Endometrial Cancer Flashcards

1
Q

endometrial cancer

A

cancer of the endometrium

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2
Q

risk factors

A
age
nulliparity
early monarche
PCOS
tamoxifen
diabetes mellitus 
obesity
opposed oestrogen
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3
Q

signs

A

post-menopausal bleeding

weight loss

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4
Q

investigations

A

trans-vaginal USS

hysteroscopy for biopsy

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5
Q

what will be seen on a bi-manual pelvic examination

A

normal

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6
Q

management

A

total abdominal hysterectomy with bilateral salpingo-phorectomy

invasive - plus radiotherapy

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7
Q

what are protective factors

A

smoking and combined pill

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8
Q

what referral is needed when there is post-menopausal bleeding

A

urgent 2 week

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9
Q

how would you manage atypical endometrial hyperplasia

A

total abdominal hysterectomy with bilateral salpingophorectomy due to malignancy progression

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