Week 3 Flashcards
(28 cards)
What is the main symptom of fibroids (apart from subserosal fibroids)?
Bleeding
What is the main symptom of subserosal fibroids?
Pain
What happens to a woman’s fibroids when she goes through the menopause?
The fibroids are still there but as fibroids grow under the influence of oestrogen and progesterone, they no longer cause any problems
What diagnosis are you worried about if fibroids continue to get worse after the menopause?
Leiomyosarcoma
Which reproductive organ can have borderline tumours?
Ovaries
What is the first line management of fibroids?
The intrauterine system (IUS)
If they dont want contraception then,
What are the surgical options of management of fibroids?
Hysterectomy (removes all or part of the uterus) or Myomectomy (just removes the fibroids)
How do you carry out a myomectomy of subserosal fibroids?
laparoscopically
How do you carry out a myomectomy of intracavitary fibroids?
Hysteroscopically
What form of inheritance is Lynch syndrome?
Autosomal dominant
Define Lynch syndrome
A cancer predisposition syndrome: high risk of colorectal syndrome, high risk of endometrial cancer and increased risk of ovarian cancer
What are some risk factors for endometrial cancer?
Obesity
PCOS
Lynch syndrome
What are the 2 main types of Uterine cancer?
Type 1: Endometrioid and mucinous carcinoma- 80%
Type 2: Serous and clear cell carcinoma- 20%
Which type of uterine cancer is related to unopposed oestrogen?
Type 1- endometrioid
What is the primary treatment of stage II, II and IV cervical cancer?
Radical radiotherapy
What is the most common presentation of endometrial cancer?
Post menopausal bleeding
How do you manage low risk stage I ovarian cancer?
Optimal surgical staging
- no adjuvant chemotherapy
How do you manage high risk stage I ovarian cancer?
Optimal surgical staging with adjuvant chemotherapy consisting of 6 cycles of carboplatin
How do you manage advanced (stage II-IV) ovarian cancer?
How do IUSs and oral contraceptives affect your ovarian and endometrial cancer risks?
IUSs and oral contraceptives decrease your ovarian and endometrial cancer risk
How do we manage CIN II and CIN III?
Cold coagulation and LLETZ (long loop excision transformation zone)
What do you do if you vomit within 3 hours of taking an oral contraceptive pill?
Cry and take another pill, then take the next dose at the usual time
When during your cycle do you need to continue using another form of contraception after starting the COC?
If you start at any time out with the first 5 days of your period
How soon after having a baby can you start combined oral contraceptives?
21 days (3 weeks) if you’re not breastfeeding
6 weeks if you’re breastfeeding
