GYN ONC one-liners Flashcards
What is the most common breast tumor in a young woman?
Fibroadenoma
At what age is universal breast screening with mammography recommended?
50 years
What is the inheritance pattern of BRCA1 and BRCA2?
Autosomal dominant
Which cancer can be treated exclusively with radiation?
Cervical, vaginal
From which part of the fallopian tube does aggressive ovarian serous cystadenocarcinoma originate?
Fimbria
What is the next best step for evaluation of a patient with complex atypical hyperplasia?
Hysteroscopy D&C or referral to GYN ONC
What is the treatment for a patient with cervical cancer and hydronephrosis?
Radiation (it is at least stage 3B)
Where is point A?
2 cm lateral and superior to external cervical os (where ureter crosses under uterine artery)
What is the lifetime risk of ovarian cancer in BRCA1 carrier?
50%
What is the indication for lymph node dissection in vulvar cancer?
Depth of invasion > 1 mm
What is the most common type of breast cancer?
Infiltrating ductal
In a patient with gestational trophoblastic disease and brain metastases, what is the best treatment?
Radiation with concurrent chemotherapy (EMACO)
How is a 1.5 cm squamous cell vulvar cancer that has <1 mm invasion treated?
Radical wide local excision with 2 cm margin
How often should quantitative hcgs be checked status post D&C for molar pregnancy?
Weekly until HCG < 5 x 3, then Month x 6-12 months
What is the most common type of ovarian neoplasm?
Epithelial
What is the most significant risk for ovarian cancer?
Age
How is endometrial cancer staged?
Surgically with total hysterectomy, BSO, pelvic washings, pelvic and para-aortic lymphadenopathy
What is the most common post-operative complication of a radical hysterectomy?
Bladder dysfunction
Sertoli-Leydig tumors produce what type of hormone?
Testosterone
What ultrasound characteristic is most characteristic of ovarian malignancy?
Papillary projections or excrescences
What tumor marker is elevated in endodermal sinus tumor?
AFP
What is the karyotype of an incomplete molar gestation?
69XXX (or 69 XXY)
