random masses Flashcards
routes of spread of cervical cancer
vaginal mucosa, myometrium, paracervical lymphatics, directly into parametrium
benign cystic teratomas are usually…?
unilateral
10-15% bilateral
How is VIN stratified?
Usual vs. differentiated
Usual = HPV + full-thickness atypia
Differentiated – related to inflammatory dermatosis (lichen sclerosis vs. planus)
What is recommended treatment for Paget’s disease
Excision, though ablation is acceptable
How is endometrial cancer staged?
TAH, BSO, pelvic/para-aortic lymphadenectomy (if invasion > 1/3 myometrial thickness)
LCIS (lobular carcinoma) is what type of lesion?
Pre-malignant à indicates subsequent risk for: intraductal, invasive ductal, lobular carcinoma Subsequent cancers may be on either side Found incidentally (not seen on mammo / not palpable)
Most common benign cause for bloody nipple discharge?
Intraductal papilloma
invasive vulvar carcinoma treatment if unilateral lesion w/o lymph node involvement?
radical vulvectomy + bilateral inguinal lymphadenectomy
invasive vulvar carcinoma treatment + mets treatment
bilateral pelvic lymphadenectomy
how does the vulva drain?
first midline then back
superficial inguinal lymph node –> deep femoral –> external iliac
so, if malignancy is midline near clitorus, possible that only deep nodes are involved
what fraction of ovarian masses are malignant? what is most common ovarian masses?
1/2 malignant
germ cell origin
what is most common epithelial tumor of the ovary?
serous carcinoma (psammoma bodies = characteristics)
condyloma acuminatum =
HPV
condyloma lata
2nd stage syphillis
treatment of condyloma acuminatum?
cryo, trichloroacetic acid, laser therapy, 5-FU (if intractable)
