Cervical CA Flashcards
most cervical CA is of what cell type?
squamous cell
most squamous cell cervical CA is related to what virus?
HPV
20% of cervical CA are of what cell type?
adenocarcinoma
adenocarcinoma of the cervix is mainly of what etiology?
maternal DES exposure (diethylstilbestrol)
how is cervical CA staged?
clinically
mucus-filled cyst on the surface of the cervix
nabothian cysts (as per Couli, most common lesion on the cervix)
mets of cervical CA is most likely where?
RIB Eye (rectal, intra peritoneal, bladder, endometrial) .. remember the hematogenous spread is BLBL (breast, lung, bone, liver)
what is removed during a radical hysterectomy?
uterus, cervix, parametrial tissue and upper vagina
what is the treatment for invasive cervical CA?
radical hysterectomy w/lymph node dissection
for which stage of cervical CA is a radical hysterectomy recommended?
low stages
in terms of follow-up care of cervical carcinoma, what is the protocol? (be specific!)
PE every three months for the first 2 yrs then every 6 months for year 3-5 and then annually; PE includes: pap, chest x-ray, and ct scan of abdomen
t or f: approximately 30% of pts treated for cervical CA will have recurrence
TRUE - typically it returns in the pelvis
in addition to vaginal bleeding, pelvic and leg pain - what is one other sign that should trigger you to think recurrence of cervical CA?
sacral backpain/ache in sciatic distribution
what is the major cause of death in cervical CA?
uremia due to periuretal compression of the tumor
t or f: 1/3 of pregnant patients with cervical CA are asymptomatic
TRUE
