uterine cancers

Question 1

the majority of endometrial cancers are ?

Answer 1

adenocarcinoma

Question 2

two types of adenocarcinoma of endometrium are? ans most common of the two

Answer 2

type 1 - endometriod(most common 80%) and type 2- serous and clear cell

Question 3

precursor lesions of type 1 and 2 endometrial adenocarcinoma are respectively

Answer 3

type 1 - atypical hyperplasia

type 2 - endometrial intraepithelial carcinoma

Question 4

an endometrial thickness of what is suspicious of cancer in post menopausal women ( pre- meno?)

Answer 4

> 4mm (>16mm in pre menopause)

Question 5

what would be your initial investigations in suspected endometrial cancer? and treatment

Answer 5

PV+ speculum 
TV ultrasound - measure endometrial thickness 
endometrial biopsy 
dilatation and curettage (under GA)
hysterectomy

Question 6

when are atypical and typical hyperplasia seen and what are treatments for each

Answer 6

typical - anovulatory teens and perimenopausal - treat w/ mirena
atypical- seen before carcinoma treat with hysterectomy

Question 7

what type of endometrial cancer is associated with lynch syndrome ?

Answer 7

endometroid

Question 8

different types of endometrial cancer

Answer 8

adenocarcinoma
endometrial sarcoma
carcinosarcoma
leiomyosarcoma

Question 9

mainstay of treatment in endometrial cancer?

Answer 9

hysterectomy with bilateral salpingo-oopherectomy (usually laparoscopic) - lymphadenoathy may be advised

Question 10

recurrence od endometrial cancer mostly seen ?

Answer 10

in vagina

Question 11

staging system used ?

Answer 11

FIGO

Question 12

wha type of endometrial carcinoma is associated with uunopposed oestrogen

Answer 12

type 1 - endometriod