Vaginal Cancer Flashcards

1
Q

Epidemiology

A

Women
+50

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2
Q

Types

A

Squamous cell carcinoma (MC)
- Mets to: bone, lungs, liver
Adenocarcinoma

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3
Q

Risk factors

A

Age
Infection with HPV 16
Previous Hx of cervical cancer
HIV
Smoking
Being diagnosed with vaginal intraepithelial neoplasia

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4
Q

Signs

A
  • Dyspareunia
  • Constipation
  • Dysuria
  • Lump/mass in vagina
  • Watery menstrual discharge
  • Intermenstrual bleeding and post coital
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5
Q

Diagnosis

A
  • Hx, bimanual + speculum exam
  • Smear test
  • Colposcopy
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6
Q

Stages

A

Stage 1: Cancer confined to vaginal wall
Stage 2: Cancer has spread to the tissue next to the vaginal wall
Stage 3: Cancer has spread further into pelvis
Stage 4A: Cancer has spread to nearby areas such as bladder and rectum
Stage 4B: Cancer has spread to areas from the vagina such as the liver

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7
Q

Treatment

A

Surgical + radio or chemo
Localised: resection of lesion
Vaginectomy
Hysterectomy

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