Ovarian cancer Flashcards
1
Q
risk factors
A
- middle-older age
- family hx of ovarian or breast ca
- breast or colorectal cancer
- infertility/difficulty getting pregnant
- BRCA 1 and 2
- eastern european/ ashkenazi jew
2
Q
Signs and symptoms
A
- vague
- abd pain/swelling
- GI disturbances
- urinary frequency and incontinence
- unexplained weight loss
- vaginal bleeding- menstrual irregularities
3
Q
diagnostic testing
A
- BRCA 1/2
- Cancer antigen (CA-125)
- transvaginal US
4
Q
Treatment depends on:
A
- stage of cancer
- patient preference
- desire to have children
- overall health
5
Q
Treatment
A
- surgery- total abd hysterectomy and bilateral salpingo oopherectomy
- radiation
- chemo
6
Q
care after total vaginal abd hysterectomy
A
- vitals and pain
- activity tolerance
- temp and color
- sounds
- incision characteristics
- dressing and drains
- fluid intake and output
- catheter care
- rbc, hgb, hct
- vaginal discharge and bleeding
7
Q
ovarian cancer
A
leading cause of gyn cancer deaths
rapid growing- low survival
found later/hard to detect