What cancer am I ?
Most commoon in younger women
Affects women of lower socioeconomic status
Early sexual activity, multiple partners,
multiple pelvic infections, smoking
___ cancer incidence is higher in wives of men with penile cancer
Women whose mothers used DES during early months of pregnancy are more likely to develop ____ cancer
Because of PAP smears _____ of cancers are diagnosised in non-invasive stages
What Cancer am I?
Has increased over the past few years
high-calorie diet & high fat diets
use of estrogen in the 60's & 70's
peak age is 58
Diabetes & hypertension
Prolong estrogen use (HRT)
Women who are 50lbs over weight have a ___ times increase in risk of developing ___ cancer
___ & ___ cancers are rare & occur in older women
Vaginal & Vulva
Vulva cancer is ___ times more common then vaginal & is associated with diabetes & STD's
****Vulva cancers are also associated with changes in normal vaginal lining, loss of hormone stimulation, and poor hygeine
**** Vaginal cancer is also related to DES use while in utero.
What cancer am I?
occurs between ages 50 & 70
Risk factors include:
late or few pregnancies
lack of oral contraceptives
family history of ovarian cancer
personal history of breast, colon, or endometrial cancer
diets high in meat or animal fat
What cancer am I?
Slow progressive disease
increased menstrual bleeding
discomfort with intercourse
Maloderous discharge, pelvis pain, and urinary or rectal symtoms may accompany more advance disease
List the lymph nodes involved in cervical cancer
They are normally in order:
para cervical (around the cervix)
para metrial (around the uterus)
and even SVC nodes
Cervical cancer affects in Direct extension
superior = uterus
inferior = vagina
anteriorly = bladder
posteriorly = rectum
where does hematogenous spread of cervical cancer go?
Lungs, bone & liver
In detecting & diagnosis what are the classes of PAP Smear
Class I - normal
Class II - atyical (not cancerous, but starting to change)
Class III - dyspalsia
Class IV - carcinoma in situ (starts cancer)
Class V - Invasive cacinoma
What are some methods of detection & diagnosis of Cervical Cancer?
H&P, including pellvic & rectal exams, CT, MRI, PET, cystoscopy and proctoscopy are used to assess metastatic disease.
What is most common pathology of Cervical Cancer?
Most cervical lesions are in the ___ lip of the cervix
What is the most common symptom of cervical Cancer?
Describe Point A
2cm superior of the external os
2 cm lateral of the external os
Describe Point B
2 cm superior of the external os
5cm lateral of the external os
Point A is associated with dose to _____.
Point B is assocaited with dose to ____.
Tamdum is inserted into the ____.
Ovoids lie in the ____ ____ or each side of the cervix.
Radiation fields for cervical Ca.
Whole pelvis is treated with a:
4 field box
___ cancer is the most deadliest of all GYN cancers and has few symtoms until it is widely disseminated.
Most common symptoms of cervical cancer is:
abdominal/pelvic pain, ascites, abdominal distention, or GI symptoms (n/v, constipation, heartburn)
Most common age for ovarian cancer
___ marker is a useful prognostic indicator
In ovarian cancer blood spread is to the ____ & ____ and ovarian tumors can also seed into the abdomen.
liver & lungs
Ovarian cancer does not have a huge role in radiation therapy. It is mainly for pallative treatment
Pathology of ovarian cancer is 90% _____
Treatment choice for ovarian cancer is
surgury & chemotherapy
Ovarian cancer overall 5 year survival is _____%
What are the most common symptoms of endometrial (uterus) cancer the leads to early detection?
vaginal bleeding & discharge
What are some examples of poor prognosis of Endometrial Cancer?
increased depth of invasion
lymph node involvement
cancer cells inthe peritonal fluid (abd fluid)
Enndometrial cancer lymph spread is to the ___ & ____.
Internal & external iliacs
Endometrial cancer blood spread is to the ___ & ____
lung & bone
What is the most common histology of endometrial cancer?
Overall 5 year survival for endometrial cancer is
The "stop sign field" is used for ___ & ___ cancer
cervical & endometrial
What is the most common pathology for vulvar cancer
squamous cell (below cervix)
What is the overall 5 year survival rate for vulvar cancer?
RT fields for vulvar cancer is
_____ is a super rare female cancer
___ cancers accounts for cancers that have not reached the cervix or vulva
what is the median age for vaginal cancer?
What is the most common histology for vaginal cancer
squamous cell carcinoma
What is the most common location for vaginal cancer?
upper 3rd of vagina
Vaginal primar is rare mostly we see a cervical that has grew into the vagina
inguinal, upper 3rd to the iliacs
along vaginal wall to cervix or vulva
It may also spread to the pelvic wall, bladder & rectum.