Cervical intraepithelial neoplasia and carcinoma Flashcards Preview

Year 2 OBGYN > Cervical intraepithelial neoplasia and carcinoma > Flashcards

Flashcards in Cervical intraepithelial neoplasia and carcinoma Deck (15):
1

what is the goal of screening for cervical cancer? what are the screening tests?

detect preinvasive neoplasia and make the treatment possible before it becomes invasive

- cervical cytology (pap) - conventional smear and liquid
- HPV screening
- combination of both

2

what is a nabothian cyst?

cervical mucous gland that has gotten plugged

no treatment necessary

3

cervical cancer screening should begin at what age? how often is it repeated?

age 21

every 3 years

4

cotesting (cytology + HPV) for cervical screening recommendations for women age 30-65

- cotesting with cytology and HPV testing every 5 years
- screening with cytology alone every 3 years is acceptable

5

screening should discontinue after what age?

65

6

90% of cervical cancer is of what type?

squamous

7

skip lesions are found in what type of cervical cancer?

adenocarcinoma

8

what are the two patterns of spread for cervical cancer?

- direct extension
- lymphatics

9

what are the sequalae of direct extension of cervical cancer?

- involvement of pelvic side wall
- venous compression causing unilateral edema
- hydroureter

10

what is the only gynecological cancer that is staged clinically?

cervical

11

how is cervical cancer staged?

clinically

12

what is brachytherapy? what is the advantage?

- intracavitary radiation delivering low dose radiation for direct treatment of cervical legion and parametrium
- decreased effect on surrounding organs

13

what are the complications from radiation therapy?

- ileus from scarring or acute reaction
- urinary frequency
- vaginal discharge
- dyspareunia

14

what is the role for chemotherapy in cervical cancer?

recurrent / palliative use

15

what is pelvic exenteration?

- radical procedure for recurrent cervical cancer without para-aortic node involvement
- removal of pelvic organs including uterus, tubes, ovaries, vagina, bladder, distal ureters, rectum, anus, pelvic floor, levator muscles, pelvic lymph nodes