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Pathology

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Female Genital Tract

Question
6 out of 15
 

Uterine leiomyoma is least likely to undergo: (LQ)



A Malignant change :

B Hyaline change

C Calcification

D Red degeneration

Ans. A Malignant change

Secondary changes (degenerations) in

Atrophy: It can be:

After menopause

After delivery

Tumour becomes firmer and more fibrotic. It is due to diminished blood supply.

Calcareous degeneration: Phosphates and carbonates of lime are deposited in the periphery along the course of the vessels.

womb-stones' in graveyard: In old patients with long-standing myomas.

Red (Carneous) degeneration: It is more common during. pregnancy. The myoma becomes tense and tender and causes severe abdominal pain with constitutional upset and fever. The tumour itself assumes a peculiar purple-red color and develops a fishy odour.

Although the patient is febrile with moderate leucocytosis and raised ESR, the condition is an aseptic one.

It needs to be differentiated from-

Appendicitis

Twisted ovarian cyst

Pyelitis

Accidental hemorrhage

Sarcomatous change: It is extremely rare. Incidence is no more than 0.5% of all myomas.

Intramural and submucous tumors have a higher potential than sub-serous.

It is rare for malignant change to develop in i women under the age of 40'

It is highly malignant and spreads through blood'

Other complications:

Torsion

Inversion

Capsular hemorrhage

Infection

Associated endometrial carcinoma

Female Genital Tract Flashcard List

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