Flashcards in Ovarian cancer Deck (19):
what is the most important independent risk factor for ovarian cancer? what are other risk factors?
- family history
- nulliparity, infertility, endometriosis
is CA-125 a good screening technique for ovarian cancer?
is an adnexal mass in young women often benign or malignant? what does it usually consist of?
- functional cyst
what is the workup for an adnexal mass? what needs to be considered?
- transvaginal US
consider timing in cycle
what should be excluded in the workup for an adnexal mass in a postmenopausal woman? what exams should you do?
- breast exam
what is the positive predictive value of US for adnexal masses?
what is the epithelial tumor marker?
what are the malignant germ cell tumor markers?
what are the embryonal tumor markers?
what is the endodermal sinus tumor marker?
what is the granulosa cell tumor marker?
what are the treatment options for epithelial ovarian cancer?
- cytoreductive surgery
what is the most lethal gynecological malignancy?
what are the presenting symptoms of a molar pregnancy?
- first trimester bleeding with size > menstrual dates
- elevated BHCG
- toxemia prior to 24 weeks gestation
what is the imaging modality of choice for gestational trophoblastic disease?
what % of molar pregnancies are invasive?
what is the workup for a complete molar pregnancy?
- CBC, CMP, clotting studies
what are the treatment options for a molar pregnancy?
- evacuating the uterus
- monitoring BHCG levels
- chemo (sometimes)