Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

OBGYN CP2 > Gynaecological oncology > Flashcards

Gynaecological oncology Flashcards

1
Q

What are the two types of cervical cancer and what is their prognosis

A
  • Squamous cell carcinoma - most common lower mortality
  • Adenocarcinoma - rarer higher mortality
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Cervical cancer: epidemiology

A

Epidemiology

  • Commonest cancer in young women
  • Disease of low resource country w/out screening
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Two cell types on endo and ecto cervix

A

On the vagina side - ectocervix - squamous

On the utrerus side - endocervix - columnar (mucous prodcing ergo cancer her is known as adenocarcinoma)

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

Cervical cancer: aetiology

A

Aetiology

Oncogenic HPV w/ smoking as co-factor –> premalignant disease–>ca over years

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

Cervical cancer: risk factors

A

Risk factors

Smoking

Having children

Immunosuppression

HPV

Herpes/STIs

OCD/IUD

Exposure to DES (abortion drug)

Young age

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

Cervical cancer: sx

A

Sx

Irregular periods (IMB)

Post coital bleeding

Smelly vaginal discharge from the surface of the tumour

Late stage – malignant pain and fistula

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

Cervical cancer: clinical assessment

A

Clinical assessment

Mass felt of seen on cervix

Screening detecting (subclinical)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Cervical cancer diagnosis

A

Diagnosis

Colposcopy and biopsy of lesion

MRI to assess for invasion

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

Cervical cancer: prognosis.

A

Prognosis

Good if picked up early

Poor if locally advanced

Good life quality if in remission, but late effects of radiotherapy might be an issue

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

Cervical cancer:management

A

Management

Loop diathermy (microscopic disease)

Hysterectomy w/ node removal (macroscopic disease)

May also have chemo radiotherapy

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

Cervical screening: frequency

A
  • Cervical screening offered to all women aged 25-49 every 3 years and 50-64 every 5 years
  • Screening involves a smear from the surface of the cervix via a speculum
  • If the cells are found to be abnormal the follow up is colposcopy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Endometrial cancer: epidemiology

A

Epidemiology

  • Commonest gynae cancer
  • Disease of affluent west
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Endometrial cancer: aetiology

A

Aetiology

Disease of the menopause

Type one (low grade) – related to obesity and PCOS (polycystic ovary syndrome)

Type two (high grade) – genetic mutations?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Endometrial cancer: sx

A

Sx

Post menopausal bleeding/discharge (1 year after last period)

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

Endometrial cancer: clinial assessment

A

Clinical assessment

Often nothing to find as at early stage

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

Endometrial cancer: diagnosis

A

Diagnosis

USS

Endometrial biopsy

MRI for invasion

17
Q

Endometrial cancer: management

A

Management

Surgery: removak of uterus, ovaries, LNs

Post op radiotherapy if bad

18
Q

Endometrial cancer: prognosis.

A

Prognosis

Good if early stage type 1

19
Q

Vuval cancer: epidemiology

A

Epidemiology

  • Rare 1800 cases a year
20
Q

Vuval cancer: aetiology

A

Aetiology

Premalignant vulval disease, intraepithelial neoplasm

Lichen sclerosis (autoimmune)

21
Q

Vuval cancer: sx

A

Sx

Vulval pain

Bleeding

Feeling of a lump

22
Q

Vuval cancer: clinical assessment

A

Clinical assessment

Vulval mass

Groin node enlargement at advanced stage

23
Q

Vuval cancer: diagnosis

A

Diagnosis

Biopsy

USS

24
Q

Vuval cancer: management

A

Management

Surgical removal

If LNs involved radoitherapy and chemo

25
Q

Vuval cancer: prognosis.

A

Prognosis

Stage 1 no LN 90% 5yr

Stage 3 w/ LN 50% 5yr

26
Q

Ovarian cancer: epidemiology

A

Epidemiology

  • Second commonest gynae cancer
27
Q

Ovarian cancer: aetiology

A

Aetiology

Disease of menopause

Type 1 (low grade)

Type 2 (high grade) ?genetic mutation BRACA1

28
Q

Ovarian cancer: sx

A

Sx

Persistent Bloating

Abdominal pain

Eating trouble (feeling full after a meal)

Trouble with the bladder (Urinary frequency)

29
Q

Ovarian cancer:clinical assessment

A

Clinical assessment

Clinically challenging

Abdopelvic mass

Ascites

30
Q

Ovarian cancer: diagnosis

A

Diagnosis

USS

Bloods for tumour marker

CT to assess spead

31
Q

Ovarian cancer: management

A

Management

Surgery - remove uterus, ovaries, LNs and debulk

Chemo

32
Q

Ovarian cancer: prognosis

A

Prognosis

Good if early type 1

Most present at late stage and die from reoccurence in 5 yrs

OBGYN CP2 (10 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions