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KEY FACTS Imaging Transvaginal sonography study of choice for initial work-up of abnormal vaginal bleeding Endometrial thickening: Focal more suspicious than diffuse Polypoid masses with internal color flow Mixed echogenicity, ± necrosis Can invade myometrium, cervix, parametrial structures Disruption of…

KEY FACTS Terminology Focal hyperplastic overgrowth of endometrial tissue You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here

KEY FACTS Terminology Hematometrocolpos: Distension of uterus and vagina by accumulated blood secondary to obstruction Hematometra: Distension of uterine cavity by blood products Hematocolpos: Distension of vagina by blood products You’re Reading a Preview Become a Clinical Tree membership for…

KEY FACTS Terminology Müllerian duct anomalies (MDA): Series of uterine malformations resulting from abnormal development, fusion, or resorption of müllerian ducts MDA types Müllerian agenesis or hypoplasia Unicornuate uterus Uterus didelphys Bicornuate uterus Septate uterus Arcuate uterus Ovaries are not…

KEY FACTS Terminology Benign smooth muscle neoplasm of uterus Synonym: Fibroid You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here

KEY FACTS Terminology Ectopic endometrial tissue within myometrium with adjacent smooth muscle hyperplasia You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here

KEY FACTS Imaging Soft tissue mass in cervix: Hypoechoic or isoechoic ± necrosis Hydro- or hematometra from cervical obstruction Mass extending into upper vagina MR is best modality for local staging and planning of radiation therapy Tumor: Intermediate- to high-signal…

KEY FACTS Terminology Mucus-filled cystic dilatation of endocervical gland Tunnel cluster: Type of nabothian cyst characterized by complex multicystic dilatation of endocervical glands You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become…

GROSS ANATOMY Overview Ovaries located in true pelvis, although exact position variable Only pelvic organ entirely inside peritoneal sac Laxity in ligaments allows some mobility Location affected by parity, bladder filling, ovarian size, and uterine size/position Located within ovarian fossa…

TERMINOLOGY Abbreviations Vaginal artery (VA), uterine artery (UA) GROSS ANATOMY Overview Muscular tube formed by smooth muscle and elastic connective fibers Serves as excretory duct for uterus, female organ for copulation, and part of birth canal Extends up and back…