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Gynaecology > Gynae cancer > Flashcards

Gynae cancer Flashcards

1
Q

Define Meig’s syndrome

A

Ascites + Pleural effusion + Pathological ovarian cyst

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2
Q

Symptoms of an ovarian cyst

A

Asymptomatic, Pain (Suprapubic), PV bleed, Bloating, Weight gain, Nausea, Vomiting

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3
Q

Investigations for an ovarian cyst

A

Pregnancy test, TV-USS

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4
Q

Management of ovarian cyst <5cm

A

Rescan in 3 months

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5
Q

Management of benign ovarian cyst >5cm

A

Cystectomy

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6
Q

Management of malignant ovarian cyst >5cm

A

Oophrectomy, Hysterectomy, Remove omentum

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7
Q

Risk factors for ovarian cancer

A

FHx, BRCA, Late menopause, Early menarche, Nulliparity

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8
Q

Symptoms of ovarian cancer

A

Asymptomatic, Abdominal pain

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9
Q

Signs of ovarian cancer

A

Palpable mass, Distended abdomen, Ascites

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10
Q

Investigations for ovarian cancer

A

Bloods (CA125, AFP, B-hCG), TV-USS, CT CAP

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11
Q

Staging of ovarian cancer

A

I = Ovaries, II = Pelvis, III = Lymph nodes/Peritoneum, IV = Mets

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12
Q

Management of ovarian cancer

A

Surgery, Chemotherapy

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13
Q

Stage at which ovarian cancer can be treated surgically

A

Stage I (with neo-adjuvant chemo)

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14
Q

Risk factors for cervical cancer

A

High parity, Multiple sexual partners, HIV, STIs, Smoking

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15
Q

Describe the screening programme for cervical cancer

A

Starts at 25yr - repeat every 3yrs
At 50yr repeat every 5yrs
Stop at 65

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16
Q

Possible results of cervical smear

A

Normal, Inflammatory, Abnormal (MIld, Moderate, Severe)

17
Q

Responses to abnormal cervical smears

A

Mild - test for HPV, Moderate and severe colposcopy

18
Q

Possible colposcopy results

A

CIN 1,2,3

19
Q

Define CIN 1

A

Abnormal lower 1/3rd

20
Q

Define CIN 2

A

Abnormal lower 2/3rds

21
Q

Define CIN 3

A

Whole cervix is abnormal

22
Q

Staging of cervical cancer

A

I = Cervix, II = Upper 2/3rds of vagina, III = Lower 1/3rd of vagina, IV = Spread to local organs

23
Q

Management of cervical cancer

A

CIN - LLETZ
Stage I - Hysterectomy
Stage II-IV - Chemo/radiotherapy

24
Q

Prevention of cervical cancer

A

HPV vaccine

25
Q

HPV strains that lead to cervical cancer

A

16 and 18

26
Q

Risk factors for endometrial cancer

A

Obesity, DM, FHx (Breast, Ovarian, Colon), Pelvic radiation, HRT, Late menopause, Nulliparity, PCOS

27
Q

Symptoms of endometrial cancer

A

Post-menopausal bleeding, Intermenstraul bleeding, Menorrhagia

28
Q

Investigations for endometrial cancer

A

Pipelle biopsy, USS, Hysteroscopy

29
Q

Staging of endometrial cancer

A

I - uterus, II - cervix, III - Pelvis, IV - Beyond pelvis

30
Q

Management of endometrial cancer

A

Stage I+II = hysterectomy and BSO

Stage III+IV = Chemotherapy

Gynaecology (6 decks)

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