Gyn Percentages

Question 1

BRCA mutation accounts for what % of breast and what % of ovarian epithelial cancers?

Answer 1

Breast: 3-5%
Ovarian epithelial: 10%

Question 2

What are the 5yr tubal failure rates for partial salpingectomy, bands, coagulation, and clips?

Answer 2

Partial salpingectomy: 0.6%
Bands: 0.1%
Coagulation: 0.16%
Clips: 0.3%

Question 3

What is the rate of retorsion in reproductive age women?

Answer 3

30%

Question 4

90% of genital warts are caused by HPV types _ & _.

Answer 4

6 & 11

Question 5

66% of cervical cancers are caused by HPV types _ & _.

Answer 5

16 & 18

Question 6

What is the sensitivity for endometrial cancer w/ an EMB in pre vs postmenopausal women?

Answer 6

Pre = 91%
Post = 99%

Question 7

What percentage of Laparoscopic surgeries result in major complications? When do > 50% of those complications occur?

Answer 7

1%
Abdominal entry

Question 8

What is the sensitivity and specificity of SIS for diagnosing endometrial polyps?

Answer 8

Sensitivity = 95%
Specificity = 91%

Question 9

What is the NPV for an endometrial thickness ≤4mm ruling out endometrial cancer?

Answer 9

NPV = 99%

Question 10

What is the % lifetime risk of colon, endometrial, and ovarian cancers w/ Lynch Syndrome

Answer 10

Colon: 50-80%
Endometrial: 30-60%
Ovarian: 5-25%

Question 11

What is the lifetime risk of breast and ovarian cancer in a pt w/ a BRCA1 or BRCA2 mutation by age 70?

Answer 11

BRCA1
-Breast: 80%
-Ovarian: 40%
BRCA2
-Breast: 40%
-Ovarian: 20%

Question 12

What age is it appropriate to offer ppx BSO for pt w/ BRCA1 or BRCA2 mutation?

Answer 12

BRCA1: 35-40
BRCA2: 40-45