Gyn Onc

Question 1

How many stages does vaginal cancer have?

Answer 1

I to IV

Question 2

Stage I vaginal CA

Answer 2

Confined to vaginal mucosa
Lesion <2cm

Question 3

Stage II vaginal CA

Answer 3

Spread to subvaginal mucosa (not extending into pelvic sidewall)
Lesion <2cm

Question 4

Stage III vaginal CA

Answer 4

Extending to pelvic sidewall

Question 5

Stage IV vaginal CA

Answer 5

IV a = spread to adjacent organs
IV b = spread to distant organs

Question 6

Lymph node drainage of vagina

Answer 6

Upper 1/3 = follows the cervix and drains into pelvic and para-aortic lymph nodes
Lower portion/Remainder = inguinal lymph nodes

Question 7

Follow up/surveillance for vaginal CA

Answer 7

q3 months x 2y if high risk
q6 months x 2y if low risk

Question 8

How many stages does fallopian cancer have?

Answer 8

I to IV

Question 9

Stage I fallopian CA

Answer 9

Ia: 1 tube
Ib: bilateral tubes
Ic: tumor has ruptured or involved peritoneal fluid

Question 10

Stage II fallopian CA

Answer 10

IIa: spread to uterus and/or ovaries
IIb: spread to other pelvic organs/rectum

Question 11

Stage III fallopian CA

Answer 11

III: spread to lymph nodes or nearby organs

Question 12

stage IV fallopian CA

Answer 12

IV: spread to liver and beyond