of the uterus. Importantly, it contains the uterine artery and uterine vein. Oval ligament Uteroscacral ligament Uterospinous ligament Cardinal ligament+ Ovarian Ligament In 80% of women the uterus is Retroverted Retroflexed Anteverted+ Prolapsed Straight The outside coat of the uterus Fundus Endos Cornu Ilios Serosa+ The serous membrane that forms the lining of the abdominal cavity Perineum Perioneum Peritoneum+ Parametrium Periosteum The layer of connective tissue surrounding the uterus. Perineum Perioneum Peritoneum Parametrium+ Periosteum Lymph drainage of the uterus is mostly via the A. Internal iliac arteries B. External iliac arteries C. Femoral arteries D. A & B+ E. B & C Fibroids are also known as Mesolthelioma Myomatomas Leiomyomata+ Myomatonium Endothelioma Fibroids are less common in Women approaching the menopause Afro-Caribbean women Women with a family history Those who have taken the combined pill+ Distension and dilatation of the pelvis of the kidney – may be caused by large fibroids Red degeneration Torsion Hydronephrosis+ Ostiasis PCOS What percentage of fibroids are leiomyosarcomata? 0.1 – 0.5%+ 0.5 – 1% 1–2% 2 – 3% 3 – 4% An acute degenerative process caused by haemorrhage into the fibroid; affects half of all fibroids during pregnancy Torsion Red degeneration+ Hyaline degeneration Cystic degeneration Calcification Should fibroids be removed during caesarean? Yes No+ Which of the following statements is FALSE regarding fibroids? Asymptomatic patients with small fibroids need no treatment Larger fibroids should be serially measured Tranexamic acid is often effective when menorrhagia is due to fibroids GnRH agonists cause temporary fibroid enlargement+ HRT may cause continued fibroid growth after the menopause Surgical removal of uterine fibroids Myomectomy+ Hysteroectomy Fibrectomy Polyrectomy Endorectomy The presence of endometrium and its underlying stroma within the myometrium Endometritis Endometriosis externa Intrauteritis Adenomyosis+ Endomatometra Inflammation of the endometrium due to acute or chronic infection. It may be caused by foreign bodies, bacteria, viruses, or parasites. Endometritis+ Endometriosis externa Intrauteritis Adenomyosis Endomatometra The presence of pus in the uterus Endometra Endometria Uterometra Adenometra Pyometra+ The most common genital tract cancer Cervical Endometrial+ Ovarian Fallopian tube Vulvar Accounts for the majority of endometrial carcinomas Papillary Villoglandular Adenocarcinoma+ Clear cell Squamous cell Protective against endometrial carcinoma Obesity PCOS Tamoxifen Ovarian granulosa Combined oral contraceptive+ An abnormal proliferation of the endometrium in excess of the normal proliferation that occurs during the menstrual cycle. May develop into endometrial carcinoma. Endometrial hyperplasia+ Adenocarcinoma Adenomyosis Hyaline degeneration Leiomyomata Spread and staging for endometrial carcinoma: Lesions confined to uterus, deepest invasion < ½ of myometrial thickness Stage 1a Stage 1b+ Stage 1c Stage 2a Stage 2b Spread and staging for endometrial carcinoma: Lesions confined to uterus and cervix – in cervical stroma Stage 1a Stage 1b Stage 1c Stage 2a Stage 2b+ Spread and staging for endometrial carcinoma: Tumour invaded through uterus with vaginal metastases Stage 2b Stage 3a Stage 3b+ Stage 3c Stage 4a Spread and staging for endometrial carcinoma: Metastases to bowel or bladder Stage 2b Stage 3a Stage 3b Stage 3c Stage 4a+ 75% of patients with endometrial carcinoma present with Stage 1+ Stage 2 Stage 3 Stage 4 Stage 5 Has a limited role in advanced endometrial carcinoma Laparatomy Total abdominal hysterectomy Bilateral salpingo-oophorectomy External beam radiotherapy Chemotherapy+ What is the 5 year survival rate for Stage 2 endometrial carcinoma? 85% 70%+ 50% 25% 15% A rare malignant tumour that arises from the smooth muscle or connective tissue of the uterus. Endometrial carcinoma Uterine sarcoma+ Adenocarcinoma Pyometra Leiomyomata Malignant fibroids Endometrial carcinomas Leiomyosarcomas+ Adenocarcinomas Mixed Mullerian tumours Leiomyomatas A rare type of tumour that is a mixture of carcinoma and sarcoma cells. Usually occur in the uterus and are more common in old age. Endometrial carcinomas Leiomyosarcomas Adenocarcinomas Mixed Mullerian tumours+ Leiomyomatas
