Malignancy of the Uterus Flashcards
what is the other name for endometrial carcinoma
adenocarcinoma
what is the most common GYN cancer
adenocarcinoma
adenocarcinoma has been associated with what things
- family history
- nulliparity
- diabetes
- HTN
- PCOD
- tamoxifen
- unopposed estrogen therapy
adenocarcinoma usually cirrus in patients of what age
60-79
what is the most common symptom of adenocarcinoma
postmenopausal bloody or watery discharge
what lab would be elevated with adenocarcinoma
CA 125
S/A adenocarcinoma
- enlarged uterus
- thick irregular heterogeneous endometrium
- > 5mm endometrium bleeding post menopausal with no HRT
- may see halo around endometrial cavity
- fluid within canal
which stage of adenocarcinoma is confined to the body of the uterus
1
which stage of adenocarcinoma extends to the cervix
2
which stage of adenocarcinoma extends beyond the uterus but inside the true pelvis
3
which stage of adenocarcinoma has mets to other organs
4
___: rare malignant tumor of myometrium
leiomyosarcoma
leiomyosarcoma usually occurs around what age
50s
S/A leiomyosarcoma
- hard to differ from leiomyoma
- internal necrosis and degeneration
- poor borders
what is the prognosis of leiomyosarcoma
poor
what is the other name for cervical carcinoma
squamous cell carcinoma
what is the most common cancer in females less than 50 years old
squamous cell carcinoma
squamous cell carcinoma usually occurs in females of what age
child bearing years
squamous cell carcinoma is more common in females who:
- become sexually active early on in life
- have multiple sex partners
- HPV
- mothers who took DES
S/A squamous cell carcinoma
- enlarged cervix >4cm width
- hypoechoic or isoechoic masses within
- hydrometra or hematomata due to cervical obstruction
- invasion of the upper vagina
which stage of squamous cell carcinoma is confined to the cervix
1
which stage of squamous cell carcinoma extends beyond the cervix but has not reached the lower 1/3 of the vagina or pelvic wall
2
which stage of squamous cell carcinoma extends beyond the cervix and has reached the lower 1/3 of the vagina or pelvic wall
3
which stage of squamous ell carcinoma extends beyond the true pelvis into rectum or bladder
4
___: combination of cancers of endometrium and myometrium
carcinosarcoma
carcinosarcoma usually occurs around what age
50-60
S/A carcinosarcoma
- uterus appears heterogeneous
- enlarged uterus filled with polypoid structures
what are some possible treatment options for uterine abnormalities
- D&C
- D&E
- endometrial ablation
- polypectomy
- myomectomy
- uterine artery embolization
- hysterectomy
___: uterus is removed and one or both ovaries remain
partial hysterectomy
___: uterus and ovaries are removed
total hysterectomy
which uterine anomalies cause uterine enlargement
- adenomyosis
- congenital anomalies
- endometrial polyps
- gestational trophoblastic disease
- hematometrocolpos
- multiparity
- neoplasms
- pregnancy
- postpartum state
- recent abortion
which uterine anomalies alter the texture of the uterus
- adenomyosis
- gestational trophoblastic disease
- hemato/hydro/pyometrocolpos
- neoplasms
- pregnancy
which uterine anomalies alter the contour of the uterus
- fibroids
- endometriosis
- neoplasms
- PID
- post surgery
- retroposition
which uterine abnormalities cause shadowing
- calcifications
- gas
- IUD
- retained products of conception
- sutures
- tampon
what is the most common congenital anomaly of the uterus
septet uterus
what is the most common abnormality of fusion
bicornuate uterus
what is the most common failure of disappearance defect
gartner duct cyst
hematometrocolpos is most commonly caused by what
imperforate hymen
the most common location for fluid accumulation in the pelvis is where
posterior cu de sac
where is the least common location of fluid accumulation in the pelvis is where
space of retzius
what is the leading cause of infertility
endometriosis
what is the most common cause for postmenopausal bleeding
endometrial atrophy
what is the most common cause for PID
chlamydia
what is the most common uterine mass
fibroid
what is the most common type of fibroid
intramural
