Week 6 part 1 Flashcards Preview

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Flashcards in Week 6 part 1 Deck (93)
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61

Characterised by a complex papillary and/or glandular archietecture with diffuse, marked nuclear pleomorphism

Serous carcinoma of endometrium

62

Treatment of endometrial carcinoma?

Hysterectomy: chemo/radiotherapy

63

Endometrioid carcinoma are primarily graded by architecture - what are the three grades?

1. 5% or less solid growth
2. 6-50% solid growth
4. >50% solid growth

64

What is description of stage I endometrial cancer?

COnfiend to uterus

65

What stage of endometrial cancer does it involve vaginal or parametrial involvement?

IIIB, IIIC is metastases to pelvic and/or paraaortic lymph nodes

66

What endometrial cancaer? Heterologous elements commonly seen in about 50% cases (rhabdomyosarcoma, chrondrosarcoma, osteosarcoma)
The presence of a rhabdomyosarcomatous component has the worst prognosis

Carcinosarcoma

67

A malignant smooth muscle tumour commonly displaying a spindle cell morphology

Leiomyosarcoma - the most common uterine sarcoma

68

What type of ovarian cysts are polycyctic ovaries?

Follicular

69

Chocolate cyst?

Endometriosis on ovary

70

Peritoneal spots or nodules
Fibrous adhesions
Chocolate cysts

Ovarian endometriosis

71

What are epithelial ovarian tumours catogorised as?

Benign, borderline or malignant

72

What epithelial ovarian tumour class is this: no cytological abnormalities, proliferative activity absent, no stromal invasion?

Benign

73

What epithelial ovarian tumour class is this: cytological abnomralities, proliferative, no stromal invation

Borderline

74

What epithelial ovarian tumour class is this: stromal invasion?

Malignant

75

What are the two types of serous carcinoma of ovary?

High grade
Low grade

76

What grade of serous carcinoma of ovary involves serous tubal intraepithelial carcinoma?

hIGH grade

77

What are endometrioid and clear cell carcinoma of ovary strongly associated iwth?

Endometriosis of ovary
Lynch syndrome

78

What is the diagnosis of endometrioiud and clear cell ovarian carcinoma often made on?

Ascitic fluid

79

An ovarian tumour of transitional type epithelium, usually benign

Brenner tumour

80

Give two types of germ cell ovarian tumours?

Dermoid cyst - mature, benign, cystic
Teratoma

81

What are 95% of ovarian germ cell tumours?

Dermoid cysts - cystic, containing sebum and hair

82

most common malignant primitive germ cell tumour
1-2% of all malignant ovarian tumours
Almost exclusively children and young women, average age 22

Dysgerminoma

83

A type of ovarian sex cord/stromal tumour which is benign, may produce oestrogen causing uterine bleeding?

Fibroma/thecoma

84

What ovarian sex cord/stromal tumours are rare and may produce androgens?

Sertoli-Leydig cell tumours

85

What must be considered in all cases of ovarian tumours if they are bilateral and small?

Metastatic tumours - stomach, colon, breast, pancreas

86

In FIGO staging of ovarian cancer - what is IA

tumour confined to one ovary

87

In FIGO staging of ovarian cancer - what is IB

tumour confined to both ovaries

88

In FIGO staging of ovarian cancer - what is IC

Cancer involving ovarian surface/rupture/siurgical split/tumour in washings

89

In FIGO staging of ovarian cancer - what is 2A

extension or implants on uterus/fallopian tube

90

In FIGO staging of ovarian cancer - what is 2b

Extension to other pelvic intraperitoneal