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4th Year Oncology > Ovarian Tumours > Flashcards

Ovarian Tumours Flashcards

1
Q

Is the OCP protective for or a risk factor of ovarian cancer?

A

Protective

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2
Q

Is nulliparity/low parity protective for or a risk factor of ovarian cancer?

A

A risk factor

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3
Q

What is a stage IA ovarian tumour?

A

Cancer in one ovary

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4
Q

What is a stage IB ovarian tumour?

A

Cancer in both ovaries

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5
Q

What is a stage IC ovarian tumour?

A

Cancer involving ovarian surface/rupture etc

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6
Q

What is a stage IIA ovarian tumour?

A

Cancer involving uterus and/or fallopian tube

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7
Q

What is a stage IIB ovarian tumour?

A

Cancer involving bowel or bladder

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8
Q

What is a stage III ovarian tumour?

A

Cancer spread beyond the pelvis within the abdomen

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9
Q

What is a stage IV ovarian tumour?

A

Cancer spread to other organs eg liver, lungs etc

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10
Q

Bilateral ovarian tumours are most likely to be caused by what?

A

Mets

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11
Q

Ovarian tumours are likely to be fixed on examination. True or false?

A

False - they are likely to be mobile

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12
Q

What is the most important cancer marker in ovarian cancer?

A

CA 125

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13
Q

What suspicious features on uss would indicate ovarian cancer

A
  • Complex mass with solid & cystic area
  • Multi-loculated
  • Thick septations
  • Ascites
  • Bilateral disease
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14
Q

Which stage of ovarian tumour needs neoadjuvant chemotherapy?

A

1C-4 (IA & IB are low risk and can be treated purely surgically)

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15
Q

Name a chemotherapy drug for ovarian cancer

A

Carboplatin or paclitaxel

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16
Q

What hormonal therapy can be used in ovarian cancer?

A

Tamoxifen or an aromatase inhibitor (eg Letrozole)

17
Q

What is the most common type of ovarian tumour?

A

Surface epithelium tumours - both serous and mucinous

18
Q

Benign cystic teratoma / dermoid cyst is what type of tumour?

A

Germ cell tumour

19
Q

What are the main components usually found in a teratoma?

A

Mostly fat + teeth/hair/sebaceous material/thyroid tissue

20
Q

What does a teratoma look like on uss?

A

Cystic mass with solids floating within

21
Q

A fibroma (benign stromal tumour) looks like what type of food

A

Potato

22
Q

A patient with a benign ovarian (eg fibroma) tumour presents with ascites and breathlessness caused by pleural effusion that resolves when the tumour is removed. What syndrome did she have?

A

Meig’s syndrome

4th Year Oncology (6 decks)

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