Cancer Screening and GYN Flashcards
Colon Cancer screening age
50 - 75 with normal risk
Colon cancer screening tests
Fecal occult: yearly
Flexible sigmoidoscopy: every 5 years.
Colonoscopy: every 10 years
+FOBT wins the pt what?
A colonoscopy
Mammogram screening age
Yearly starting at 40
Cervical cancer screening
Begin screening at 21.
cytology every 3 yrs til 29
Cytology and HOV every 3-5 after that.
Prostate CA testing
PSA every 2-4 yrs starting at 50
Endometrial CA
Most common GYN cancer in the US.
Average age: 61
Adenocarcinoma
Type 1: Most common endometrial CA, carry a good prognosis. Estrogen sensitive.
Type 2: not estrogen sensitive.
Adding progestin….
Decreased risk in ERT.
Ovarian CA
Second most common GYN CA.
2% lifetime risk
Cancer of all ages
Epithelial Ovarian CA
Most common
Affects women >50
Germ Cell Ovarian CA
Second most common
Women <20yrs
Ovarian CA S/S
Abdominal distention
Pelvic pressure/pain
Anorexia, nausea
Any women btw 40 and 80 with persistent GI sx not otherwise diagnosed should be suspected for?
Ovarian CA
Lynch syndrome
HNPCC
Heridetary non-polyposis colorectal CA