CANCER DE ENDOMETRIO Flashcards

1
Q

CA MAIS FREQUENTE EM MULHERES NO MUNDO

A

CA ENDOMETRIO

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2
Q

F. DE RISCO do CA ENDOMETRIO

A

Exposição prolongada ao estrogenio:

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3
Q

F. DE PROTEÇÃO do CA ENDOMETRIO

A
  • Tabagismo
  • ACO
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4
Q

Qual HIPERPLASIA é associada ao CA ENDOMETRIO

A

C/ atípias.

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5
Q

Tx da HIPERPLASIA ENDOMETRIAL BENIGNA (SIMPLES)

A

Hormonal.

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6
Q

CLINICA de CA ENDOMETRIO

A

dor ABD e/ou corrimento serrosanguinolento.

SANGRAMENTO UTERINO

ANORMAL ou PÓS-MENOPAUSA

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7
Q

Dx de CA ENDOMETRIO

A

USG TRANSVAGINAL

+

ESPESSURA ENDOMETRIAL

+

Bx

(Curetagem, Histeroscopia c/ Bx, Aspiração ambulatarial)

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8
Q

ESPESSURA ENDOMETRIAL

A

PÓS-MENOPAUSA: até 5mm (até 10mm tx hormonal)

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9
Q

RASTREAMENTO do CA ENDOMETRIO

A

NÃO.

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10
Q

CAUSAS PRINCIPAIS de SANGRAMENTO PÓS-MENOPAUSA (por encomenda)

A
  1. Espessamento endometrial.
  2. Atrofia.
  3. NEO de endométrio.
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11
Q

CLASSIFICAÇÃO do CA DE ENDOMETRIO

A
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12
Q

TIPO do CA DE ENDOMETRIO MAIS FREQUENTE

A

ENDOMETRIOIDE (TIPO I)

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13
Q

TIPO fazer CA DE endométrio NÃO DEPENDE DO estrogênio

A

TIPO II (Seroso / Cel. Claras)

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14
Q

TIPO do CA DE ENDOMETRIO PIOR Px

A

TIPO II (Seroso / Cel. Claras)

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15
Q

PAPANICOLAU SUGESTIVO de CA DE ENDOMETRIO

A

L. C/ ATIPIAS CEL. GLANULARES (AGC)

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16
Q

ESTADIAMENTO do CA ENDOMETRIO

A
17
Q

Tx do CA ENDOMETRIO

A

HISTERECTOMIA + ANEXECTOMIA BILATERAL

+

Cx ESTADIAMENTO

18
Q

S/ CONDIÇÃO CLINICA p/ o Tx do CA ENDOMETRIO

A

PROGESTÁGENO dose ALTA:

  • DIU levonogestrel
  • Medroxiprogesterona 10-20mg/d
  • Norestiterona 10-15mg/d