OnlineMedEd: Gynecology - "Cervical Cancer"

Question 1

Describe the bimodal distribution of cervical cancer and how each typically presents.

Answer 1

• Reproductive age women: postcoital bleeding or caught on screening
• Postmenopausal women: any bleeding at all or caught on screening

Question 2

__________ is also known as LSIL.

Answer 2

CIN 1

Question 3

Cervical cancer can have two sites of growth: _____________.

Answer 3

the endocervix or the ectocervix

Question 4

Discuss what stage I, II, and III mean for cervical cancer.

Answer 4

I: restricted to cervix
II: cervix and upper 2/3 of vagina
III: cervix and all of vagina

Question 5

A and B, in the context of cervical cancer, signify _____________.

Answer 5

the extent of lateral growth (A

Question 6

Why does screening begin at 21?

Answer 6

Most adolescents clear the infection.

Question 7

If you see something abnormal on Pap test, then ____________.

Answer 7

you need to get a colposcopy

Question 8

Why would you do cryo ablation/LEEP versus cone excision?

Answer 8

Cone excision can get the deeper endocervix, so if you have positive endocervical screening you need to do cone. If you only have a positive ectocervical lesion, then you can do surface ablation.

Question 9

What should you do in a case of ASCUS?

Answer 9

• First, test for high-risk HPV. If this is positive, then you need to do a colposcopy.
• Second, if HPV is negative, re-screen at six months. If the six-month Pap is normal then you resume screening as usual.