Flashcards in Cervical intraepithelial neoplasia and carcinoma Deck (15):
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
what is a nabothian cyst?
cervical mucous gland that has gotten plugged
no treatment necessary
cervical cancer screening should begin at what age? how often is it repeated?
every 3 years
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
screening should discontinue after what age?
90% of cervical cancer is of what type?
skip lesions are found in what type of cervical cancer?
what are the two patterns of spread for cervical cancer?
- direct extension
what are the sequalae of direct extension of cervical cancer?
- involvement of pelvic side wall
- venous compression causing unilateral edema
what is the only gynecological cancer that is staged clinically?
how is cervical cancer staged?
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
what are the complications from radiation therapy?
- ileus from scarring or acute reaction
- urinary frequency
- vaginal discharge
what is the role for chemotherapy in cervical cancer?
recurrent / palliative use