Gynac 1. Endometrial Cancer Flashcards
Endometrial hyperplasia ( with % ) Types 1. 2. 3. 4. Maximum chances of conversion :-
537
Due to excess estrogen leads to :- Complains : - 1st investigation done :- Check :- Premenopausal :- ,,,,,,,,,, Post menopausal :- 1.,,,,,,,,,,, 2.,,,,,,,,,,
IOC :-
GSI :-
2nd best is :-
537
Endometrial biopsy
EAB :-
Done using :-
Anaesthesia :-
Endometrial hyperplasia is a :-
578
Management of Endometrial hyperplasia
1.
2.
538
Without atypical cells 1. 2. DOC :- Drug :-
538
With atypical cells 1. 2. Rx :- If young pt :- Drug :-
538
Endometrial cancer Risk factors ,,,,,,,,,,,,,,,conditions like 1. 2. 3. 4. 5. 6. 7. Unopposed estrogen :- 8. 9.
539
Protective factor are 1. 2. 3. 4. 5.
539
Corpus cancer syndrome :-
539
MC variety of endometrial cancer :-
Variety :-
539
Histopathological examination :-
1.
2.
539
Grades :-
Grade 1 :-
Grade 2 :-
Grade 3. -
540
Most malignant variety of endometrial cancer :-
Is :-
HPE :-
2nd most malignant endometrial cancer :-
540
All endometrial cancer can be divided into :-
Type 1. Vs. type 2
Grade :- Includes :- Prognosis :- Asso I estrogen :- MC in :- Mutation:-
Gate keeper of endometrial CA :-
540
Important points on endometrial cancer MC age :- MC symptoms 1. Best :- 2. 2nd best :- Most specific symptom of endometrial CA :-
Other symptoms are
1.
2.
3.
540+541
Post Menopausal bleeding MC cause of PMB :- MC cause of PMB in India :- MC cancer causing PMB :- % of PMB pts with endometrial CA :- 1st inv dome in PMB :- Endometrial thickness. Uniformly thicken 1. 2. IOC :- Endometrial thickness at a particular place than IOC :-
GSI :-
541
Pyometra :-
MC cause of pyometra :-
MC cancer causing pyometra :-
MC cancer causing pyometra in India :-
542
Screening and staging in endometrial cancer :-
MC route of spread :- MC site of recurrence :- Routine screening :- Screening is done only in :- Age :- Screening method :-
Best method to prevent endometrial cancer in pt of HNPCC :-
Not later than :-
Screening of :-
By doing :-
542
Staging procedure :-
Surgical staging :-
Biopsy :- positive
Than :—————->
Post operative management:-
Steps of surgical staging in endometrial CA
1.
2.
542
If cervix or any other structure below cervix is involved :-
543
Lymph node dissection
No lymph node dissection
Lymph node dissection :- 1. 2. 3. 4.
543
FIGO staging of endometrial CA
Stage 1 :- A:- B :- Stage 2 :- Stage 3 :- A:- B:- C:- C1:- C2:- Stage 4 :- A:- B:-
544
Role of MRI Vs. role of CT
- 3.
544
Post operative management
Management of choice in endometrial CA :-
Exception :-
1. Stage,,,,,,In grade ,,,,&,,,, :-
2. Stage :- ,,,,,,,,&,,,,,,,, :-
545