Malignancy of the Uterus

Question 1

what is the other name for endometrial carcinoma

Answer 1

adenocarcinoma

Question 2

what is the most common GYN cancer

Answer 2

adenocarcinoma

Question 3

adenocarcinoma has been associated with what things

Answer 3

• family history
• nulliparity
• diabetes
• HTN
• PCOD
• tamoxifen
• unopposed estrogen therapy

Question 4

adenocarcinoma usually cirrus in patients of what age

Answer 4

60-79

Question 5

what is the most common symptom of adenocarcinoma

Answer 5

postmenopausal bloody or watery discharge

Question 6

what lab would be elevated with adenocarcinoma

Answer 6

CA 125

Question 7

S/A adenocarcinoma

Answer 7

• enlarged uterus
• thick irregular heterogeneous endometrium
• > 5mm endometrium bleeding post menopausal with no HRT
• may see halo around endometrial cavity
• fluid within canal

Question 8

which stage of adenocarcinoma is confined to the body of the uterus

Answer 8

1

Question 9

which stage of adenocarcinoma extends to the cervix

Answer 9

2

Question 10

which stage of adenocarcinoma extends beyond the uterus but inside the true pelvis

Answer 10

3

Question 11

which stage of adenocarcinoma has mets to other organs

Answer 11

4

Question 12

___: rare malignant tumor of myometrium

Answer 12

leiomyosarcoma

Question 13

leiomyosarcoma usually occurs around what age

Answer 13

50s

Question 14

S/A leiomyosarcoma

Answer 14

• hard to differ from leiomyoma
• internal necrosis and degeneration
• poor borders

Question 15

what is the prognosis of leiomyosarcoma

Answer 15

poor

Question 16

what is the other name for cervical carcinoma

Answer 16

squamous cell carcinoma

Question 17

what is the most common cancer in females less than 50 years old

Answer 17

squamous cell carcinoma

Question 18

squamous cell carcinoma usually occurs in females of what age

Answer 18

child bearing years

Question 19

squamous cell carcinoma is more common in females who:

Answer 19

• become sexually active early on in life
• have multiple sex partners
• HPV
• mothers who took DES

Question 20

S/A squamous cell carcinoma

Answer 20

• enlarged cervix >4cm width
• hypoechoic or isoechoic masses within
• hydrometra or hematomata due to cervical obstruction
• invasion of the upper vagina

Question 21

which stage of squamous cell carcinoma is confined to the cervix

Answer 21

1

Question 22

which stage of squamous cell carcinoma extends beyond the cervix but has not reached the lower 1/3 of the vagina or pelvic wall

Answer 22

2

Question 23

which stage of squamous cell carcinoma extends beyond the cervix and has reached the lower 1/3 of the vagina or pelvic wall

Answer 23

3

Question 24

which stage of squamous ell carcinoma extends beyond the true pelvis into rectum or bladder

Answer 24

4

Question 25

___: combination of cancers of endometrium and myometrium

Answer 25

carcinosarcoma

Question 26

carcinosarcoma usually occurs around what age

Answer 26

50-60

Question 27

S/A carcinosarcoma

Answer 27

- uterus appears heterogeneous | - enlarged uterus filled with polypoid structures

Question 28

what are some possible treatment options for uterine abnormalities

Answer 28

- D&C - D&E - endometrial ablation - polypectomy - myomectomy - uterine artery embolization - hysterectomy

Question 29

___: uterus is removed and one or both ovaries remain

Answer 29

partial hysterectomy

Question 30

___: uterus and ovaries are removed

Answer 30

total hysterectomy

Question 31

which uterine anomalies cause uterine enlargement

Answer 31

- adenomyosis - congenital anomalies - endometrial polyps - gestational trophoblastic disease - hematometrocolpos - multiparity - neoplasms - pregnancy - postpartum state - recent abortion

Question 32

which uterine anomalies alter the texture of the uterus

Answer 32

- adenomyosis - gestational trophoblastic disease - hemato/hydro/pyometrocolpos - neoplasms - pregnancy

Question 33

which uterine anomalies alter the contour of the uterus

Answer 33

- fibroids - endometriosis - neoplasms - PID - post surgery - retroposition

Question 34

which uterine abnormalities cause shadowing

Answer 34

- calcifications - gas - IUD - retained products of conception - sutures - tampon

Question 35

what is the most common congenital anomaly of the uterus

Answer 35

septet uterus

Question 36

what is the most common abnormality of fusion

Answer 36

bicornuate uterus

Question 37

what is the most common failure of disappearance defect

Answer 37

gartner duct cyst

Question 38

hematometrocolpos is most commonly caused by what

Answer 38

imperforate hymen

Question 39

the most common location for fluid accumulation in the pelvis is where

Answer 39

posterior cu de sac

Question 40

where is the least common location of fluid accumulation in the pelvis is where

Answer 40

space of retzius

Question 41

what is the leading cause of infertility

Answer 41

endometriosis

Question 42

what is the most common cause for postmenopausal bleeding

Answer 42

endometrial atrophy

Question 43

what is the most common cause for PID

Answer 43

chlamydia

Question 44

what is the most common uterine mass

Answer 44

fibroid

Question 45

what is the most common type of fibroid

Answer 45

intramural