CHAPTER 22

FEMALE GENITAL TRACT

FEMALE GENITAL TRACT NORMAL

Embryology Anatomy

PATHOLOGY
Infections

NORMAL
EMBRYOLOGY ANATOMY

PATHOLOGY
INFECTIONS, LOWER INFECTIONS, LOWER & UPPER
Pelvic Inflammatory Disease (PID)

 VULVA VAGINA CERVIX BODY of UTERUS FALLOPIAN TUBES PLACENTA

PATHOLOGY

 BARTHOLIN CYST VULVAR VESTIBULITIS NON-NEOPLASTIC EPITHELIAL

VULVA

Lichen Sclerosus Lichen Simplex Chronicus

NEOPLASMS

BARTHOLIN CYST

VULVAR VESTIBULITIS

 ---SCLEROSUS

LICHEN---

---SIMPLEX CHRONICUS

NEOPLASMS
BENIGN PREMALIGNANT MALIGNANT

BENIGN
Papillary Hidradenoma Condyloma Acuminatum

PREMALIGNANT
Vulvar Intraepithelial Neoplasia (VIN)

MALIGNANT
VIN-III (Squamous Cell Carcinoma-In-Situ) INFILTRATING SCC Extramammary Paget Disease Malignant Melanoma

VAGINA
CONGENITAL TUMORS

CONGENITAL

 VIN, SCC ADENOCARCINOMA EMBRYONAL RHABDOMYOSARCOMA

TUMORS

CERVIX
INFLAMMATIONS TUMORS

INFLAMMATIONS
Acute and Chronic Cervicitis

Endocervical Polyps

TUMORS
Cervical Intraepithelial Neoplasia (CIN) Squamous Intraepithelial Lesion (SIL)
Low Grade High Grade

Squamous Cell Carcinoma

SCC

 CYCLICAL ENDOMETRIAL HISTOLOGY

UTERINE BODY/ ENDOMETRIUM

DYSFUNCTIONAL UTERINE BLEEDING (DUB)

INFLAMMATION ENDOMETRIOSIS/ADENOMYOSIS ENDOMETRIAL POLYPS ENDOMETRIAL HYPERPLASIA TUMORS
EPITHELIAL, STROMAL, MESENCHYMAL

ENDOMETRIAL HISTOLOGY

DYSFUNCTIONAL UTERINE BLEEDING (DUB)

Anovulatory Cycle Inadequate Luteal Phase Oral Contraceptives Menopause Post-Menopause

INFLAMMATION
ENDOMETRITIS

ENDOMETRIOSIS/ ADENOMYOSIS

ENDOMETRIAL POLYPS

ENDOMETRIAL HYPERPLASIA

TUMORS
ENDOMETRIUM
Glands Stroma

MYOMETRIUM

ENDOMETRIUM (GLANDS)
ADENOCARCINOMA
Incidence Pathogenesis Morphology Clinical Course

ENDOMETRIUM (STROMA)

Carcinosarcomas Adenosarcomas Stromal Tumors

TUMORS MYOMETRIUM
LEIOMYOMAS

LEIOMYOSARCOMAS

FALLOPIAN TUBES
INFLAMMATIONS
CYSTS

INFLAMMATIONS

CYSTS

 CYSTS

OVARIES
NON-Neoplastic Functional MLLERIAN GERM CELL SEX CORD-STROMAL METASTATIC

TUMORS

OVARIAN CYSTS
FOLLICULAR (LUTEAL) POLYCYSTIC OVARIES/STROMAL HYPERTHECOSIS

OVARIAN TUMORS
Pathogenesis Classification Clinical Course, Detection, Prevention

OVARIAN TUMORS MLLERIAN

SEROUS MUCINOUS ENDOMETRIOID CLEAR CELL CYSTADENOFIBROMA BRENNER TUMOR

SEROUS

MUCINOUS

ENDOMETRIOID

CLEAR CELL

CYSTADENOFIBROMA

BRENNER TUMOR

OVARIAN TUMORS GERM CELL

TERATOMAS
Mature (Benign) Monodermal (Specialized) Immature (Malignant)

DYSGERMINOMA ENDODERMAL SINUS (YOLK SAC) OTHERS

TERATOMAS
MATURE MONODERMAL (SPECIALIZED) IMMATURE

DYSGERMINOMA

ENDODERMAL SINUS (YOLK SAC)

CHORIOCARCINOMA

OTHER GERM CELL

OVARIAN TUMORS SEX CORD-STROMAL

GRANULOSA-THECAL CELL FIBROMA-THECOMA SERTOLI-LEYDIG (ANDROBLASTOMA) OTHERS

GRANULOSA-THECA CELL TUMORS

FIBROMA-THECOMA TUMORS

SERTOLI-LEYDIG TUMORS (ANDROBLASTOMAS)

OVARIAN TUMORS METASTATIC

GESTATIONAL/ PLACENTAL DISORDERS EARLY PREGNANCY LATE PREGNANCY TUMORS (TROPHOBLASTIC DISEASE)

EARLY PREGNANCY
SPONTANEOUS ABORTION ECTOPIC PREGNANCY

LATE PREGNANCY

PLACENTAL ABNORMALITIES TWIN PLACENTAS INFLAMMATIONS/INFECTIONS TOXEMIA (PREECLAMPSIA/ECLAMPSIA) INTRAUTERINE GROWTH RESTRICTION

 HYDATIDIFORM MOLE
COMPLETE PARTIAL

TUMORS

INVASIVE MOLE CHORIOCARCINOMA PLACENTAL SITE TROPHOBLASTIC TUMOR