Cervical Cancer Flashcards
1
Q
risk factors
A
HPV16 and 18 (vaccine) smoking age of intercourse onset OCP multiple partners
2
Q
presentation
A
asymptomatic and picked up at screening post-coital bleeding intermenstrual bleeding PMB ARF
3
Q
diagnosis
A
smear test
biopsy
staging= MRI for local and CT for distant metastases
4
Q
when does smear testing begin?
A
age 25
5
Q
how often is smear testing done?
A
every 5 years
6
Q
what tests are done on a smear sample?
A
HPV > if positive then cytology > if positive colposcopy
7
Q
management
A
surgery
radiotherapy
chemotherapy
8
Q
surgical options
A
LLETZ (large loop excision of transformation zone)
Wertheim-Meigs (radical hysterectomy and lymphadenectomy)
9
Q
what do granulosa cell tumours produce?
A
oestrogen
10
Q
presentation of granulosa cell tumour
A
precocious puberty
11
Q
what do thecal cell tumours produce?
A
androgens
12
Q
presentation of thecal cell tumours
A
virilisation
