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Uterine and Ovarian Pathology

Crossword Puzzle

Use the pathology descriptions as clues for Pathology terms. Good luck!

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Crossword Puzzle

Uterine and Ovarian PathologyOnline version

Use the pathology descriptions as clues for Pathology terms. Good luck!

by Candace Sizemore
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•Hypoechoic or heterogeneous mass in the cervix •Irregular or poorly defined margins •May see a dilated ureter if severe •Anechoic or hypoechoic endometrial fluid collection

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•Round, anechoic structure •Smooth walls •Usually under 2 cm •Posterior enhancement •May have tiny internal echoes

3

•Diffuse uterine enlargement •Heterogeneous (messy-looking) myometrium •Poorly defined anechoic (cyst-like) areas •Thickened or ill-defined endometrium •“Venetian blind” shadowing •More common in the posterior uterine wall

4

•Uterine enlargement •Variable appearance: hypoechoic, heterogeneous, or hyperechoic •Well-defined borders •Lobulated contour •May show calcifications with shadowing •May cause distortion of the endometrium •Low-flow Doppler signal

5

•Heterogeneous uterine mass •Irregular margins •Rapidly enlarging mass •May resemble a degenerating fibroid

6

•Thickened endometrium •14 mm premenopausal (symptomatic) •5 mm postmenopausal (symptomatic) •Smooth or cystic changes within the endometrium •Uniformly echogenic or mildly heterogeneous

7

•Thick, irregular endometrium •Prominent endometrial echo complex •Enlarged, heterogeneous uterus •Increased vascularity •Fluid or air within endometrial cavity (possible bright echoes)

8

•“Tip of the iceberg” sign (bright echoes hide deeper structures) •Complex mass with mixed echogenicity •Fat-fluid levels •Calcifications or teeth producing shadowing •Thick, irregular margins

9

•Enlarged ovaries •≥10 small follicles per ovary •Follicles arranged around the periphery (“string of pearls”) •Increased ovarian volume (>10 mL)

10

•Predominantly solid or complex mass •Irregular margins •Internal blood flow on Doppler (often ↑ vascularity) •Septations, mural nodules, or papillary projections •Ascites may be present •Resistive index <0.4–0.5 suggests malignancy

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