Cervical Cancer Flashcards
(32 cards)
Screening has told us that most cases of such invasive cervical cancer, are in women who have never what?
Been previously screened or been HPV vaccinated.
Peak incidence age for cervical cancer
40’s, median is 47
Explain the screening program for pap testing
We start from age 21, from 21-65 a simple Pap test every 3 years, from 30 onwards, a pap and HPV testing. From 65 onwards, we stop if no history of dysplasia and 3 negative consequent tests
Micro invasive carcinoma definition?
Invasive cancer less than 5mm of invasion
Micro invasive carcinoma is classified as IA1 and IA2, explain both
1 is less than 3mm invasion, 2 is more than 3mm and less than 5.
Apart from the usual smears and colposcopies, what is the definitive diagnosis method of micro invasive carcinoma?
Cervical conization (a cone shaped sample is removed and analyzed)
Treatment for Stage IA1 micro invasive carcinoma
Total hysterectomy is standard. Therapeutic conization IF fertility is desired
Standard treatment for Stage IA2 Micro invasive carcinoma?
Modified radical hysterectomy
What is the fertility sparing option for stage IA2 micro invasive carcinoma?
Radical Trachelectomy
Cauliflower carcinoma location
Ectocervical
Nodular carcinoma location?
Endocervical
Describe an Ulcerative carcinoma
Raised everted edge, with a necrotic floor
The earliest and most important mode of spread?
Direct invasion
What’s the most important means of distal spread for carcinoma?
The lymphatic drainage system
The most common and obvious signs of cervical carcinoma?
Vaginal discharge is the earliest, and obviously contact bleeding during sex
In advanced stages, what signs can we look out for
Pelvic side wall involvement, a TRIAD of Flank pain, sciatic pain, and leg swelling.
Bleeding on touch is the commonest for which type of carcinoma
Cauliflower
Explain IB1 classification
Invasive carcinoma bigger than 5cm but smaller than 2 cm in greatest dimension
Explain IB2 classification
Invasive carcinoma smaller than 4cm in greatest dimension
Explain IB3 classification
Invasive carcinoma bigger than 4cm in greatest dimension
Explain stage 2 FIGO classification
Carcinoma invades beyond the uterus, but not extended into the pelvic wall or lower 3rd of the vagina
Explain stage 3 FIGO classification
Carcinoma invades lower 3rd of the vagina.
Stage 3A?
No extension into pelvic wall involvement
Stage 3B?
Extension into pelvic wall
