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ginecologia > ca endometrio > Flashcards

ca endometrio Flashcards

1
Q

ca endometrio + ca colorrectal

A

sx lynch II

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2
Q

factores de riesgo

A

nulipara, menarquia precoz, menopausia tardia, ciclos anovulatorios, obesas, DM, estrogenos aislados, TAMOXIFENO

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3
Q

factores protectores

A

tabaco, ACO combinados

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4
Q

tipos histologicos

A

1-endometrioide-mucinoso

2-seroso-cels claras

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5
Q

tipo histologico mas comun

A

endometroide-mucinoso

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6
Q

tipo histologico que se relaciona con hiperplasia endometrial

A

endometroide-mucinoso

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7
Q

tipo histologico de evolución agresiva

A

seroso, cels claras

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8
Q

clinica ca endometrio

A

sangrado anormal en agua de lavar carne

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9
Q

dx eleccion

A

histeroscopia con biopsia

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10
Q

primer estudio de una hemorragia uterina anormal

A

eco transvaginal

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11
Q

que se vera en la histeroscopia

A

masas polipoides vascularizadas desordenadas

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12
Q

estadio 1

A

confinado al utero

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13
Q

estadio 2

A

invasion estroma cervical, no mas allá del utero

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14
Q

estadio 3

A

extension local o regional

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15
Q

estadio IV

A

invade vejiga, recto, mets distancia

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16
Q

tratamiento estadio I bajo riesgo

A

Qx

17
Q

tratamiento estadio I mediano riesgo

A

Qx + RT

18
Q

tratamiento estadio I alto riesgo

A

Qx + RT + QT

19
Q

tratamiento estadio II

A

Qx + RT

20
Q

tratamiento estadio III

A

Qx (si es posible) + RT + QT

21
Q

tratamiento estadio IV

A

RT + QT +/- HT

22
Q

hormonoterapia usada en ca endometrio

A

acetato de medroxiprogesterona

23
Q

que incluye el protocolo qx

A

lavado peritoneal + explorar cavidad abdominal + histerectomia total + salpingooforectomia bilateral + linfadenectomia pelvica y paraaortica

24
Q

que incluye el protocolo qx del tipo histologico II

A

protocolo qx + omentectomia + biopsia peritoneal y de la cúpula diafragmatica

25
Q

indicaciones de la rt adyuvante

A

mas de 60 años, infiltración vascular o linfática, >20 mm, afectación 1/3 utero

ginecologia (11 decks)

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