Cancer Screening and GYN Flashcards

1
Q

Colon Cancer screening age

A

50 - 75 with normal risk

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2
Q

Colon cancer screening tests

A

Fecal occult: yearly
Flexible sigmoidoscopy: every 5 years.
Colonoscopy: every 10 years

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3
Q

+FOBT wins the pt what?

A

A colonoscopy

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4
Q

Mammogram screening age

A

Yearly starting at 40

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5
Q

Cervical cancer screening

A

Begin screening at 21.
cytology every 3 yrs til 29
Cytology and HOV every 3-5 after that.

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6
Q

Prostate CA testing

A

PSA every 2-4 yrs starting at 50

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7
Q

Endometrial CA

A

Most common GYN cancer in the US.

Average age: 61

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8
Q

Adenocarcinoma

A

Type 1: Most common endometrial CA, carry a good prognosis. Estrogen sensitive.
Type 2: not estrogen sensitive.

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9
Q

Adding progestin….

A

Decreased risk in ERT.

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10
Q

Ovarian CA

A

Second most common GYN CA.
2% lifetime risk
Cancer of all ages

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11
Q

Epithelial Ovarian CA

A

Most common

Affects women >50

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12
Q

Germ Cell Ovarian CA

A

Second most common

Women <20yrs

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13
Q

Ovarian CA S/S

A

Abdominal distention
Pelvic pressure/pain
Anorexia, nausea

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14
Q

Any women btw 40 and 80 with persistent GI sx not otherwise diagnosed should be suspected for?

A

Ovarian CA

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15
Q

Lynch syndrome

A

HNPCC

Heridetary non-polyposis colorectal CA

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16
Q

Ovarian CA genetics

A

BRCA 1: 35-45%

BRCA 2: 15-25%

17
Q

TAH-BSO

A

Total Abdominal histerectomy and Bilateral Salpingo Oophrectomy.

18
Q

CA-125 with HE4

A

Good specificity for ovarian CA

19
Q

Ovarian CA tx

A

`TAH-BSO
Chemo
NO rad…

20
Q

Cervical CA

A

12% of GYN CA
Mean age 47
PAP smears have greatly decreased incidence.

21
Q

Cervical CA types

A

Squamous cell: 85-90

Adenocarcinoma: 10-15

22
Q

Cervical CA etiology

A

Oncogenic HPV

23
Q

Oncogenic HPV strains

A

16 (60%)
18 (20%)
45 (7%)