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Treatment Flashcards

(12 cards)

1
Q

What is the primary curative procedure for vulval cancer and what is the procedure?

A

Surgery

Local excision if small or a total vulvectomy +/- lymph node dissection

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2
Q

When may radiotherapy be used in vulval cancer?

A

Before or after surgery or palliative care

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3
Q

When is chemo used in vulval cancer?

A

Rarely, only in advanced cancer.

Cisplatin

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4
Q

What is the primary treatment for cervical and what dicates procedure?

A

Surgery

1a (micro) then tracelectomy to preserve fertility

Over 1b then hysterectomy. total keeps the parametrium (2a) or radical removes (Over 2b)

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5
Q

When is radiotherapy used in cervical cancer?

A

Pre or post op

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6
Q

What is the role of chemo in cervical cancer?

A

None

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7
Q

What is the primary treatment method and what are the guidelines for endometrial

A

As it is normally found early hysterectomy +/- salpingoophrectomy +/- lymph node clearance is usually enough

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8
Q

When is radiotherapy used in endometrial cancer?

A

Sometimes after surgery

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9
Q

When is chemo used in endometrial cancer?

A

Rarely and only if advanced - platin

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10
Q

What is usually the first line treatment for ovarian cancer?

A

Surgery

Debulking to remove visible tumour. hysterectomy +/- salpingooophrectomy +/- LN clearance +/- bowel deposits

Due to late presentation this is not normally curative

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11
Q

When is radiotherapy used for ovarian?

A

Rarely - only palliative

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12
Q

What chemo is used?

A

Paclitxel plus platinum

If it reoccurs within a year it is resistant so another is used. If after a year the same one is used

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