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Registry Review OB/GYN > Malignancy of the Uterus > Flashcards

Malignancy of the Uterus Flashcards

1
Q

what is the other name for endometrial carcinoma

A

adenocarcinoma

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2
Q

what is the most common GYN cancer

A

adenocarcinoma

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3
Q

adenocarcinoma has been associated with what things

A
  • family history
  • nulliparity
  • diabetes
  • HTN
  • PCOD
  • tamoxifen
  • unopposed estrogen therapy
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4
Q

adenocarcinoma usually cirrus in patients of what age

A

60-79

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5
Q

what is the most common symptom of adenocarcinoma

A

postmenopausal bloody or watery discharge

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6
Q

what lab would be elevated with adenocarcinoma

A

CA 125

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7
Q

S/A adenocarcinoma

A
  • enlarged uterus
  • thick irregular heterogeneous endometrium
  • > 5mm endometrium bleeding post menopausal with no HRT
  • may see halo around endometrial cavity
  • fluid within canal
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8
Q

which stage of adenocarcinoma is confined to the body of the uterus

A

1

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9
Q

which stage of adenocarcinoma extends to the cervix

A

2

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10
Q

which stage of adenocarcinoma extends beyond the uterus but inside the true pelvis

A

3

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11
Q

which stage of adenocarcinoma has mets to other organs

A

4

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12
Q

___: rare malignant tumor of myometrium

A

leiomyosarcoma

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13
Q

leiomyosarcoma usually occurs around what age

A

50s

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14
Q

S/A leiomyosarcoma

A
  • hard to differ from leiomyoma
  • internal necrosis and degeneration
  • poor borders
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15
Q

what is the prognosis of leiomyosarcoma

A

poor

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16
Q

what is the other name for cervical carcinoma

A

squamous cell carcinoma

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17
Q

what is the most common cancer in females less than 50 years old

A

squamous cell carcinoma

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18
Q

squamous cell carcinoma usually occurs in females of what age

A

child bearing years

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19
Q

squamous cell carcinoma is more common in females who:

A
  • become sexually active early on in life
  • have multiple sex partners
  • HPV
  • mothers who took DES
20
Q

S/A squamous cell carcinoma

A
  • enlarged cervix >4cm width
  • hypoechoic or isoechoic masses within
  • hydrometra or hematomata due to cervical obstruction
  • invasion of the upper vagina
21
Q

which stage of squamous cell carcinoma is confined to the cervix

A

1

22
Q

which stage of squamous cell carcinoma extends beyond the cervix but has not reached the lower 1/3 of the vagina or pelvic wall

A

2

23
Q

which stage of squamous cell carcinoma extends beyond the cervix and has reached the lower 1/3 of the vagina or pelvic wall

A

3

24
Q

which stage of squamous ell carcinoma extends beyond the true pelvis into rectum or bladder

A

4

25
Q

___: combination of cancers of endometrium and myometrium

A

carcinosarcoma

26
Q

carcinosarcoma usually occurs around what age

A

50-60

27
Q

S/A carcinosarcoma

A
  • uterus appears heterogeneous

- enlarged uterus filled with polypoid structures

28
Q

what are some possible treatment options for uterine abnormalities

A
  • D&C
  • D&E
  • endometrial ablation
  • polypectomy
  • myomectomy
  • uterine artery embolization
  • hysterectomy
29
Q

___: uterus is removed and one or both ovaries remain

A

partial hysterectomy

30
Q

___: uterus and ovaries are removed

A

total hysterectomy

31
Q

which uterine anomalies cause uterine enlargement

A
  • adenomyosis
  • congenital anomalies
  • endometrial polyps
  • gestational trophoblastic disease
  • hematometrocolpos
  • multiparity
  • neoplasms
  • pregnancy
  • postpartum state
  • recent abortion
32
Q

which uterine anomalies alter the texture of the uterus

A
  • adenomyosis
  • gestational trophoblastic disease
  • hemato/hydro/pyometrocolpos
  • neoplasms
  • pregnancy
33
Q

which uterine anomalies alter the contour of the uterus

A
  • fibroids
  • endometriosis
  • neoplasms
  • PID
  • post surgery
  • retroposition
34
Q

which uterine abnormalities cause shadowing

A
  • calcifications
  • gas
  • IUD
  • retained products of conception
  • sutures
  • tampon
35
Q

what is the most common congenital anomaly of the uterus

A

septet uterus

36
Q

what is the most common abnormality of fusion

A

bicornuate uterus

37
Q

what is the most common failure of disappearance defect

A

gartner duct cyst

38
Q

hematometrocolpos is most commonly caused by what

A

imperforate hymen

39
Q

the most common location for fluid accumulation in the pelvis is where

A

posterior cu de sac

40
Q

where is the least common location of fluid accumulation in the pelvis is where

A

space of retzius

41
Q

what is the leading cause of infertility

A

endometriosis

42
Q

what is the most common cause for postmenopausal bleeding

A

endometrial atrophy

43
Q

what is the most common cause for PID

A

chlamydia

44
Q

what is the most common uterine mass

A

fibroid

45
Q

what is the most common type of fibroid

A

intramural

Registry Review OB/GYN (31 decks)

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