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Gynecologic Cancer
Clinical Medicine Test 5
18
Medical
Graduate
11/04/2010

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Cards

Term
What origin are most tumors in the ovary?
Definition
Epithelial

*Germ cell tumors, and Stromal cell tumors
Term
Which cancer is the most lethal in which 70% spread beyond pelvis at time of diagnosis?
Definition
Ovarian Cancer
Term
What is the most important risk factor for ovarian cancer?
Definition
Family Hx

*2 or more first degree relatives affected: 10-fold increase
Term
What is BRCA 1 associated with?
Definition
Earlier onset of breast cancer and overall lifetime breast cancer risk of 50-80%
Term
What is BRCA 2 associated with?
Definition
life time risk same as BRCA-1, not as early onset, and higher risk of male breast cancer and pancreatic cancer
Term
What age women is lynch syndrome II seen in?
Definition
usually <50
Term
What is an important clinical feature of familial syndromes for ovarian cancer?
Definition
approximately 70% with advanced disease will spread to upper abdomen or pleural space
Term
What is the diagnostic imaging test that is used for ovarian cancer?
Definition
Abdominal Ultrasound
Term
What appearance do malignant ovarian masses usually have?
Definition
composed of both solid and cystic areas
Term
What is required for tissue diagnosis, staging, and dubulking in ovarian cancer?
Definition
Exploratory laparotomy
Term
Why is Uterine cervical cancer uncommon in developed countries?
Definition
effectiveness of pap smears
Term
What are the most common types of HPV responsible for uterine cervical cancer?
Definition
16, 18, 31, 33, and 35

*Approximately 70% from 16 and 18
Term
Quadravalent vaccine (Gardisil) is effective against what HPV types?
Definition
1) 16, 18 for Cancer
2) 6, 11 for warts
Term
What are the pap smear recommendations?
Definition
begin at 18 and then annually for 3 years, if normal for 3 years-clinician's discretion
Term
What is the most common type of cancer in uterine cervix cancer?
Definition
SCC
Term
Where do 90% of endometrial cancers evolve from?
Definition
endometrium
Term
What is the most frequent tumor of the gynecological tract?
Definition
uterine cancer
Term
What is the most common risk factor for uterine cancer and how?
Definition
1) obesity
2) increased peripheral conversion of androstenedione to estrone
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