Wk 6 formative points

Question 1

What are the main types of endometrial carcinoma ?

Answer 1

Adenocarcinoma is the most common type, its subtypes include:

1. Endometrioid with mucinous as a further subtype
2. Serous with a further subtype of clear cell

Question 2

Growth of uterine fibroids (leiomyomas) is dependant on what hormone ?

Answer 2

Oestrogen

Question 3

Is endometriosis common ?

Answer 3

No its rare

Question 4

What are the different types of germ cell tumours of the ovaries ?

Answer 4

• Mature teratomas
• Immature teratoma
• Dysgerminoma
• Yolk sac tumour
• Choriocarcinoma
• Mixed germ cell tumour

Question 5

What is the major advantage of MRI over CT scan for imaging the pelvis in females of reproductive age?

Answer 5

No ionising radiation

Question 6

MRI scan is far better than CT scan in depicting the local disease extent in staging of cervical cancer. What cannot be assessed when using MRI compared to CT?

Answer 6

Distant metastases to lungs and mediastinum

Question 7

What is an important risk factor to consider when assessing the risk of cancer relapse in someone ?

Answer 7

AGE - if they are very young when it occured there may well be a mutation causing it, and also time is not on their side for recurrence

Question 8

What do the FSH levels need to be elevated above if doing a FSH blood test rather than clinical diagnosis e.g. this person might have early or premature menopause

Answer 8

FSH >30

Question 9

What does it mean if something is classified as an adenoma ?

Answer 9

it is a benign tumour of glandular tissue

Question 10

Why is CEA hormone level sometimes measured in suspected ovarian cancer?

Answer 10

To exclude mets from a primary GI tumour

Question 11

Is HRT contraindicated in someone with HTN?

Answer 11

HRT is not contraindicated in women with hypertension and women with hypertension should be able to be prescribed HRT as long as BP levels can be controlled by antihypertensive medication