Gyn CA

Question 1

gyn fornix is point of attachment b/n ? & ?

Answer 1

cervix & vagina

Question 2

gyn internal os is where cervix meets

Answer 2

cervical canal

Question 3

gyn most radiotolerant area

Answer 3

uteral canal

Question 4

vulva ca pathology

Answer 4

scc

Question 5

vulva ca etiology

Answer 5

associated with DES

Question 6

vaginal ca usual pathology

Answer 6

scc

Question 7

vaginal ca most common location

Answer 7

posterior upper 1/3

Question 8

vaginal ca tx inguinal if disease is ?

Answer 8

in lower 2/3

Question 9

cervical ca pathology

Answer 9

scc

Question 10

cervical ca most common site

Answer 10

squamous columnar junction

Question 11

cervical ca xrt sup borders

Answer 11

L4/5

Question 12

cervical ldr dose rate

Answer 12

40-60 cGy/hr

Question 13

cervical hdr dose rate

Answer 13

20-50 cGy/min

Question 14

endometrial ca pathology

Answer 14

adenocarcinoma

Question 15

endometrial ca cure rate

Answer 15

high

Question 16

endometrial ca brachy when uterus is still intact

Answer 16

heyman capsule to total dose 65-90 Gy

Question 17

whole abd or abd-pelv region used to tx what gyn ca

Answer 17

• ovarian

- endometrial

Question 18

ovarian ca radiosensitivity

Answer 18

most radiosensitive

Question 19

cervical ca xrt inf border

Answer 19

obturator foramen (unless vag involved- then 4 cm lower than extent of disease)

Question 20

cervical ca xrt lat border

Answer 20

1.5-2 cm to pelvic sidewall

Question 21

cervical ca xrt ant border

Answer 21

pubic symphysis

Question 22

cervical ca xrt post border

Answer 22

splitting sacrum including S3

Question 23

cervical ca midline block shields bladder at ? Gy

Answer 23

65Gy

Question 24

cervical ca midline block shields rectum at ? Gy

Answer 24

70 Gy, sm bowel @ 50 Gy)

Question 25

cervical ca midline shields small bowel @ ? Gy

Answer 25

50 Gy

Question 26

cervical ca midline block done if patient receives

Answer 26

implant

Question 27

cervical hdr isotope

Answer 27

Ir-192 - uterus & cerv tolerate ext high doses of 200 Gy - point A= 2 cm sup to cerv os, 2 cm lat to endocerv canal, < 60-65 Gy

Question 28

cervical ca hdr; uterus & cervix can tolerate doses +

Answer 28

200 Gy

Question 29

cervical ca hdr point A=

Answer 29

- 2 cm sup to cerv os | - 2 cm lat to endocerv canal

Question 30

cervical ca hdr point A dose

Answer 30

< 60-65 Gy

Question 31

endometrial ca xrt dose

Answer 31

50-60 Gy

Question 32

endometrial ca xrt sup border

Answer 32

L5-S1

Question 33

endometrial ca xrt inf border

Answer 33

bottom of obturator foramen incl at least 1/2 of vagina

Question 34

endometrial ca xrt lat border

Answer 34

1-2 cm beyond pelvic wall

Question 35

endometrial ca xrt ant border

Answer 35

pubic symphysis

Question 36

endometrial ca xrt post border

Answer 36

splitting rectum

Question 37

endometrial ca xrt 4 fld box dose

Answer 37

45-50 Gy

Question 38

endometrial brachy ldr done how many fx

Answer 38

2 sessions= total 60-70 Gy

Question 39

endometrial brachy hdr done how many fx

Answer 39

3-5 fx, 5-7 Gy

Question 40

endometrial brachy hdr to what depth

Answer 40

0.5 cm