Gynae cancer Flashcards
Define Meig’s syndrome
Ascites + Pleural effusion + Pathological ovarian cyst
Symptoms of an ovarian cyst
Asymptomatic, Pain (Suprapubic), PV bleed, Bloating, Weight gain, Nausea, Vomiting
Investigations for an ovarian cyst
Pregnancy test, TV-USS
Management of ovarian cyst <5cm
Rescan in 3 months
Management of benign ovarian cyst >5cm
Cystectomy
Management of malignant ovarian cyst >5cm
Oophrectomy, Hysterectomy, Remove omentum
Risk factors for ovarian cancer
FHx, BRCA, Late menopause, Early menarche, Nulliparity
Symptoms of ovarian cancer
Asymptomatic, Abdominal pain
Signs of ovarian cancer
Palpable mass, Distended abdomen, Ascites
Investigations for ovarian cancer
Bloods (CA125, AFP, B-hCG), TV-USS, CT CAP
Staging of ovarian cancer
I = Ovaries, II = Pelvis, III = Lymph nodes/Peritoneum, IV = Mets
Management of ovarian cancer
Surgery, Chemotherapy
Stage at which ovarian cancer can be treated surgically
Stage I (with neo-adjuvant chemo)
Risk factors for cervical cancer
High parity, Multiple sexual partners, HIV, STIs, Smoking
Describe the screening programme for cervical cancer
Starts at 25yr - repeat every 3yrs
At 50yr repeat every 5yrs
Stop at 65
Possible results of cervical smear
Normal, Inflammatory, Abnormal (MIld, Moderate, Severe)
Responses to abnormal cervical smears
Mild - test for HPV, Moderate and severe colposcopy
Possible colposcopy results
CIN 1,2,3
Define CIN 1
Abnormal lower 1/3rd
Define CIN 2
Abnormal lower 2/3rds
Define CIN 3
Whole cervix is abnormal
Staging of cervical cancer
I = Cervix, II = Upper 2/3rds of vagina, III = Lower 1/3rd of vagina, IV = Spread to local organs
Management of cervical cancer
CIN - LLETZ
Stage I - Hysterectomy
Stage II-IV - Chemo/radiotherapy
Prevention of cervical cancer
HPV vaccine
