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20 Cards in this Set
- Front
- Back
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An indication for ... is an abnormal pap smear
Abnormal mucosa appears white due to increased ... ratio Cannot rule out a malignant/pre-malignant lesion w/o an adequate ... |
colposcopy
nuclear to cytoplasmic colposcopy |
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What is the biggest risk with a cervical biopsy?
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misdiagnosis (need to biopsy the right area)
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... – excision of the transformation zone of the cervix
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cone biopsy
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Indications for CKC (cold knife conization):
Diagnostic: -____________________colposcopic exam. -Pap/colpo ____________________. -Suspected ____________________ lesion (positive endocervical curettage). -Suspected ____________________ lesion. -Suspected ____________________ malignant lesion (rule out frank invasion). Therapeutic: -Treatment of high grade (or microinvasive) disease. |
inadequate
discrepancy endocervical glandular microinvasive |
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... – rapid expansion of carbon dioxide or nitrous oxide in a probe placed against cervix causing freezing of cervical tissue
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cryotherapy
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Risks of cryotherapy:
not recommended during ... patients should be counseled to expect ... |
pregnancy
a profuse watery vaginal discharge (can last for a few weeks) |
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...:
Definition: aspiration of fluid from posterior cul-de-sac (pouch of Douglas) by needle placed through posterior fornix of the vagina. Indication: confirmation of suspected hemoperitoneum (ectopic, hemor cyst). Risks: bleeding, infection, pain, fistula, limited information gained. Benefits: quick, inexpensive, may help identify patient with life-threatening condition. |
Culdocentesis
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...:
Dilation of _____________ by passing sequentially larger metal dilators or by placing hygroscopic dilators (laminaria tents) through the cervical os. Curettage (scraping) of the ____________________ with sharp curette and/or suction aspiration of uterine contents. |
Dilation and Curettage (D&C)
cervix uterus (endometrium) |
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What is the main additional risk of a D&C?
another additional risk is uterine synechiae (aka ...) |
uterine perforation
Asherman’s syndrome (scarring of lining of uterus) |
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... – loop electrosurgical wire (unipolar) with cutting/coagulation current used to excise entire cervical transformation zone.
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electrosurgical cone biopsy (LEEP, LEETZ)
(loop electrical excision procedure, loop electrical excision of the transformation zone) |
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If invasive disease is suspected, what is usually preferred? (CKC or LEEP/LEETZ). Why?
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CKC
due to margins being easier to ID histologically |
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If you have a positive endocervical lesion and you don’t see anything on colposcopy, you probably want to do a ... rather than a ...
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CKC
LEEP |
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LEEP/LEETZ not recommended for:
-... lesions which cover ectocervix . -Lesions ... in endocervical canal. -Bleeding disorders, anticoagulants. |
Wide
high |
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... (usually performed w/ ...)
-sampling of endocervical canal by curette scraping. -contraindicated during ... |
endocervical curettage
colposcopy pregnancy |
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Endometrial biopsy – most often performed w/ 3 mm plastic suction curette (... technique)
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aspiration
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... – removal of the uterus
-subtotal - ... -total - ... |
hysterectomy
leaving the cervix behind taking the cervix |
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... – direct visualization of endometrial cavity using a 3-5 mm endoscope and light source
-contraindicated in ... -complications due to distending media: fluid overload from distending media can cause ... --> seizures |
hysteroscopy
pregnancy hyponatremia |
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... – endoscopic visualization of the abdomen and pelvis
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laparoscopy
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... – excisional sampling of vulvar tissue for histopathologic evaluation
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vulvar biopsy
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Do quiz questions for chapter 33
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