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Gynecologic Tumors

Gynecologic cancer that is most prevalent in younger women Cervical cancer (Mosbys pg. 173)
Rare gynecologic cancers that appear mostly in older women Vaginal and vulvar cancer (Mosbys pg. 175)
Fifth leading cause of death in women following lung, breast, colon, and pancreatic cancer Ovarian cancer (Mosbys pg. 175)
Pattern of lymphatic spread in vulvar cancer Superficial inguinal nodes first, followed by deep femoral nodes, then pelvic nodes (Mosbys pg. 175)
Most common location for vaginal cancer to arise Posterior upper third of vagina (Mosbys pg. 176)
Pattern of lymphatic spread for cervical cancer Parametrial nodes followed by pelvic, common iliac, periaortic, and supraclavicular spread (Mosbys pg. 177)
Treatment of choice for cancer of vagina Radiation therapy/brachytherapy- Cs 137 or Ir 192 (Mosbys pg. 177)
Most common histology of vaginal cancer Squamous cell (Mosbys pg. 177)
Most common histology of endometrial cancer Adenocarcinoma (Mosbys pg. 179)
Treatment for medically inoperable cervical cancer patients Tandem and ovoids with 45 to 55 Gy to point (Mosbys pg. 178)
Intrauterine tandem Small, hollow, curved cylinder that fits through cervical os into uterus- Point A (Mosbys pg. 178)
Vaginal colpostats Two golf club shaped, hollow tubes placed laterally to tandem into vaginal fornices- Point B (Mosbys pg. 178)
Point A Prescription point defined as 2 cm superior to cervical os and 2 cm lateral to endocervical canal (Mosbys pg. 179)
Point B Prescription point defined as 2 cm superior to cervical os and 5 cm lateral to endocervical canal/3 cm lateral to Point A (Mosbys pg. 179)
Pattern of lymphatic spread for endometrial cancer Initially to internal and external iliac (Mosbys pg. 179)
Tumor involves one or both ovaries with pelvic extension and/or implants Stage II Ovarian Cancer (Mosbys pg. 180)
Reason for effectiveness of brachytherapy with uterine and cervical cancers Uterus and cervix tolerate extremely high doses of radiation (W/L pg. 805)
Most radiosensitive gynecologic structure Ovary (W/L pg. 805)
Women who take this drug are at an increased risk of endometrial cancer Tamoxifen (W/L pg. 815)
Most prevalent gynecologic cancer Endometrial cancer (W/L pg. 820)
Created by: cb4945
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