Cancer Flashcards

1
Q

2 types of vulvar CA?

A

VIN (squamous)

Paget (Melanoma + Adenocarcinoma)

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2
Q

Lichen sclerosis vs. Paget’s disease?

A

Pagets

  • Hyperkeratotis
  • No response to steroids
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3
Q

VIN tx?

A

Excision

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4
Q

Vulvar CA tx?

A

Vulvectomy + BILATERAL inguinal lymph nodes

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5
Q

Vaginal CA tx?

A

2 cm lower 2/3 = Radiation

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6
Q

Cervical screening?

A
21-29 = 3 yrs PAP - HPV
30-65 = 5 yrs PAP + HPV
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7
Q

CIN I tx?

A

6mo + 6mo –> 1 yr f/u PAP + HPV

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8
Q

CIN II/CIN III tx?

A

LEEP

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9
Q

Cervical Ca tx with simple hysterectomy?

A

Only on cerix

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10
Q

Cervical CA tx with radical hysterectomy?

A

Cervix + 1/3 vagina

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11
Q

Cervical CA tx extent past 1/3 vagina?

A

Chemorads

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12
Q

Endometrial Ca and smoking?

A

Protective

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13
Q

Endometrial CA tx with TAH-BSO?

A

Myometrium or cervical spread

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14
Q

Endometrial CA tx with TAH-BSO + Rad + Nodes?

A

Further spread/mets

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15
Q

Ovarian tumors that get Chemo?

A

Stage IA dysgerminoma

Immature Teratomaa

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16
Q

Marker for dysgerminoma?

A

LDH

17
Q

Marker for Endometrial sinus tumor?

A

AFP

18
Q

Call Exner bodies in?

A

Granulosa Theca tumor

19
Q

CA of fallopian tubes?

A

adenocarcinoma

20
Q

Mole w/ embryo?

A

Partial (69) XXY

21
Q

Tx for molar preg?

A

IMMEDIATE D and C + Oxytocin

22
Q

Malignant GTD/ persistant mole symptoms/signs?

A

After D/C:
Increased bHCG
Uterine bleeding

23
Q

Persistant mole tx?

A

Chemo (MTX, actinomycin D)

24
Q

Previous mole + CXR with findings?

tx?

A

Choriocarcinoma + mets

Chemo

25
Q

F/U after LEEP for CIN II/III?

A

6 mo x 2 PAP + HPV.

20 years normal screening after that

26
Q

F/U if ASCUS with negative HPV?

A

Routine

27
Q

F/U if normal PAP with +HPV?

A

1 yr PAP

28
Q

Markers (2) for Granulosa Theca tumor?

A

Estriol

Inhibin

29
Q

Treatment difference between benign GTD (Molar preg) and malignant (Persistant and Choriocarcinoma)?

A
Benign = D/C
Malignant = Chem
30
Q

Malignant GTD vs. Choriocarcinoma?

A

Malignant GTD = ALWAYS after molar preg

Chorio = More mets (Scan lungs and brain)

31
Q

Tx for LCIS?

A

1) Watch and wait
2) SERM
3) Prophylaxis bilateral Mastectomy

32
Q

Tx for DICS?

A

1) Wide excision

2) Unilateral mastectomy

33
Q

Tx for Cystosarcoma phylloides?

A

Excision

34
Q

Tx for Invasive Breast CA stage I and II

A

Lumpectomy + Nodes +/- Rad

35
Q

Tx of Invasive Breast CA stage III

A

Mastectomy

36
Q

Tx for metastatic breast CA?

A

Chemo + rad