Exam 2 - Vaginal & Cervical Pathologies

Ambiguous Genitalia

Due to vaginal atresia, fused labia, clitoromegaly, cryptorchidism, or chromosomal anomalies

Precocious Puberty

Onset of puberty prior to 8 y/o

Imperforate Hymen

Congenital anomaly

Results in hematocolpos - fluid collection in vagina

Hematometra

Blood in uterine cavity

Garter's Duct Cyst

Most common cystic lesion in vagina

Remnants of mesospheric ducts

Common in anterolateral portion of vagina

Rhabdomyosarcoma

Most common malignity lower urinary tract/uterine/vaginal mass in pediatric patients

Cluster of cysts protruding from vagina

Homogenous mass filling vaginal cavity

Nabothian Cysts

Benign cysts in cervix

Made from Nabothian secretions

Asymptomatic

Vaginal Cuff

Remnant from hysterectomy

Suture from anterior to posterior edges of vagina

Thin, hyperechoic

Some color flow normal

Cervical Polyp

Cause bleeding and discharge

Attached to cervical wall with stalk

Cervical Fibroid

Cause dyspareunia, dysuria, urinary urgency, obstruction, prolapse, bleeding

Cervical Stenosis

Major cause of fluid collections

Cervix is narrowed/blocked

Cervical Carcinoma

Due to HPV 16 & 18

Protruding mass from cervix