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K10 > Gynekologi > Flashcards

Gynekologi Flashcards

1
Q

Endometriecancer. Indelning

A

Typ 1. Adenocarcinom
Typ 2. Serös karcinom

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2
Q

Endometriecancer. Riskfaktorer

A

Östrogenexponering
Tidig menarche, sen menopaus, infertilitet, nulliparitet, anovulation (PCOS, anorexi)
Obesitas, diabetes, hypertoni
Hormonsubstitution utan gestagen
Lynch syndrom
Bröst och ovarialcancer
Tamoxifenbehandling
Rökning

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3
Q

Endometriecancer. Skyddsfaktorer

A

Hormonspiral

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4
Q

Endometriecancer. Symptom

A

Postmenopausal blödning
Ändrade blödningsmönster
Trycksymptom på blåsa och tarm
Allmäna cancersymptom

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5
Q

Endometriecancer. Diagnostik

A

Fraktionerad abrasio eller endometriebiopsi eller hysteroskopi

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6
Q

Endometriecancer. Behandling

A

Hysterektomi
Strålbehandling
Cystostatika
Hormonbehandling

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7
Q

Cervixcancer. Incidens

A

Två toppar. 30 och 80

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8
Q

Cervixcancer. Etiologi

A

Persisterande HPV infektion 16 eller 18
Skivepitelcancer

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9
Q

Cervixcancer. Riskfaktorer

A

HPV. Tidig coitusdebut. Ej kondom. Många partners. Nedsatt immunförsvar. Hereditet. Rökning. Kronisk inflammation. Samtidig STI. Långvarig p piller bruk. Många barnfödslar. Ej deltagit i screening

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10
Q

Cervixcancer. Symptom

A

Tidigt stadium: Kontaktblödning. Mellanblödning
Avancerad stadium: Ischiasliknande smärtor. Buk och ryggsmärtor. Flanksmärta. Urinläckage från vagina.

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11
Q

Cervixcancer. Diagnostik

A

Cellprov. Kolposkopi. Biopsier
MR lilla bäckenet

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12
Q

Cervixcancer. Behandling

A

Slyngkonisering. Radikal hysterektomi
Cytostatika

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13
Q

Vaginalcancer. Riskfaktorer

A

HPV. Rökning. Hög ålder. Immunsuppression

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14
Q

Vaginalcancer. Symptom

A

Blödningar. UVI symptom

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15
Q

Vaginalcancer. Diagnostik

A

Gynundersökning. DT eller MR

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16
Q

Vaginalcancer. Behandling

A

Strålbehandling. Cellgiftbehandling

17
Q

Vulvacancer. Riskfaktorer

A

HPV. Rökning. Lichen sklerosus

18
Q

Vulvacancer. Diagnostik

A

Biopsi

19
Q

Vulvacancer. Behandling

A

Vulvektomi

20
Q

Blödningsrubbning. Etiologi

A

PALM COEIN
P- polyp
A- adenomyosis
L- Leiomyosis
M- Malignancy
C- Coagulopathy
O- Ovalutory dysfunction
E- Endometrial
I- Iatrogen
N- Not yet classified

21
Q

Adenomyosis. Behandling

A

NSAID. Tranexamsyra. Homronterapi. GnRH analog + addback.
Hysterektomi
Fysioterapi

22
Q
A

K10 (6 decks)

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