Benign Gynecology Review Questions with
Answers
DES - Correct Answer diethylstilbestrol used between 1940s-1971
- DES crosses placenta and affects female reproductive tract cell differentiation
What can DES cause? - Correct Answer vaginal clear cell carcinoma and structure
abnormalities in cervix and uterus
Nabothian cysts - Correct Answer Mucinous retention cysts
- often asymptomatic
- may have sensation of fullness in vagina
What is a Nabothian cyst? - Correct Answer cleft of columnar epithelium becomes
covered with squamous cell and columnar cells continue to secrete fucoid material
Treatment for Nabothian cyst - Correct Answer typically left alone
- if bothersome, or unclear etiology (cancer) it may be drained and sent for pathology
Bartholdi’s cysts - Correct Answer Bartholdi duct obstruction --> retained secretion -->
gland enlargement (can be infectious)
Symptoms of Bartholdi’s cysts - Correct Answer unilateral vulvar mass/inflammation
- can be asymptomatic
Diagnosis of Bartholdi’s cysts - Correct Answer clinical/wound Ca
Treatment of Bartholdi’s cyst - Correct Answer I&D, +/- bx, warm compresses, or
nothing
Cervical polyps - Correct Answer - very common in multigravidas > 20
- intermenstrual or postcoital bleeding
- a soft, red, pedunculated protrusion from the cervical canal at the external so
Cervical polyp diagnosis - Correct Answer microscopic exam confirms the dx of benign
polyp
Treatment of cervical polyps - Correct Answer removal (twist at base, can be done in
clinic) and sent for pathology
Fibroids (leiomyoma) - Correct Answer most common pelvic floor tumor
Answers
DES - Correct Answer diethylstilbestrol used between 1940s-1971
- DES crosses placenta and affects female reproductive tract cell differentiation
What can DES cause? - Correct Answer vaginal clear cell carcinoma and structure
abnormalities in cervix and uterus
Nabothian cysts - Correct Answer Mucinous retention cysts
- often asymptomatic
- may have sensation of fullness in vagina
What is a Nabothian cyst? - Correct Answer cleft of columnar epithelium becomes
covered with squamous cell and columnar cells continue to secrete fucoid material
Treatment for Nabothian cyst - Correct Answer typically left alone
- if bothersome, or unclear etiology (cancer) it may be drained and sent for pathology
Bartholdi’s cysts - Correct Answer Bartholdi duct obstruction --> retained secretion -->
gland enlargement (can be infectious)
Symptoms of Bartholdi’s cysts - Correct Answer unilateral vulvar mass/inflammation
- can be asymptomatic
Diagnosis of Bartholdi’s cysts - Correct Answer clinical/wound Ca
Treatment of Bartholdi’s cyst - Correct Answer I&D, +/- bx, warm compresses, or
nothing
Cervical polyps - Correct Answer - very common in multigravidas > 20
- intermenstrual or postcoital bleeding
- a soft, red, pedunculated protrusion from the cervical canal at the external so
Cervical polyp diagnosis - Correct Answer microscopic exam confirms the dx of benign
polyp
Treatment of cervical polyps - Correct Answer removal (twist at base, can be done in
clinic) and sent for pathology
Fibroids (leiomyoma) - Correct Answer most common pelvic floor tumor
