Gyn Cancers Femal associated malignacies Flashcards

1
Q

Gyn cancer more common in (5 race in order)

A
  • Hispanic
  • African americans
  • Asians
  • Pacific islanders
  • Whites
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2
Q

Gyn cancer Less common (Race) (2)

A
  • American indians
  • Alaskan natives
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3
Q

Gyn cancer Risk Factors (6)

A
  • Smoking
  • immunosuppression
  • chlamydia
  • obesity
  • long term use of birth control pills
  • multiple full term pregnancies
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4
Q

Gyn cancer what subtype is known to be oncogenic

A

HPV (human papillomavirus)

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5
Q

Prevention (5)

A
  • Education
  • Delay onset of sexual intercourse
  • Condoms
  • Pap smears
  • HPV vaccination
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6
Q

What is the preferred method of cervical cancer screening

A

ACS

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7
Q

HPV and Pap test every ___ years. Ages ___ - ___

A
  • 5 years
  • 25 - 65
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8
Q

individuals over 65 should be continue to screen if (2)

A
  • Not had a regular screening with normal results over past 10 years
  • History of cervical precancer within past 25 years
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9
Q

What is a papsmear

A

cells are scrapped from cervix and examined to check for disease

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10
Q

How long does cervical cancer develop before becoming clinically evident

A

Decades

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11
Q

Most women are ___ until disease is advanced

A

Asymptomatic

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12
Q

Clnical presentation (3)

A
  • Abnormal vaginal bleeding (Most common)
  • Thin, watery vaginal discharge
  • Painless, intermittent, postcotial, intramestrula or post menopausal bleeding
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13
Q

Late symptoms from treatment(5)

A
  • Pelvic pain
  • Back pain
  • Lower extermity swelling
  • Urinary symptoms
  • Bowel symptoms
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14
Q

Late urinary symptoms from treatment include (3)

A
  • Dysuria (pain when peeing)
  • Urinary retention, frequency
  • Hematuria (Blood in pee)
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15
Q

If pap smear is abnormal or high risk what is done?

A

Colposcopy (uses microscope to examin cervix)

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16
Q

Histologic types (cell 2)

A
  • Squamous carcinoma, 85-90%
  • Adenocarcinoma (occurs is younger women)
17
Q

Cervix cancer can invade
- Local (5)

A
  • Uturus
  • vagina
  • parametrium
  • abdomen
  • pelvis
18
Q

Cervix cancer can invade
- Distant

A
  • lung
  • liver
  • bones
19
Q

Preinvasive treatment (2)

A
  • Cryotherapy
  • Laser therapy
20
Q

Localized treatment (3)

A
  • Radiation
  • Surgery
  • Both
21
Q

What is a radical trachelectomy

A

Removal of cervix with uterus remaining. (can maintain fertility)

22
Q

Radiation time ___ - ___ weeks

A

4-5

23
Q

___ or more impants (brachytherapy)

A

2

24
Q

___ ___ based chemo significantly improves the chance of survival

A

Concurrent cisplatin