Gyne Cancers Flashcards
What is the next step if mild dyskaryosis is seen on a smear test and the patient is HPV -ve?
Repeat smear in 3 years
What is the next step if mild dyskaryosis is seen on a smear test and the patient is HPV +ve?
Refer for colposcopy within 6 weeks
What is the next step if moderate dyskaryosis is seen on a smear test and the patient is HPV -ve?
Urgent colposcopy within 2 weeks
What is the next step if moderate dyskaryosis is seen on a smear test and the patient is HPV +ve?
Urgent colposcopy within 2 weeks
What is the next step if severe dyskaryosis is seen on a smear test?
Urgent colposcopy within 2 weeks
What is the next step if suspected invasion is seen on a smear test?
Urgent colposcopy within 2 weeks
What is the next step if inflammation is seen on a smear test?
Repeat smear in 6 months and do swabs
What is the treatment of CIN 1?
If HPV+ve offer 6m colposcopy, if persistent LLETZ
What is the treatment of CIN 2/3?
LLETZ and repeat smear in 6 months
What is the presentation of cervical cancer?
Post-coital or post-menopausal bleeding
What diseases are risk factors for endometrial cancer?
Obesity, T2DM, hypertension, PCOS
Is unopposed oestrogen protective or a risk factor for endometrial cancer?
Risk factor
Which risk factors for endometrial cancer are due to unopposed oestrogen?
Nulliparous Late menopause Obesity (increased oestrogen) PCOS Tamoxifen
What other cancers are associated with endometrial cancer?
Breast (similar RFs)
Colon (Herediatry nonpolyposis) have 30-60% lifetime risk
Does COCP increase or reduce the risk of endometrial cancer?
Reduces risk (progesterone opposes oestrogen)
