ob-gyn Flashcards
(115 cards)
most common uterine cancer
adenocarinoma
risk factor for uterine neoplasm?
estrogen
uterine cancer has similar risk to what other type of CA
breast
Endometriosis define
uterine tissue outside of the uterus
Dysfunctional Uterine Bleeding treatment
OCPs or hormonal therapy (Progesterone) to regulate/shorten cycle
○ NSAIDs for dysmenorrhea & reduce bleeding
decreases despite small relative platelet dysfunction)
○ Surgical ligation or embolization of uterine arteries, D&E, hysterectomy
most common site for endometriosis
most common site of implantation is peritoneal
how to dx endometriosis
laproscopy
tx for endometriosis
hormone replaced / OCP
symptoms of endometriosis
cyclic cramping and heavy bleeding during peroids
Leiomyomata
benign uterine fibroid
leiomyosarcoma
cancerous uterine fibroid
how are leiomyomata (uterine fibroids) dx
US
tx of uterine fibroids
depends on what location:hormonal control (symptomatic relief), ablation/ligation/embolization of uterine
arteries, hysterectomy
Why are Patty & Selma, Bart Simpson’s aunts at risk for endometrial cancer?
given their obesity, diabetes, hypertension, and alcohol consumption. Both had periods at 9 years old, never had children, suffered from infertility and PCOS. both had breast cancer and took Tamoxifen
what increases the risk of ovarian torsion
cysts >5cm are at increased risk of torsion, may check flow with doppler, fertile patient dealt with Emergent. pain meds should be offered
benign bleeders (another name for?)
leiomyomata
normal cycling cyst
follicular 2.5cm
chocolate cyst
Corpus Luteum: associated with pregnancy
Thecal cyst
often bilateral, result from excess hCG secretion in molar and multi gestation pregnancy
risk of ovarian cancer
ovulation
ovarian cancer is associated with what syndromes
BRCA mutations & Lynch
Syndrome/HNPCC
what is C125 used for
ovarian cancer
is bleeding common in ovarian cancer?
no
dx ovarian ca
US or CT