Cervical Cancer Flashcards
5 year survival of cervical cancer is ___ %
66.1
Median age at diagnosis of cervical cancer is ___ years old
50
Most cervical cancer is localized
a. true
b. false
a. true
44% localized
36% regional
16% distant
4% unknown
Use of oral contraceptives for __ or more years is a risk factor for cervical cancer
5
Risk factors:
- HPV infection
- early sexual activity (<18)
- multiple sexual partners
- smoking
__ or more pregnancies is a risk factor for cervical cancer
3
Nulliparity increases the risk for cervical cancer
a. true
b. false
b. false
decreases risk of cervical cancer
increases risk of ovarian cancer
What age receives 2 doses of Gardasil 9?
9-14
0 and 6-12
What age range receives 3 doses of Gardasil 9?
15-45
0, 2, and 6 months
3 types of cervical cancer screening?
- cervical cytology (PAP, liquid based)
- HPV testing
- cotesting
USPSTF
Age < 21 needs no screening
a. true
b. false
a. true
USPSTF:
Age 21-29 needs PAP how often?
every 3 years
USPSTF:
Post hysterectomy pts need no screening
a. true
b. false
a. true
USPSTF:
Pts age 30-65 need what screening?
PAP every 3 years OR HPV test every 5 years OR contesting every 5 years
ACS:
Pts < __ years old need no screening
25
ACS:
Pts age 25-65 need what screening?
PAP every 3 years OR HPV test every 5 years OR contesting every 5 years
___ is 80-90% of cervical cancer cases
a. adenocarcinoma
b. mixed carcinoma
c. squamous cell carcinoma
c. squamous cell carcinoma
Which of the following is fertility sparing surgery?
a. cone biopsy/conization
b. ablation
c. radical vaginal trachelectomy
d. simple hysterectomy
select all that apply
a-c
Cervical cancer:
___ is radiation and chemotherapy given together to improve response rates and survival
chemosensitization
initiate chemo within 24-48hrs of starting radiation
transient increase in pain
Chemosensitization for cervical cancer is a ___ based therapy
platinum
Chemotherapy has an extensive role in cervical cancer
a. true
b. false
b. false
limited role in cervical cancer
What is the primary treatment for stage IIB, III, and IV advanced stage?
radiation
pelvic or extended EBRT plus concurrent platinum containing chemosensitization and brachytherapy
Stage 0 treatment?
excision or ablation
Stage I-IIA (early stage) Tx?
surgery or radiation
fertility desired: cone biopsy or radical trachelectomy
fertility not desired: simple hysterectomy
What Tx is given following surgery if positive lymph nodes, positive surgical margins, or negative lymph nodes with high risk features?
adjuvant radiation
