Gynaecological Cancer Flashcards
Who should be referred for colposcopy in cervical cancer?
- 2XLSIL
- HSIL
- Smear reported as: ? Invasive Carcinoma ? Glandular Neoplasia ? Adenocarcinoma
- Suspicious Symptoms
- Cervix suspicious of invasive disease
What genetic syndrome is associated with endometrial cancer?
Lynch/HPNCC
What are the prevalence of the major gynae cancers?
Endometrial Ovarian Cervical Vulvar Others
What type of US do you order?
Pelvic US and T/V if possible
How do ovarian tumours cause vaginal bleeding?
Produce oestrogen and cause expansion of endometrium
How do you sample the endometrium without GA?
Pipelle
How are the gynae cancer staged?
Volvar and cervical - clinically
Endometrial and ovarian - surgical
Which imaging modalities are ordered before referring to gynaeonc?
CXR
CT/MRI
Where the gynae cancers get drained by?
Volvar - inguinal
Cervical and endometrial - pelvic
Ovarian - para-aortic
What is the size cutoff for fertility sparing treatment of cervical cancer?
2cm or less
Above the that the chance of lymph node and parametrial spread is higher
What is a trachelectomy?
Removal of cervix and parametrium
What are the different types of hysterectomy?
Simple - parametrium is retained
Radial - parametrium is removed
