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thirteenthree
13-3
| Question | Answer |
|---|---|
| HNPCC is related to what gynecological cancer | Endometrial |
| treatment of endometrial CA if no kids desired? | TAH-BSO. (if kids wanted, give progestins...only if CA is limited to lining) |
| When do you start PAP smear? When do you stop? | start at 21, stop at 65. every year until 30, then every 3 year |
| Rx if Atypical Squamous Cells of Undetermined Significance (ASCUS) found? | HPV screen, PAP q3m until 3 consecutive negative. (2 positive smears = colposcopy) |
| Rx of Atypical Sq Cells, cannot exclud HSIL? | treat as HSIL [CIN II,III] (coloposcopy, LEEP excision, 6m surveillance) |
| Rx of LSIL [CIN I]? | Rx as ASCUS, i.e. HPV screen, PAP q3m until 3 clear. (colposcopy if 2 positive PAPs) |
| SCC of cervix, Rx? | hysterectomy w/ cervectomy |
| what ovarian tumor secretes estrogen? | granulosa cell tumor |
| MCC of ovarian Ca? | serous tumor (has large psamomma bodies) |
| smooth ovarian growth on USG is likely | benign |
| #1 risk factor for ovarian ca | ovulation (therefore OCPs are protective) |
| leaves falling from a tree..describes? | the mets into peritoneum of ovarian ca |
| what is the germ cell tumor of ovary? what is the epithelial cell tumor? | germ cell: teratoma. epithelial cell: serous cystadenoma, mucinous cystadenoma |
| if fibroadenoma with low suspicion of CA, what should you tell patient? | come back 3-10d after menstration..to see if it's possibly a fibrocystic change |
| if you FNA a tumor in a younger female, and it comes cystic, whats the Dx | fibrocystic change (benign) |
| FNA of tumor in young female, bloody, next step? | cytology + biopsy |
| give 4 signs of a cancerous lump in breast | immobile/solid/painless, peau d orange, dimpling of skin, nipple retraction |
| Which breast cancer is guaranteed to be estrogen/progesterone receptor +? | LCIS (therefore no need to remove this ca initially, just give tamoxifene/raloxifene_ |
| MCC of invasive breast CA | invasive ductal CA |
| which breast ca types involve both sides commonly | lobular (LCIS, invasive lobular ca) |
| Inflammatory CA is a subtype of? | ductal ca. It looks like mastitis, due to blood vessel infiltration. very poor prognosis |
| when do you do masectomy vs lumpectomy? | single lump = lumpectomy, multiple lumps = masectomy |
| next step in Rx of breast ca after lumpectomy/masectomy? | sentinal node Bx to look for spread (+ tamoxifene therapy if est+, traztuzumab Rx if HER2+) |