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 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 I CIN IICIN IIIAGUSEndometrial Adenocarcinoma 2. 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 #4DysgerminomaClear Cell CarcinomaEndometrioid Adenocarcinoma Brenner Tumor Yolk Sac Tumor 3. 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 #1AdenofibromaCarcinosarcomaAdenosarcomaAtypical Polypoid Adenomyoma Endometrial Stromal Sarcoma 4. 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 #5Mucinous Cystadenoma Borderline Malignant PotentialMucinous Cystadenoma Serous Cystadenoma of Borderline Malignant Potential Endometrioid Cystadenoma Serous Cystadenoma 5. 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?T2cT1aT1bT1cT3c 6. 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?T2bT1bT1aT1cT2a 7. 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 #2CarcinosarcomaEndometrial Adenocarcinoma Epithelioid Trophoblastic Tumor Choriocarcinoma Placental Site Trophoblastic Tumor 8. In a patient with choriocarcinoma, which of the following lab abnormalities do you expect to find elevated?Alpha-fetoprotein LDHCD19-9CEABeta hCG 9. 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 Squamous Cell Carcinoma Transitional Cell Carcinoma Proliferating Brenner Tumor Brenner Tumor 10. Brenner tumors associated with what type and frequency of a lesion?Mucinous lesions, 70%Serous lesions, 70%Endometriosis of the ovary, 50%Mucinous lesions, 30%Serous lesions, 30% Loading...