JCU MB4 Term 4 Week 6 (Cervix and Uterus)

1

36yo female, abnormal smear report for coloscopy & biopsy. Aceto-white stain and histology shown. Diagnosis?

Aceto-white HSIL

Histology HSIL


2

32yo female, routine pap smear cytology shown. Diagnosis?

Cytology Normal


3

32yo female, routing pap smear cytology shown. Diagnosis?

Cytology LSIL


4

28yo female, image shows routine smear test. Her previous PAP was reported as normal. What is the recommended management option?

Cytology LSIL


5

38yo primigravida, lower abdominal pain worse during menses, dysmenorrhoea for 3yrs. Palpable adnexal mass, enlarged ovary, image shows laparoscopic view of pelvic cavity. Diagnosis?

Endometriosis

Endometriosis


6

34yo female, on OCP, vaginal bleeding for 5 weeks. Polypoid mass seen projecting through cervis. Macroscopic and histological images of uterus shown. Diagnosis?

Endometrial polyp macro

Endometrial polyp micro


7

27yo female, vaginal discharge cytology. Vaginal smear shown. Diagnosis?

Bacterial Vaginitis


8

48yo perimenopausal with 7 month history of irregular vaginal bleeding undergoes hysterectomy. Images shows her opened uterus specimen. Diagnosis?

Endometrial poylps


9

32yo female, biopsy taken after routine pap smear shown. Diagnosis?

Cervix LSIL


10

39yo post-coital bleeding after hysterectomy. Macroscopic and histological images shown. Diagnosis?

Cervical carcinoma

Cervical carcinoma


11

42yo female, routine pap smear shown. What is the diagnosis?

Cervix HSIL


12

39yo female, biopsy taken after routine pap smear shown. Diagnosis?

Cervix HSIL


13

32yo female, cervical biopsy shown. Diagnosis?

Cervical carcinoma


14

42yo female, routine pap smear shown. Diagnsosis?

Cervicitis and HSIL


15

49yo female, cervical carcinoma, macroscopic appearance shown. What is the stage?

Cervical carcinoma stage 1


16

30yo female for routine pap smear screening. Diagnosis?

Pap smear LSIL


17

48yo female, reports thick, white vaginal discharge. Examination and smear findings shown. Diagnosis?

Candida albicans macro

Candida albicans smear


18

35yo female, smelly, frothy yellow discharge. Macroscopic and smear findings shown. Diagnosis?

Trichomonas macro

Trichomonas smear


19

30yo female, routine pap smear shown. Diagnsosis?

Cervixs HSIL


20

35yo female fishy-smelling vaginal discharge has pap smear report of clue cells and dysplastic cells. Image shows appearance of biopsy on coploscopy and smear. What is the most likely diagnosis?

Cervix HSIL

Pap smear clue cells


21

31yo female, infertility. Swollen vulva, inguinal lymphadenopathy. Biopsy of enlarged lymph node showed necrotizing granulomas and inclusion bodies. Most likely etiologic agent?

Chlamydia


22

52yo female, 2 year history of vulvar itching, dyspareunia. Examination shows white plaque, shiny thin skin. Image shows clinical and biopsy appearance. What is the most likely diagnosis?

Lichen sclerosis atrophicus macro

Lichen sclerosis atrophicus micro


23

A 60yo woman presents with a 1-year history of vulval itching, bleeding and inflammation. Physical examination reveals a 1cm exophytic fungatic mass on the labium major. Biopsy of the mass shows poorly differentiated malignant cells. These neoplastic cells would most likely express which of the following tumour markers?


24

31yo woman with a 3 month history of warty, non-pruritic, non-haemorrhagic lesions on her perineum and labia majora. Images show two similar history cases and biopsy. What is the most likely diagnosis?

Condyloma accimunata

Condyloma accimunata


25

45yo woman blood tinged vaginal discharge for 1 month, previously had 2 episodes of postcoital bleeding in past 12 months. Images (A & B) show two cases with similar history. What is the most likely diagnosis?

Cervical carcinoma

Cervical carcinoma