PathMD Quizes Gynecological Pathology – 01 October 29, 2017 peferguson Make sure to subscribe to PathMD to stay up to date with new content and features!! 1. A 40-year-old female presents with an ovarian mass. An oophorectomy is performed, and representative images are shown. Based on the findings, what is the best diagnosis? Gynecological Pathology - Part 1, Case #5 Gynecological Pathology - Part 1, Case #5 Gynecological Pathology - Part 1, Case #5Endometrioid Cystadenoma Mucinous Cystadenoma Borderline Malignant PotentialSerous Cystadenoma Mucinous Cystadenoma Serous Cystadenoma of Borderline Malignant Potential 2. A 65-year-old female was noted to have an endometrial mass. Represent sections of the biopsy are shown in the images for this case. At hysterectomy, the lesion was noted to be noninvasive, confined to the endometrium, and had 1 mitotic figure per 10 hpf. Based on these findings, which of the following is the best diagnosis? Gynecological Pathology - Part 1, Case #1 Gynecological Pathology - Part 1, Case #1 Gynecological Pathology - Part 1, Case #1AdenosarcomaCarcinosarcomaAdenofibromaEndometrial Stromal SarcomaAtypical Polypoid Adenomyoma 3. An endometrial adenocarcinoma that invades two thirds of the depth of the myometrium would be classified as which of the following according to the AJCC cancer staging manual, sixth edition?T2aT2bT1cT1aT1b 4. A 48-year-old female is found to have a 1.5 cm ovarian mass lesion that is separate from another lesion for which an oophorectomy was being performed. The images for this case show that histology for the 1.5 cm mass lesion. Based on the findings, what is the diagnosis? Gynecological Pathology - Part 1, Case #6 Gynecological Pathology - Part 1, Case #6 Gynecological Pathology - Part 1, Case #6Malignant Brenner Tumor Proliferating Brenner Tumor Transitional Cell Carcinoma Squamous Cell Carcinoma Brenner Tumor 5. A female patient who is 32 years old presents with intermittent vaginal bleeding. An endometrial biopsy is performed, and representative images are shown for this case. Which of the following is the best diagnosis? Gynecological Pathology - Part 1, Case #2 Gynecological Pathology - Part 1, Case #2 Gynecological Pathology - Part 1, Case #2Endometrial Adenocarcinoma CarcinosarcomaEpithelioid Trophoblastic Tumor Placental Site Trophoblastic TumorChoriocarcinoma 6. When staging a primary ovarian tumor, according to the AJCC staging manual, which of the following categories would represent tumor limited to the ovary but having positive peritoneal washings?T2cT1cT1aT3cT1b 7. Brenner tumors associated with what type and frequency of a lesion?Endometriosis of the ovary, 50%Mucinous lesions, 70%Serous lesions, 30%Serous lesions, 70%Mucinous lesions, 30% 8. A 55-year-old female presents with intermittent vaginal bleeding. A Pap smear was performed, and a representative image is shown. Clinically, the uterus is slightly enlarged, and the cervix is grossly unremarkable. Based on these findings, what is the most likely diagnosis? Gynecological Pathology - Part 1, Case #3CIN IIIEndometrial Adenocarcinoma CIN IIAGUSCIN I 9. In a patient with choriocarcinoma, which of the following lab abnormalities do you expect to find elevated?LDHCEABeta hCG Alpha-fetoprotein CD19-9 10. A 65-year-old female presents with an ovarian mass. An oophorectomy is performed, and representative images are shown for this case. Based on the histologic findings, what is the best diagnosis? Gynecological Pathology - Part 1, Case #4 Gynecological Pathology - Part 1, Case #4 Gynecological Pathology - Part 1, Case #4 Gynecological Pathology - Part 1, Case #4Brenner Tumor Yolk Sac TumorEndometrioid Adenocarcinoma DysgerminomaClear Cell Carcinoma Loading...