Gynaecological Cancers Flashcards

1
Q

Types of cancer?

A

Cervical
Endometrial
Ovarian
Vulval

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Causes of cervical cancer

A

HPV
Smoking
HIV
COCP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Presentation of cervical cancer?

A

Abnormal bleeding
Vaginal discharge
Pelvic pain
Urinary symptoms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Staging of cervical cancer?

A

Stage 1: confined to cervix
Stage 2: Invades uterus or upper 2/3 of vagina
Stage 3: Invades pelvic wall or lower 1/3 of vagina
Stage 4: Invades bladder/ rectum/ beyond pelvis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Screening of cervical cancer

A

Smear

Mild dyskaryosis then test for HPV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Management of cervical cancer?

A

Colposcopy with excision/ ablation
Radical hysterectomy and removal of local lymph nodes
Chemotherapy and radiotherapy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Endometrial cancer risk factors?

A
Age
Exposure to oestrogen:
- early onset menstruation
- late menopause
- HRT
- no pregnancies
Obesity
Tamoxifen
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Presentation of endometrial cancer?

A

Postmenopausal bleeding

Intermenstrual bleeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Investigation of endometrial cancer?

A

Transvaginal ultrasound for endometrial thickness (normal is <4mm)
Hysteroscopy with endometrial biopsy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Management of endometrial cancer?

A

Total hysterectomy with bilateral salpingo-oophorectomy
Radiotherapy
Progesterone (can slow progression)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Ovarian cancer risk factors? (7)

A
Age (peaks age 60)
BRCA1 and BRCA2 genes
More ovulations 
Obesity
HRT
Smoking
(Breastfeeding is protective)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Presentation of ovarian cancer?

A
Vague
Bloating
Pelvic pain
Urinary symptoms
Weight loss
Abdominal mass
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

CA125 is elevated in…?

A
Ovarian cancer
Menstruation
Endometriosis
Liver cirrhosis
Benign ovarian cysts
Fibroids
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Investigations in ovarian cancer?

A

CA125 blood test
Abdominal/pelvic ultrasound
Diagnostic laparoscopy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Staging system?

A

FIGO staging

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Management of ovarian cancer?

A

Surgery

Chemotherapy

17
Q

Krukenberg tumour?

A

Secondary metastatic tumour in the ovary from another site

18
Q

Vulval cancer risk factors?

A

Advanced age
HPV infection
Lichen sclerosus

19
Q

Presentation of vulval cancer?

A
Pain
Itching
Discomfort
Discharge
Bleeding
Abnormal appearance on palpation or self examination
Lymphadenopathy in groin
20
Q

Appearance of vulval cancer?

A

Irregular mass
Fungating
Ulcerating
Bleeding

21
Q

Management of vulval cancer?

A

Urgent referral
Sentinel node biopsy
Wide local excision
Groin lymph node dissection