Cancer

Question 1

2 types of vulvar CA?

Answer 1

VIN (squamous)

Paget (Melanoma + Adenocarcinoma)

Question 2

Lichen sclerosis vs. Paget’s disease?

Answer 2

Pagets

• Hyperkeratotis
• No response to steroids

Question 3

VIN tx?

Answer 3

Excision

Question 4

Vulvar CA tx?

Answer 4

Vulvectomy + BILATERAL inguinal lymph nodes

Question 5

Vaginal CA tx?

Answer 5

2 cm lower 2/3 = Radiation

Question 6

Cervical screening?

Answer 6

21-29 = 3 yrs PAP - HPV
30-65 = 5 yrs PAP + HPV

Question 7

CIN I tx?

Answer 7

6mo + 6mo –> 1 yr f/u PAP + HPV

Question 8

CIN II/CIN III tx?

Answer 8

LEEP

Question 9

Cervical Ca tx with simple hysterectomy?

Answer 9

Only on cerix

Question 10

Cervical CA tx with radical hysterectomy?

Answer 10

Cervix + 1/3 vagina

Question 11

Cervical CA tx extent past 1/3 vagina?

Answer 11

Chemorads

Question 12

Endometrial Ca and smoking?

Answer 12

Protective

Question 13

Endometrial CA tx with TAH-BSO?

Answer 13

Myometrium or cervical spread

Question 14

Endometrial CA tx with TAH-BSO + Rad + Nodes?

Answer 14

Further spread/mets

Question 15

Ovarian tumors that get Chemo?

Answer 15

Stage IA dysgerminoma

Immature Teratomaa

Question 16

Marker for dysgerminoma?

Answer 16

LDH

Question 17

Marker for Endometrial sinus tumor?

Answer 17

AFP

Question 18

Call Exner bodies in?

Answer 18

Granulosa Theca tumor

Question 19

CA of fallopian tubes?

Answer 19

adenocarcinoma

Question 20

Mole w/ embryo?

Answer 20

Partial (69) XXY

Question 21

Tx for molar preg?

Answer 21

IMMEDIATE D and C + Oxytocin

Question 22

Malignant GTD/ persistant mole symptoms/signs?

Answer 22

After D/C:
Increased bHCG
Uterine bleeding

Question 23

Persistant mole tx?

Answer 23

Chemo (MTX, actinomycin D)

Question 24

Previous mole + CXR with findings?

tx?

Answer 24

Choriocarcinoma + mets

Chemo

Question 25

F/U after LEEP for CIN II/III?

Answer 25

6 mo x 2 PAP + HPV. | 20 years normal screening after that

Question 26

F/U if ASCUS with negative HPV?

Answer 26

Routine

Question 27

F/U if normal PAP with +HPV?

Answer 27

1 yr PAP

Question 28

Markers (2) for Granulosa Theca tumor?

Answer 28

Estriol | Inhibin

Question 29

Treatment difference between benign GTD (Molar preg) and malignant (Persistant and Choriocarcinoma)?

Answer 29

``` Benign = D/C Malignant = Chem ```

Question 30

Malignant GTD vs. Choriocarcinoma?

Answer 30

Malignant GTD = ALWAYS after molar preg | Chorio = More mets (Scan lungs and brain)

Question 31

Tx for LCIS?

Answer 31

1) Watch and wait 2) SERM 3) Prophylaxis bilateral Mastectomy

Question 32

Tx for DICS?

Answer 32

1) Wide excision | 2) Unilateral mastectomy

Question 33

Tx for Cystosarcoma phylloides?

Answer 33

Excision

Question 34

Tx for Invasive Breast CA stage I and II

Answer 34

Lumpectomy + Nodes +/- Rad

Question 35

Tx of Invasive Breast CA stage III

Answer 35

Mastectomy

Question 36

Tx for metastatic breast CA?

Answer 36

Chemo + rad