Gynae cancer - 220 Flashcards
90% of vulval cancers are what kind?
Squamous cell carcinoma
When do vulval cancers most commonly present? Is this type of cancer common or rare?
65-75 years.
They are rare
Describe how a patient with a vulval cancer might present
Itching, irritation, pain, lump, discharge, bleeding
What skin disorder is vulval cancer associated with?
Lichen Sclerosus
Are vulval cancers HPV-related?
Yes
If lymph nodes are involved, what is the prognosis for a lady with vulval cancer? What is it if LNs are not involved?
40% 5year with LNs
80% 5year without LNs
VIN3 staging indicates what?
Carcinoma in situ. (Vulval intraepithelial neoplasia)
What margin are you trying to achieve in a total vulvectomy for vulval ca?
1.5 cm
How common is cervical cancer?
- 3rd most common gynae ca in UK
- most common in world
Who is screened for cervical ca in the UK?
All women 25-49 every 3 years
50-65 year olds every 5 years
If an abnormality is found on a cervical smear, what is done next?
Colposcopy
What staging of cervical ca would require a radical hysterectomy? What for a total hysterectomy?
Radical - 2b and above
Total - 2a
What is the average age for diagnosis of cervical ca?
~30
75% of cervical cancers are what kind?
Squamous cell
Most uterine cancers are what kind?
Adenocarcinomas
