Session 11- Cancers of the Repro Tract Flashcards
what are most vulval tumours
squamous carcinomas
what is the most common cause of vulval tumours in pre-menopausal women
human papillovirus with invasion developing in a field of vulval intraepithelial neoplasia (VIN)
what is the most common cause of vulval cancer in older women
unknown but linked to chronic irritation and longstanding dermatoses such as lichen sclerosus and squamous hyperplasia
what are the most common carcinomas of he cervix
squamous cell carcinomas
aetiology of cervical cancer
HPV
where do squamous cell carcinomas develop from in cervical cancer
cervical intraepithelial neoplasia
what does cervical screening do
detects cells with abnormally enlarged nuclei possessing abmormal chromatin - dyskaryotic cells
the aim is to detect the pre-invasive lesion and to excise the involved area completely before an invasive malignancy can develop
what causes an endometrial adenocarinoma in perimenopausal women
unopposed oestrogen from obeity, exogenous oestrogen administration or hormone-secreting tumour
tamoxifen
what are the effects of unopposed oestrogen
endometrial hyperplasia which can progeess to endometriod endometrial adenocarcinoma
what are fibroids
benign tumours of uterine smooth muscle
what are fibroids more properly called
leiomyomas
symptoms of fibroids
heavy menstrual loss
menorrhagia
infertility
what is a malignant tumour of the myometrium called
leimyosarcoma
effects of malignant ovarian tumours
spread to the abdomen where they cause ascites, intestinal obstruction and death
what are the markers for familial ovarian epithelial carcinomas
BRCA1
BRCA2