Gynae Oncology

Question 0

What procedures can be done on hysteroscopy?

Answer 0

Remove polyp
Directed biopsy (? Endometrial ca)
Resect a small fibroid
Endometrial ablation

Question 1

Most ovarian cancer is epithelial, what is the most subset of epithelial ovarian cancer?

Answer 1

Serous tumours

Serous cystadenocarcinoma

Question 2

What are the risk factors for endometrial carcinoma?

Answer 2

Nulliparity
Obesity
Diabetes
PCOS

Basically anything that increase the time exposed to oestrogen

Question 3

What are the most common symptoms of ovarian cancer?

Answer 3

Pain
Anorexia 
Weight loss
Nausea vomiting 
Chage in bowel habit 
Abnormal vaginal bleeding

Question 4

What are the signs of ovarian cancer?

Answer 4

Abdominal mass
Ascites
Cervical lymphadenopathy
Hepatomegaly

Question 5

What Ix are done for ovarian ca?

Answer 5

Baseline bloods 
Tumour markers 
Abdominal USS
CT scan 
Chest X-ray

Question 6

What are the most common type of ovarian tumour?

Answer 6

Epithelial - serous

Question 7

Name the types of epithelial ovarian tumours?

Answer 7

Serous
Mucoid
Endometrioid
Clear cell 
Urothelial like

Question 8

An ovarian tumour with mixed solid areas with unilocular cysts and psammoma bodies is likely to be what type?

Answer 8

Serous tumour

Question 9

If the same cyst was unilateral with no solid areas what is it more likely to be?

Answer 9

Benign tumour

Serous cystadenoma

Question 10

How do you treat epithelial ovarian cancer?

Answer 10

Surgical debulking - hysterectomy, oophorectomy, omentectomy, inspection of of liver and peritoneum

Question 11

Apart from breast cancer which other cancer is braca 1 and 2 associated with?

Answer 11

Ovarian ca
Endometrial
Colon

Question 12

What tumour marker can be measured to detect ovarian ca?

Answer 12

CA125