Ovarian Cancer Flashcards
What are the risk factors for Ovarian cancer?
Age
Fam history
BRCA
Nullparity, infertility, endometriosis
What are the protective factors against Ovarian cancer?
Prophylactic Oophrectomy/salpingecomy
Oral Contraceptive pills
What are the Common Adnexal masses in Postmenopausal women?
Endomet., Cyst, abcess
How are adnexal masses Imaged?
Ultrasound: Low PPV for CA
Other: MRI, CT, PET
What is the medical treatment for Epithelial Ovarian Cancer?
Cytoreductive surgery
IV carboplatin: binds and Xlinks DNA => prev DNA synthesis
Paclitaxel: Binds Stable Microtubules => inh cell division
What is the best imaging modality for Gestational Trophoblastic Neoplasia?
Ultrasound
What are the common sites of metastasis of GTD?
Lung
Vagina
Liver
Brain
What is the procedure for Uterine evacuation?
Cross match for blood and prep for Significant blood loss! Gen anesthesia Dilate cervix Largest bore suction curette Rapid Evacuation Oxytocin Careful monitoring