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Y4R5 - Gynecology I 👩‍🍼 > L7: Vulvar cancer > Flashcards

L7: Vulvar cancer Flashcards

(52 cards)

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1
Q

Def of Cancer Vulva

A

It is malignant tumor arising from the vulval skin.

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2
Q

Incidence of Cancer Vulva

A

Uncommon neoplasms accounts only 4% of all gynecologic cancers

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3
Q

Age in Cancer Vulva

A
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4
Q

Race in Cancer Vulva

A

Nigros

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5
Q

SES in Cancer Vulva

A

Low (bad hygiene)

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6
Q

Parity in Cancer Vulva

A

High

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7
Q

Special Predisposing Factors for Cancer Vulva

A
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8
Q

Special Predisposing Factors for Cancer Vulva

  • Local lesions in the genital tract & chronic vulval irritation
A
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9
Q

Special Predisposing Factors for Cancer Vulva

  • Chronic Medical Illnesses
A

such as DM, HTN, obesity, & immune suppression.

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10
Q

Special Predisposing Factors for Cancer Vulva

  • Personal / Lifestyle Factors
A

Cigarette smoking & multiple sexual partners.

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11
Q

Precancerous Lesions in Cancer Vulva

A

VIN & vulval dystrophies (malignant potential)

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12
Q

Pathology in Cancer Vulva

A
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13
Q

Pathology in Cancer Vulva

  • NE
A
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14
Q

NE of Cancer Vulva

  • Site
A
  • Usually affecting labia majora> labia minora
  • The worst affecting the clitoris
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15
Q

NE of Cancer Vulva

  • Size
A

Usually, small

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16
Q

NE of Cancer Vulva

  • Shape
A

May be nodule, cauliflower mass, or malignant ulcer that takes 1 of 3 forms:

  • Malignant squamous cell carcinoma ulcer.
  • Melanomatous ulcer.
  • Basal cell carcinoma ulcer “rodent ulcer”.
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17
Q

Pathology of Cancer Vulva

  • ME
A
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18
Q

ME of Cancer Vulva

  • 1ry Tumor
A
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19
Q

ME of Cancer Vulva

  • Metastases from adjacent organs
A

Rectum, Vagina, Cervix Bladder

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20
Q

Spread of Cancer Vulva

A
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21
Q

Spread of Cancer Vulva

  • Local direct
22
Q

Spread of Cancer Vulva

  • Lymphatic
23
Q

Lymphatic Spread of Cancer Vulva

  • Sequence
24
Q

Lymphatic Spread of Cancer Vulva

  • Cancer Clitoris
Study These Flashcards
A
  • Cancer Clitoris drains directly to the deep femoral lymph node (gland of Cloquet) then to the pelvic lymph nodes.
25
Lymphatic Spread of **Cancer Vulva** - Cross Lymphatics
There are cross-lymphatics between both sides.
26
Spread of **Cancer Vulva** - Blood
to LBLB group but very rare in malignant melanoma
27
Spread of **Cancer Vulva** - Special Route
- Kissing ulcer from 1 side to the other was considered to be direct spread but now considered to be blood & lymphatic spread from 1 side to the other.
28
Complications of **Cancer Vulva**
29
Staging of **Cancer Vulva**
30
Staging of **Cancer Vulva** - Stage I
31
Staging of **Cancer Vulva** - Stage II
32
Staging of **Cancer Vulva** - Stage III
33
Staging of **Cancer Vulva** - Stage IV
34
Dx of **Cancer Vulva**
35
Dx of **Cancer Vulva** - CP
36
Symptoms of **Cancer Vulva**
37
Signs of **Cancer Vulva**
38
Signs of **Cancer Vulva** - General
Picture of cachexia, loss of weight, pallor, anemia, or palpable inguinal LNs
39
Signs of **Cancer Vulva** - Abdominal
Signs of metastasis (in advanced cases).
40
Signs of **Cancer Vulva** - Local
41
INVx for **Cancer Vulva**
42
INVx for **Cancer Vulva** - for Dx
43
INVx for Dx of **Cancer Vulva** - Labs - Rads - Endoscopy - Biopsy
44
INVx for **Cancer Vulva** - To Detect Mets
...
45
INVx for Dx of **Cancer Vulva** - Pre-Operative
....
46
TTT of **Cancer Vulva**
47
TTT of **Cancer Vulva** - Prophylactic
- By avoidance of the risk factors & proper treatment of VIN.
48
TTT of **Cancer Vulva** - Active
49
Active TTT of **Cancer Vulva** - Mainstay
Surgery
50
Active TTT of **Cancer Vulva** - Stage I & II
51
Active TTT of **Cancer Vulva** - Stage III
52
Active TTT of **Cancer Vulva** - Advanced Disease

Y4R5 - Gynecology I 👩‍🍼 (46 decks)

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