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Flashcards in Cervical Cancer Deck (15)
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1
Q

What HPV strain causes comon warts/verruca vulgaris

A

HPV 1, 2, 3, 4

2
Q

What HPV strain causes genital warts/condyloma acuminata

A

HPV 6/11

3
Q

HPV strain that cuase cervical cancer

A

HPV 16, 18, 31, 33, 45

4
Q

What strains does guardasil protect against

A

6, 11, 16, 18

5
Q

Who gets HPV

A

women 11-26
boys 11-12

**regular immunization given at 11 or 12

6
Q

Management for ASC-US

A

HPV DNA testing
(-) : repeart pap in 1 yr
(+) : colpo and cervical Bx

7
Q

2 types of cervical cancer

A

squamous cell carcinoma

atypical glandular cells

8
Q

What are the indications for a diagnostic cone bx?

A
Microinvarion < 3mm
endocervical cuttage positive 
discrepency of 2 steps (high grade pap, not confirmed on bx)
Inadequate culpo 
Adenocarcinoma in situ
9
Q

Diagnostic conde Bx complications

A
bleeding 
infection
cervical stenosis
incompetent cervix
PROM
Preterm labor
10
Q

What is CIN? MC timimg of developing CIN? MC location?

A

premalignant dz of cervical epithelium 2/2 HPV inf
during menses and after pregnancy
anterior lip of transformational zone, multifocal

11
Q

CIN I vs II vs III def

A

I: dysplasia in basal 1/3 of epithelium
II: dysplasia in basal 2/3 of epithelium
III dysplasia in >2/3 to full epithelium

12
Q

CIN I, II, III management

A

I: repeat pap q 6mo x 2 w/ LEEP if persistent for 2 yrs
II: LEEP
III: LEEP

13
Q

management when HGSIL on pap but normal on Bx

A

diagnostic cone bx

14
Q

Smx of cervical SCC

A

usualy smx, can present as post coital bleeding

15
Q
What is TNM criteria for the following stages + Tx
0
1a
1b
2a
2b
3a
3b
4a
4b
A

0 : carcinoma in situ | simple hysterectomy pr cold knife cone

1a : cervix only, 7mm or visible lesion | radical hystorectmy or radiation

2a : involves upper 2/3 vagina, no parametrium | ‘’
2b : involved upper 2/3 vagina, parametrium | chemoradiation (external and internal radition + cisplatin)

3a : involves lower 1/3 vagina, no pelvic wall | ‘’
3b : involves lower 1/3 vagina, pelvic wall | ‘’

4a : local met (bladder or rectum) | “
4b : distal met | ‘’