2/15/2010

1

THE FEMALE GENITAL SYSTEM AND BREAST

Lichen sclerosusLichen sclerosus

Squamous hyperplasia

Condylomas and Low-Grade Vulvar Intraepithelial Neoplasiap p

2/15/2010

2

Vulvar intraepithelial neoplasia

Invasive vulvar carcinoma

Extramammary Paget disease

Vaginal Tumors

Sarcoma botryoidesembryonal rhabdomyosarcoma

Cervical Lesions

Chronic cervicitis

2/15/2010

3

Normal squamous cells

Koilocytes High grade squamous intraepithelial lesion

2/15/2010

4

Invasive cervical cancer

Endocervical polyp

ENDOMETRITIS

Actinomyces

ADENOMYOSIS

2/15/2010

5

Adenomyosis

ENDOMETRIOSIS

DYSFUNCTIONAL UTERINE BLEEDINGBLEEDING

ENDOMETRIAL HYPERPLASIA

• Estrogen stimulation

2/15/2010

6

Endometrial polyps

Endometrial carcinoma

2/15/2010

7

FALLOPIAN TUBES

PELVIC INFLAMMATORY DISEASE

OVARIES

Polycystic ovaries

2/15/2010

8

Mucinous cystadenoma

Pseudomyxoma peritonei

2/15/2010

9

Clinical Correlation

• Asymptomatic

• Pain

• Gastrointestinal complaints• Gastrointestinal complaints

• Urinary frequency

• Increase abdominal girth

Placental inflammations and infections

2/15/2010

10

Hydatidiform Mole: Complete and Partial

Complete hydatidiform mole

Invasive mole

Choriocarcinoma

2/15/2010

11

Breast

Blue dome cyst

Cyst wall

Epithelial Hyperplasia

2/15/2010

12

Inflammation of the Breast

Mammary duct ectasia

Fat necrosisFat necrosis

FibroadenomaCystosarcoma phyllodes

2/15/2010

13

Phyllodes tumorIntraductal papilloma

Breast Cancer Risk Factors

• Age

• Family history

• Menstrual history• Menstrual history

• Pregnancy

• Benign breast disease

• Estrogen, BCP, obesity, High-fat diet, alcohol consumption, cigarette smoking

Paget disease

Paget disease of the breast Invasive carcinoma

2/15/2010

14

Invasive ductal carcinoma

MALE BREAST

Gynecomastia

Adenocarcinoma