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OBGYN > Cervial Dysplasia > Flashcards

Cervial Dysplasia Flashcards

0
Q

What is the recommendation for cervical cancer screening between the ages of 21-29?

A

Every 3 years

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1
Q

At what age do you begin screening for cervical cancer?

A

3 years after intercourse or at age 21

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2
Q

What is the recommendation for cervical cancer screening between the ages of 30-65?

A

Pap every 3 years plus HPV testing every 5 years

OR cytology and HPV DNA testing every 5 years

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3
Q

What is the recommendation for cervical cancer screening over age 65?

A

Discontinued with adequate screening and not at high risk.

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4
Q

What should non-pregnant women with ASC-US cells have done?

A
  1. HPV DNA testing
  2. Repeat cytology at 6 and 12 months
  3. Colposcopy
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5
Q

What should non-pregnant women with ASC-US cells and a negative HPV DNA test have to do?

A

Repeat pap at 12 months

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6
Q

What should non-pregnant women with ASC-US cells and 2 consecutive negative Pap smears do?

A

Return to routine screening

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7
Q

What should non-pregnant women with ASC-US cells and positive HPV DNA test have?

A

Colposcopy

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8
Q

What should non-pregnant women with ASC-US cells and positive Pap smear have?

A

Continue pap smearing at 6 months

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9
Q

What should non-pregnant women with ASC-US cells with a positive Pap smear that shows ASC-US or higher have?

A

Colposcopy

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10
Q

What should all non pregnant women with ASC-H have?

A

Colposcopy

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11
Q

What should all non pregnant, premenopausal women with LSIL have?

A

A colposcopy

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12
Q

If a woman with LSIL has a colposcopy that shows an unsatisfactory lesion …..

A

Do an endocervical curettage

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13
Q

If a woman with LSIL has a colposcopy that shows CIN 2, 3…..

A

Do an ablation (cryotherapy, laser) or excision(LEEP, cold-knife conization)

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14
Q

If a woman with LSIL has a colposcopy that shows no CIN 2,3….

A

Repeat pap at 6 and 12 months

OR

Conduct HPV testing at 12 months

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15
Q

If a postmenopausal woman has LSIL what should you do?

A

Reflex HPV DNA testing
Colposcopy
Or repeat pap at 6 and 12 months

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16
Q

What if a pregnant woman has LSIL?

A

Do not to colposcopy until 6 weeks postpartum

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17
Q

What should all women with AGC have done?

A

Colposcopy and endocervical curettage

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18
Q

If a woman has AGC, when should she also have an endometrial biopsy done?

A

Over 35

Abnormal bleeding

19
Q

What should women with HSIL have done?

A

Colposcopy

Endocervical curettage

20
Q

If a woman with HSIL has a colposcopy that shows CIN 2 or 3….

A

Excision or ablation

21
Q

If a woman with HSIL has a colposcopy that shows no CIN 2 or 3….

A

Excision

OR
Pap and colposcopy every 6 months for a year

Or

LEEP

22
Q

What should persistent HSIL be treated with?

A

Excision

23
Q

What should pregnant women with HSIL get?

A

Colposcopy with NO endocervical curettage

24
Q

What do we do for CIN I in women over 21 years old?

A

Pap at 6 and 12 months

And/or HPV testing at 12 months

25
Q

When can patients return to routine management with a CIN I?

A

2 negative consecutive Pap smears or a negative DNA test

26
Q

What is the treatment for CIN I?

A

Ablation

Or excision

27
Q

What is a treatment option for CIN II and III if it is recurrent?

A

Hysterectomy

28
Q

What is the post-ablative/excision therapy for CIN I, II, III with negative margins?

A

Pap smear at 12 months and/or HPV testing

29
Q

What is the post ablative/excision therapy for CIN II, III with positive margins?

A

Pap at 6

Repeat endocervical curettage

30
Q

What is the post ablative/excision therapy for CIN II, III with unknown margins?

A

Pap at 6

HPV testing at 12

31
Q

What is the treatment of microinvasive carcinoma stage (1A1)?

A

Cone biopsy

32
Q

What is the treatment for stages 1A2, 1B1, IIA?

A

Radical hysterectomy with chemo and radiation
Or
Chemo/radiation

33
Q

How is stage IB2, III, IV treated?

A

Radiation and cisplatin based chemo

34
Q

What is the overall five year survival rate for carcinoma of the cervix in Caucasian women?

A

68%

35
Q

What is the overall five year survival rate for carcinoma of the cervix in African american women?

A

55%

36
Q

What is the survival rate for stage IIB?

A

65%

37
Q

What is the survival rate of stage III?

A

40%

38
Q

What is the survival rate of stage IV ?

A

Less than 20 %

39
Q

What is the survival rate of stage IB - IIa?

A

80-90%

40
Q

What are the stages of cervical cancer?

A

Stage 0 - CIS

41
Q

What is stage I of cervical cancer?

A

Confined to the cervix

42
Q

What is stage II of cervical cancer?

A

Disease beyond cervix but confined to the pelvic wall or lower 1/3 of the vagina

43
Q

What is stage III of cervical cancer?

A

Disease in pelvic wall or lower 1/3 of vagina

44
Q

What is stage IV?

A

Invades bladder, rectum or mets

OBGYN (1 decks)

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