Todays blog is aimed at the UCL 5th Year Medical Students who attended on Thursday and the SSC UCL Students that attended on Friday

O&G Surgical Pathology Topics covered

Physiological uterine enlargement (pregnancy)

  • Post Partum Haemorrhage due to Placenta Accreta

Pathological causes of an enlarged uterus :-

  • Fibroids showing
    • Red degeneration (ischaemia)
    • Calcification and Bony metaplasia
    • Cystic and Myxoid Degeneration
    • Malignant change (Leiomyosarcoma)
  • Adenomyosis
  • Benign Endometrial polyp
  • Adenocarcinoma of the uterus
    • Affects on staging  – Depth of invasion  – Invasion of the endocervix

Ovarian cysts :- Follicular Cysts , Polycystic Ovary , Luteal cyst (not illustrated)

Other benign Cysts  : –

  • Simple Cyst
  • Endometriotic Cyst (classic chocolate cyst)
    • Endometriosis in other areas
      • Pounch of Douglas
      • Surface of the uterus
      • Umbilical (diferential diagnosis discussed)
      • Colonic Endometrioma (rare)
      • Lungs (rare)

Serous Cystadenoma (incl Serous Cystadenofibroma)

Mucinous Cystadenoma

Benign Dermoid Cyst (Benign Cystic Teratoma)

Malignant change (SCC)

Other Teratomas

  • Struma Ovarii
  • Struma Carcinoid (not shown)

Adenocarcinoma of the ovary

  • Omental metastasis

Other ovarian pathology shown

Thecoma/Fibroma

Granulosa Cell Tumour

Transitional Cell Tumour of the ovary – Brenner  (discussed)

Other pathology shown

Ectopic pregnancy

Friday group only

Postmenopausal uterus resected for prolapse

Topics not covered but worth reading up

Cervical Pathology , CIN , Carcinoma (SCC & adeno)

Vulval pathology – eg Lichen Sclerosis

Placenta pathology eg when to send to pathology

Other info

For those liking to listen to the radio whilst working

In our time Radio 4

Microbiology        http://www.bbc.co.uk/programmes/b007753d

Reference              https://en.wikipedia.org/wiki/Ignaz_Semmelweis

Penicillin            http://www.bbc.co.uk/programmes/b07dnnkm

Anatomy             http://www.bbc.co.uk/programmes/p005488j

The Heart           http://www.bbc.co.uk/programmes/p003c1bh

Hippocrates        http://www.bbc.co.uk/programmes/b014gdqq

Galen                     http://www.bbc.co.uk/programmes/b03c4dys

 

 

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