Gynac 1. Endometrial Cancer Flashcards

1
Q
Endometrial hyperplasia ( with % ) 
Types 
1. 
2. 
3. 
4.
Maximum chances of conversion :-
A

537

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2
Q
Due to excess estrogen leads to :- 
Complains : - 
1st investigation done :- 
Check :- 
Premenopausal :- ,,,,,,,,,,
Post menopausal :- 
1.,,,,,,,,,,,
2.,,,,,,,,,,

IOC :-
GSI :-
2nd best is :-

A

537

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3
Q

Endometrial biopsy
EAB :-
Done using :-
Anaesthesia :-

Endometrial hyperplasia is a :-

A

578

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4
Q

Management of Endometrial hyperplasia
1.
2.

A

538

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5
Q
Without atypical cells 
1. 
2. 
DOC :- 
Drug :-
A

538

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6
Q
With atypical cells 
1. 
2. 
Rx :- 
If young pt :- 
Drug :-
A

538

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7
Q
Endometrial cancer 
Risk factors 
,,,,,,,,,,,,,,,conditions like 
1. 
2. 
3. 
4. 
5. 
6. 
7. Unopposed estrogen :- 
8. 
9.
A

539

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8
Q
Protective factor are 
1.
2. 
3. 
4. 
5.
A

539

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9
Q

Corpus cancer syndrome :-

A

539

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10
Q

MC variety of endometrial cancer :-

Variety :-

A

539

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11
Q

Histopathological examination :-
1.
2.

A

539

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12
Q

Grades :-
Grade 1 :-
Grade 2 :-
Grade 3. -

A

540

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13
Q

Most malignant variety of endometrial cancer :-
Is :-
HPE :-

2nd most malignant endometrial cancer :-

A

540

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14
Q

All endometrial cancer can be divided into :-
Type 1. Vs. type 2

Grade :- 
Includes :- 
Prognosis :- 
Asso I estrogen :- 
MC in :- 
Mutation:- 

Gate keeper of endometrial CA :-

A

540

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15
Q
Important points on endometrial cancer 
MC age :-
MC symptoms 
1. Best :- 
2. 2nd best :- 
Most specific symptom of endometrial CA :- 

Other symptoms are
1.
2.
3.

A

540+541

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16
Q
Post Menopausal bleeding 
MC cause of PMB :- 
MC cause of PMB in India :-
MC cancer causing PMB :- 
% of PMB pts with endometrial CA :- 
1st inv dome in PMB :- 
Endometrial thickness. 
Uniformly thicken 
1. 
2. 
IOC :- 
Endometrial thickness at a particular place than IOC :- 

GSI :-

A

541

17
Q

Pyometra :-
MC cause of pyometra :-
MC cancer causing pyometra :-
MC cancer causing pyometra in India :-

A

542

18
Q

Screening and staging in endometrial cancer :-

MC route of spread :- 
MC site of recurrence :- 
Routine screening :- 
Screening is done only in :- 
Age :- 
Screening method :- 

Best method to prevent endometrial cancer in pt of HNPCC :-
Not later than :-
Screening of :-
By doing :-

A

542

19
Q

Staging procedure :-
Surgical staging :-
Biopsy :- positive
Than :—————->

Post operative management:-

Steps of surgical staging in endometrial CA
1.
2.

A

542

20
Q

If cervix or any other structure below cervix is involved :-

A

543

21
Q

Lymph node dissection

No lymph node dissection

Lymph node dissection :- 
1. 
2. 
3. 
4.
A

543

22
Q

FIGO staging of endometrial CA

Stage 1 :- 
A:- 
B :- 
Stage 2 :- 
Stage 3 :- 
A:- 
B:- 
C:- 
C1:- 
C2:- 
Stage 4 :- 
A:- 
B:-
A

544

23
Q

Role of MRI Vs. role of CT

  1. 3.
A

544

24
Q

Post operative management
Management of choice in endometrial CA :-
Exception :-
1. Stage,,,,,,In grade ,,,,&,,,, :-
2. Stage :- ,,,,,,,,&,,,,,,,, :-

A

545

25
Q

Chemotherapy given is

  1. ,,,,,,,,,,,,,,,+,,,,,,,,,,,,,,
  2. ,,,,,,,,,,,,,,,,+,,,,,,,,,,,,,+ ,,,,,,,,,,,,,( ,,,,,,,,regimen )
A

545

26
Q
Stage 1A [ grade 1 and 2 ] :- 
Surgery :- 
LN dissection :- 
1. 
2. 
Post operative therapy :-
A

545

27
Q

:- Stage 1A [ grade 3]
:- Stage 1B.

Surgery:-
LN dissection :-
Post op therapy:-

A

545

28
Q

Stage 2 ( cervix )

Surgery :-
LN dissection :-
Post operative therapy :-

A

545

29
Q

Stage 3
Stage 4

Surgery :-
LN dissection :-
Post op therapy :-

A

545