Gyn review including cervix staging
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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.
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
What are the methods of spread for ovarian cancer and which is most common?
through the blood, lymph nodes, and seeding-Most common- seeding
Main lymphatic drainage for the ovaries?
Organs which are most common extra-pelvic metastatic sites for ovarian ca?
Main modality for the treatment of ovarian cancer.
Surgery is main modality,chemo is also used.
Most common gyn cancer in US women?
Endometrial(50% of gyn cancers in the US)
Give the most reliable prognostic factor for endometrial cancer?
depth of myometrial penetration
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
Carcinoma in situ for cervical cancer is considered stage:
Cervical cancer that is confined to the cervix is considered a stage:
Cervical cancer that extends into the upper 2/3 of vagina and/or into the parametrium is considered a stage:
Cervical cancer that extends into the lower 1/3 of vagina/parametrium/pelvic wall is considered a stage:
Cervical cancer that extends into the bladder/rectum/beyond true pelvis is considered a stage:
Clear cell adenocarcinoma of the vagina is associated with what drug?
Clear-cell adenocarcinoma (CCA) of the vagina (or cervix) is a rare cancer often linked to the drug diethylstilbestrol (DES)
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