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CHAPTER 13 Benign Diseases of The Female Reproductive Tract: Novak's Gynecology Page 399 412 OBGY R1 Lee Eun Suk
CHAPTER 13 Benign Diseases of The Female Reproductive Tract: Novak's Gynecology Page 399 412 OBGY R1 Lee Eun Suk
– Etiology
• 마스터 텍스트 스타일을 편집합니다
• Chromosomal abnormalities
• 둘째 수준
• Enzyme deficiencies (including 17- or 21- hydroxylase deficiency as ca
• 셋째 uses
수준of congenital adrenal hyperplasia)
• • Prenatal
넷째 수준 masculinization resulting from maternal androgen-secreting ov
arian tumors
• 다섯째 수준
• Drug exposures
Vulvar Conditions
마스터 제목 스타일 편집
• Neonatal
– Careful inspection of the external genitalia of all female infants with gentle pr
obing of the introitus & anus to determine the patency of the hymen or a po
ssible imperforate anus
– Treatment
• 마스터 텍스트 스타일을 편집합니다
• Brief course (2 to 4 weeks) of estrogen cream
• 둘째 수준
• Agglutination (adhesion) will become thin as the result
• 셋째 수준
• Separation can often be perfomed with topical anesthetic
• 넷째 수준
• 다섯째 수준
마스터 제목 스타일 편집
– Urethral prolapse
• 둘째 수준
– Vulvovaginal complaints of any sort in a young child should prompt the cons
• 셋째 수준of possible sexual abuse
ideration
• 넷째 수준
• Sexually transmitted infections may occur in prepubertal children
• 다섯째 수준
• Sensitive but, direct questioning of the parent or caretaker & the child
Vulvar Conditions
마스터 제목 스타일 편집
• Adolescence
• –마스터
10% of텍스트
white women
스타일을 have a pigmented vulvar lesion, some of lesio
편집합니다
ns may be malignant or have the potential progression
• 둘째 수준
• 셋째 수준
– The behavior of some nevocellular lesions (representing about 2%
• 넷째 수준
of nevi) is not well established but has been linked to melanoma
• 다섯째 수준
– Multiple hyperpigmented lesions of typical lentigo simplex and mela
nosis are common, and any areas with irregular borders
should be evaluated by biopsy
마스터 제목 스타일 편집
• 넷째 수준
• Smaller biopsies unnecessary to place a suture
• 다섯째 수준
• The biopsy sites will be painful for several days after procedure
– Commonly present over the lower abdomen, mons pubis, labia maj
• 마스터
ora, & 텍스트 스타일을
inner portions 편집합니다
of the thighs
• 둘째 수준
• –셋째
Hidradenitis
수준 suppurativa
• 넷째 수준
• Chronic condition involving the apocrine glands with the formation of m
• 다섯째 수준
ultiple deep nodules, scar, pits, and sinuses in the axilla, vulva, & perine
um
• Particularly the axillae, neck, thighs, submammary area, vulva and surro
• 마스터 텍스트
unding skin 스타일을 편집합니다
• 둘째 수준
• – Association with hyperandrogenism & PCOS as such
셋째 수준
• 넷째 수준
• Obesity, chronic anovulation, acne, glucose intolerance, and cardiovasc
• 다섯째 ular수준
disease
Vulvar Conditions
마스터 제목 스타일 편집
• Intraepithelial neoplasia
• 마스터 텍스트
• Moist, 스타일을
oozing 편집합니다
ulcerations, eczematoid lesion with scaling and crusting
• 둘째• 수준
Biopsy to confirm the diagnosis is mandatory
• 셋째 수준
– Vulvar intraepithelial neoplasia
• 넷째 수준
• 다섯째 수준
• Associated with human pillomavirus infection
• Increasing in frequency, particularly among young women
• Suspicious vulvar lesions that are pigmented or discolored → biopsy
Vulvar Conditions
마스터 제목 스타일 편집
• Vulva tumors, cysts, and masses
– Condyloma accuminata
– Chron’s disease
• 마스터• Abscesses,
텍스트 스타일을 편집합니다
fistulae, sinus tracts, fenestrations, and other scarring
• –둘째 수준 disease
Behcet’s
• 셋째 수준 and oral ulcerations with ocular inflammation
• Genital
• The cause & the most effective therapy are not well established
• 넷째 수준
• –다섯째
Lichen수준
planus
• Oral & genital ulcerations
• Typically desquamative vaginitis with vestibule erosion
• Topical and systemic steroids
Vulvar Conditions
마스터 제목 스타일 편집
• Post menopausal women - vulvar dystrophies
– Lichen sclerosis
– Fibroepithelial polyps
•
Polypoid folds of connective tissue, capillaries, and stroma covered by
vaginal epithelium
• • Excision
마스터 텍스트 스타일을 편집합니다
• 둘째 수준
– Cysts of embryonic origin
• 셋째
• 수준
From mesonephric, paramesonephric & urogenital sinus epithelium
• 넷째 수준
• Gartner’s
– 다섯째 수준duct cysts
• Mesonephric origin
• Usually present on lateral vaginal wall
Vaginal Conditions
마스터 제목 스타일 편집
• Adolescence and older
– Vaginal adenosis
• 셋째 수준
– Bulging lesion of the vagina & vulvar area
• 넷째 수준
• 다섯째 수준
• Associated with symptoms of pressure or discomfort
• Most common cause : cystocele, rectocele, or urethrocele