Cervical cancer, Endometrial cancer Flashcards
What are the different types of cervical cancer?
Squamous cell cervical cancer
Cervical adenocarcinoma
What are risks factors for squamous cell carcinoma of the cervix?
Estrogen exposure
HPV
Smoking
What are risks factors for cervical adenocarcinoma?
Estrogen exposure
HPV
What is cervical adenocarcinoma?
Cervical cancer of the endocervical glands
How do you diagnose cervical cancer?
Cervical biopsy
Which type of cervical cancer has skip lesions?
Cervical adenocarcinoma
What is stage 1 cervical cancer?
Confined to cervix
What is stage 2 cervical cancer?
Carcinoma invades beyond the uterus
Involves the upper 2/3 of vagina
what is stage 3 cervical cancer?
Carcinoma involves lower 1/3 of vagina and involves pelvic side wall and involves kidney and involves lymph nodes
What is stage 4 cervical cancer?
Carcinoma is beyond the true pelvis or has Involved bladder and rectum
What is the treatment for stage 1A1 cervical cancer?
Microinvasive disease
Desire fertility= cold knife cone
Childbearing complete= simple hysterectomy
What is the treatment for stage 1A2 cervical cancer?
Microinvasive disease
Modified radical hysterectomy
What is the treatment of stage 1B-2A cervical cancer?
Invasive disease
Radical hysterectomy BSO lymph node biopsy
or
Radiation and chemotherapy
What is the treatment for stage 2B-4A cervical cancer?
Chemoradioation therapy
How do you determine grade 1 endometrial carcinoma?
<5% solid growth patterns
How do you determine grade 2 endometrial carcinoma?
6-50% solid growth patterns
How do you determine grade 3 endometrial carcinoma?
> 50% solid growth patterns
What are the different types of endometrial cancer?
Endometriod carcinoma
Serous endometrial carcinoma
Clear cell carcinoma
Mixed carcinoma
Carcinosarcoma
What is the transformation zone?
Area of metaplasia between the current SQJ and old SQJ
What are the causes of benign endometrial cells on Pap smear?
Physiologic shedding of endometrial cells
Endometrial hyperplasia or carcinoma
What is the management for benign endometrial cells found on Pap smear?
Premenopausal with risk factors for endometrial cancer= EMB
Postmenopausal= EMB