ObGyn3 Onco Flashcards

1
Q

VAIN (LNs)

A
  • upper 1/3: iliac nodes

- lower 2/3: inguinal nodes

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2
Q

Endodermal sinus tumor, aka yolk sac tumor (type and marker)

A
  • Germ cell

- AFP

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3
Q

Dysgerminoma (type and marker)

A
  • Germ cell

- LDH

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4
Q

Choriocarcinoma (type and marker)

A
  • Germ cell

- HCG

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5
Q

Granulosa-theca cell tumors (type and marker)

A
  • Sex-cord stromal

- Estrogen

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6
Q

Sertoli-Leydig cell tumors (type and marker)

A
  • Sex-cord stromal

- Testosterone

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7
Q

Fibroma, Meig’s syndrome (type)

A

-Sex-cord stromal

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8
Q

Serous/mucinous cystadenoma/adenocarcinoma, Endometrioid, Brenner (type and marker)

A
  • Epithelial

- CA-125

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9
Q

Which ovarian tumor is most common in women of reproductive age

A

Germ cell tumors

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10
Q

Metastatic ovarian tumors

A
  • Kruckenberg

- Pseudomyxoma peritonei

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11
Q

Suspensory ligament (contents, significance)

A
  • Ovarian vessels

- Ureter at risk

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12
Q

Cardinal ligament (contents, significance)

A
  • Uterine vessels

- Ureter at risk

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13
Q

Round ligament (contents, significance)

A
  • Artery of Sampson

- From gubernaculum

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14
Q

Ligament of ovary (contents, significance)

A
  • n/a

- From gubernaculum

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15
Q

Ovaries (LN drainage)

A

Para aortic

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16
Q

Endometrial carcinoma (staging I)

A

I: LIMITED TO UTERUS
Ia: limited to endometrium
Ib: invasion less than half of myometrium
Ic: invasion over half of endometrium

17
Q

Endometrial carcinoma (staging II)

A

II: LIMITED EXTENSION BEYOND UTERUS
IIa: endocervical glands only
IIb: cervical stromal invasion

18
Q

Endometrial carcinoma (staging III)

A

III: EXTENSION W/IN PELVIS
IIIa: invasion of serosa/adnexa or (+) peritoneal cytology
IIIb: vaginal metastasis
IIIc: mets to pelvic/para-aortic nodes

19
Q

Endometrial carcinoma (staging IV)

A

IV: DISTANT METS
IVA: bladder/bowel mucosa
IVb: extra abdominal or inguinal nodes

20
Q

New-onset hyperthyroidism (ddx)

A

-Gestational trophoblastic disease: hydatidiform mole, choriocarcinoma

21
Q

Ovarian carcinoma (staging I)

A

I: LIMITED TO OVARIES
Ia: limited to one ovary
Ib: limited to two ovaries
Ic: malignant ascites, capsule not intact

22
Q

Ovarian carcinoma (staging II)

A

II: LIMITED EXTENSION BEYOND OVARIES
IIa: uterus/tubes
IIb: other pelvic tissue
IIc: IIa/IIb w/ malignant ascites

23
Q

Ovarian carcinoma (staging III)

A

III: EXTENSION WITHIN PELVIS
IIIa: (+) peritoneal washings
IIIb: implants 2cm and/or (+) nodes

24
Q

Ovarian carcinoma (staging IV)

A

IV: DISTANT METS

25
Q

Next step for discovery of a compex adnexal mass in postmenopausal woman

A

ELAP