Flashcards in Cervical CA Deck (23):
most cervical CA is of what cell type?
most squamous cell cervical CA is related to what virus?
20% of cervical CA are of what cell type?
adenocarcinoma of the cervix is mainly of what etiology?
maternal DES exposure (diethylstilbestrol)
how is cervical CA staged?
mucus-filled cyst on the surface of the cervix
nabothian cysts (as per Couli, most common lesion on the cervix)
mets of cervical CA is most likely where?
RIB Eye (rectal, intra peritoneal, bladder, endometrial) .. remember the hematogenous spread is BLBL (breast, lung, bone, liver)
what is removed during a radical hysterectomy?
uterus, cervix, parametrial tissue and upper vagina
what is the treatment for invasive cervical CA?
radical hysterectomy w/lymph node dissection
for which stage of cervical CA is a radical hysterectomy recommended?
in terms of follow-up care of cervical carcinoma, what is the protocol? (be specific!)
PE every three months for the first 2 yrs then every 6 months for year 3-5 and then annually; PE includes: pap, chest x-ray, and ct scan of abdomen
t or f: approximately 30% of pts treated for cervical CA will have recurrence
TRUE - typically it returns in the pelvis
in addition to vaginal bleeding, pelvic and leg pain - what is one other sign that should trigger you to think recurrence of cervical CA?
sacral backpain/ache in sciatic distribution
what is the major cause of death in cervical CA?
uremia due to periuretal compression of the tumor
t or f: 1/3 of pregnant patients with cervical CA are asymptomatic
what is the basic treatment for invasive cervical CA if confined to the cervix?
radical hysterectomy w/ pelvic lymphadenectomy; if beyond the cervix, chemo and radiation
t or f: therapeutic conization is contraindicated in pregnancy
t or f: ECC is contraindicated in pregnancy
t or f: chemotherapy is contraindicated in pregnancy, but radiation is OK
FALSE; radiation is contraindicated, but chemotherapy is acceptable for treatment of cervical CA`
in terms of cervical CA and delivery, @ what stage are patients candidates for vaginal delivery?
early small volume stages - when @ greater stages, pt must get c section
what is the average age of a pt with adenocarcinoma of the cervix?
16-27 years old
what is the treatment of adenocarcinoma of the cervix?
radical hysterectomy and pelvic lymph node dissection