Ovarian Cancer Flashcards

1
Q

What are the risk factors for Ovarian cancer?

A

Age
Fam history
BRCA
Nullparity, infertility, endometriosis

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2
Q

What are the protective factors against Ovarian cancer?

A

Prophylactic Oophrectomy/salpingecomy

Oral Contraceptive pills

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3
Q

What are the Common Adnexal masses in Postmenopausal women?

A

Endomet., Cyst, abcess

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4
Q

How are adnexal masses Imaged?

A

Ultrasound: Low PPV for CA
Other: MRI, CT, PET

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5
Q

What is the medical treatment for Epithelial Ovarian Cancer?

A

Cytoreductive surgery
IV carboplatin: binds and Xlinks DNA => prev DNA synthesis
Paclitaxel: Binds Stable Microtubules => inh cell division

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6
Q

What is the best imaging modality for Gestational Trophoblastic Neoplasia?

A

Ultrasound

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7
Q

What are the common sites of metastasis of GTD?

A

Lung
Vagina
Liver
Brain

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8
Q

What is the procedure for Uterine evacuation?

A
Cross match for blood and prep for Significant blood loss!
Gen anesthesia
Dilate cervix
Largest bore suction curette
Rapid Evacuation
Oxytocin
Careful monitoring
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