Reproduction Flashcards

1
Q

What are most common type of vulva tumours?

A

Squamous cell carcinoma

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2
Q

What the most common cause of vulva carcinoma?

A

Human papilloma virus

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3
Q

What is the pattern of metastasis of vulva cancers?

A

Local

Normally to inguinal lymph node

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4
Q

Where do most cervical cancers occur?

A

The transformation zone between the two types of epithelium (glandular epithelium inner cervix, squamous epithelium outer cervix)

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5
Q

Most common cervical cancer is…

A

Squamous cell carcinoma

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6
Q

How does HPV cause cervical cancer?

A

Causes infection in metaplastic squamous cells in transformation zone
Causes increased proliferation

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7
Q

What is the aim of cervical screening?

A

To detect pre-invasive lesion and to excise the involved area completely

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8
Q

Where does cervical cancer normally metastasise to?

A

Iliac and aortic lymph nodes

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9
Q

Female reproductive tract tumours normally spread locally to…

A

Ureter
Bladder
Rectum

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10
Q

What type of tumour forms in the endometrium?

A

Endometrial adenocarcinoma

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11
Q

What are the two types if endometrial adenicarcinomas?

A

Endometroid

Serous

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12
Q

What is the common aetiology for endometrial cancer in peri-menopausal women?

A
Unopposed oestrogen from:
Obesity
Exogenous oestrogen administration 
Hormone secreting tumour 
Which causes hyperplasia
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13
Q

What is the prognosis of serous endometrial adenocarcinoma?

A

Very aggressive worse prognosis than enometrioid adenocarcinoma

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14
Q

What are fibroids?

A

Benign tumours if the uterine smooth muscle

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15
Q

Presentation of fibroids

A

Heavy menstrual loss
Menorrhagia
Infertility

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16
Q

What are malignant tumours in the myometrium called?

A

Leiomyosarcomas

17
Q

Describe the spread of leiomyosarcomas.

A

Metastasis via blood stream to lungs

Then systemically

18
Q

Main type of ovarian tumours are…

A

Epithelial

19
Q

Types of epithelium present in ovaries are…

A

Serous
Mucinous
Enfometrioid

20
Q

When do malignant epithelial tumours present?

A

Late stage

Prognosis is poor