dxtxpx
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A woman with vaginal bleeding passed some tissue when she went to the bathroom, a pathology report on tissue indicates the presence of Arias-Stella phenomenon. This finding suggests
a) either an intrauterine or ectopic pregnancy
b) endometritis secondary to intrauterine device
c) endometrial CA secondary to unopposed estrogen
d) microglandular hyperplasia of endocervix
e) Pt has been on androgen for treatment of endometriosis
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| asmi
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C..
Choriocarcinoma :
morpholigc change due to HCG
endometrial hyperplasia
decidual reaction
Arias-Stella phenomenon
bilateral enlargement of ovaries : theca lutein cyst
hyperplasia of mammary lobule
metastasis
lung(50%), liver, bone, etc.
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| mjl1717
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a)intrauterine or ectopic pregnancy
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| asmi
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most comom cause of chorio carcinoma : hydatiform mole , previous abortion and pregnancy..
thus mjl is right its A.
my mistake :oops:
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| dxtxpx
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yep A is correct
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| usmle2004
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Arias-Stella's phenomenon
Also known as: Arias-Stella's effect.
Description: Highly excretive gland epithelium due to increased gonadotropin stimulation. An endometrial gland cell abnormality consisting of hyperchromatic nuclei, which may be present in normal or ectopic pregnancy. It is not a sign of endometrial adenocarcinoma, with which it was previously sometimes confused.
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best,
ed
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| asmi
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what about choriocarcinoma in male.How will it present (clinical features)?
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| dxtxpx
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testicular choriocarcinoma
http://www.emedicine.com/MED/topic362.htm
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| asmi
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thanks dxtxtpx
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