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Crash > Ca Penis > Flashcards

Ca Penis Flashcards

1
Q

Risk factors

A

Smoking
Uv
Hpv
Balanitis

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2
Q

Mc site

A

Glns> prepuce

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3
Q

Premalingan lesions

A

Cutaneous horn
Pkmb
Male lichen sclerosus
Condyloma acuminatum

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4
Q

T stage

A

1a- no lvi or pni not high grade
b- +
1- glans foreskin shaft
2-corpus spongiosim with or witjout urethral inv
3- corpora cavernosum+/- urethr
4- adjacent structures scrotum prostate pubic bone

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5
Q

N stage

A

1- mobile ul ing node
2- mobile more than or equal 2 ul or bl
3- fixed ing nodal mas pelvic lne ul or bl

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6
Q

Margin for penile ca

A

Gr 1 and 2- 5 mm

3- 10 mm

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7
Q

Max depth of penetration laser

A

Nd yag 6 mm

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8
Q

Inguinal node dissection when

A

T1b or higher

As thers 50% chance of ln mets

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9
Q

Modified Ln dissection limits

A

Inguinl ligament
Sartorius and adductor longus
Medial to fa and fv

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10
Q

Low grade 1,2 how many

A

80%

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11
Q

Molecular analysis

A

Hpv 16 33 in 12%
Egfr overexp all
P16 28%

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12
Q

M1 at presentation

A

2%

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13
Q

Mc site fir mets in penis

A

Lung bone liver

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14
Q

Molecular markers in penile ca

A

Hpv
P53
Sccag
Ki67

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15
Q

N2 5 yr survival

A

30%
N3-0
N0- 93
N1-84

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16
Q

Verrucus ca intra arotic infusion

A

Methotrexate

17
Q

Parallel opposed field RT

A

T2 t3

18
Q

Brachytherapy in penile ca

A

T1 and 2

19
Q

Which form useless in bulky tr
Obese short penis
Deep infiltration

A

Interstitial brachytherapy

20
Q

Ul lnd is enough in

A

Metachronous ul lne

21
Q

Ln managemnet

A

T1a no - surveillnce
T1b and above lndissection
N+- ul less than 4 cm mobile positive do ilnd nac fb nd
More than or equ 4 cm Cisplatin based nact then ilnd or plnd

22
Q

Fixed node or bl pne

A

Nact

23
Q

When to do plnd

A

Ipsi if more than 2 inguinal node positive same side
Bilateral plnd
When more than 4

24
Q

Nact

A

TIP

25
Q

Egfr inhib

A

Dacomitinib

26
Q

Recent drugs

A

Cetuxi

Pembroli

Crash (20 decks)

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