Gyn review including cervix staging

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Author:
jaxkaty5437
ID:
271423
Filename:
Gyn review including cervix staging
Updated:
2014-04-21 23:16:39
Tags:
Radiation Therapy
Folders:
RTT Review
Description:
Gyn review including cervix Staging
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  1. Describe the Manchester System
    The Manchester system is either a ring and ovoids or tandem and oviods used for brachytherapy of the cervix or uterus.
  2. Where are Point A & B?
    • Point A-2cm superior and 2 cm lateral to the external os-associated with
    • dose to the uterus
    • Point B- 2 cm superior and 5 cm lateral to the external os-associated with dose to the nodal areas
  3. What are the methods of spread for ovarian cancer and which is most common?
    through the blood, lymph nodes, and seeding-Most common- seeding
  4. Main lymphatic drainage for the ovaries?
    para-aortic
  5. Organs which are most common extra-pelvic metastatic sites for ovarian ca?
    liver,lungs
  6. Main modality for the treatment of ovarian cancer.
    Surgery is main modality,chemo is also used.
  7. Most common gyn cancer in US women?
    Endometrial(50% of gyn cancers in the US)
  8. Give the most reliable prognostic factor for endometrial cancer?
    depth of myometrial penetration
  9. Discuss and describe the staging for cancer of the cervix.
    • Tis-Carcinoma in situ
    • T1-Confined to Cervix
    • T2-Extenion into the vagina
    • upper 2/3/parametrium
    • T3-Extension into lower 1/3 of
    • vagina/parametrium/pelvic wall
    • T4-extension to bladder/rectum/beyond true
    • pelvis
  10. Carcinoma in situ for cervical cancer is considered stage:
    Tis
  11. Cervical cancer that is confined to the cervix is considered a stage:
    T1
  12. Cervical cancer that extends into the upper 2/3 of vagina and/or into the parametrium is considered a stage:
    T2
  13. Cervical cancer that extends into the lower 1/3 of vagina/parametrium/pelvic wall is considered a stage:
    T3
  14. Cervical cancer that extends into the bladder/rectum/beyond true pelvis is considered a stage:
    T4
  15. Clear cell adenocarcinoma  of the vagina  is associated with what drug?
    DES

    Clear-cell adenocarcinoma (CCA) of the vagina (or cervix) is a rare cancer often linked to the drug diethylstilbestrol (DES)

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