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Vaginal wall cysts and tumors
Inclusion cysts: usually a consequence of trauma
Wolffian (mesonephric) duct cysts
A developmental abnormality
Importance lies in the ability to mimic glandular neoplasm
Can rarely be demonstrated to give rise to carcinomas
Developmental (structural) abnormalities of müllerian system can lead to "cysts'
Vaginal polyp (fibroepithelial polyp): some polyps have stromal cells but are distinguished from sarcoma botryoides by
Vaginal-cervical adenosis and adenocarcinoma
Ectopic location of müllerian-type epithelium
Uterus
Inflammation of the cervix
Acute cervicitis
Variety of organisms produce similar effect
Importance for cytologist: repair vs dysplasia
Chlamydia trachomatis
Most common sexually transmitted disease in the western world
Herpes
Forty percent of genital lesions are not clinically apparent
Cervicovaginitis emphysematosa
Pregnancy in 50%
Cervical polyps
Variety of patterns: inflammatory vs proliferative
Microglandular hyperplasia mimics adenocarcinoma: related to oral contraceptive
Decidual polyps may mimic squamous carcinoma. Arias-Stella reaction can occur in pregnant patients
Uterus Cervix
A. Cancer of the uterine cervix