Card Set Information
Ovarian cancer, endometrial cancer
What are the possible lesions that may result in a mass in the right fornix? Name 3 categories and 2 examples each.
Infected organ (abscess) - PID, ovarian abscess, puerperal pelvic cellulitis
Neoplasms - ovarian cancer, cervical ncacer, pelvic mets, uterus adenocarcinoma
Other - ectopic pregnancy, ovarian cyst, pelvic hematoma
Name 3 things that cause a cystic ovarian mass appearance on U/S.
Leiomyoma (normal on other side)
Name 5 further Ix for such mass.
CA 125 (not so useful, only when combined with U/S)
Laparoscopy + biopsy
Name 3 causes for fleshy nodules over peritoneum.
Name 4 main categories of ovarian cancers.
Common epithelial (90%) - serous, endometriod, mucinous, clear cell
Germ cell (3%) - occur in young women, very curable, raised beta-HCG & AFP
Sex cord (5%)
Rare types e.g. Brenners
Name 5 predisposing factors for ovarian cancer.
White women & industrialised countries
Women w/o kids
Early menarche, late menopause
Fx & genetic mutation BRCA 1/2
Name 2 chemotherapy agents and their mechanism.
Carboplatin - binding to DNA and interfering with cell's repair mechanism ---- cell death
Paclitaxel - interferes with microtubules breakdown (for cellular transport)
Name 4 complications of ovarian cancer.
Loss of organ functions
Name 5 causes for post-menopausal PV bleeding.
Estrogen-secreting tumors in other parts
of the body
Name 8 risk factors for endometrial cancer (altogether 10).
: 50-59 (peak)
Late menopause/early menarche
Breast, colon, ovarian cancers
Name 5 Ix for suspected endometrial cancer.
Hysteroscopically directed biopsy
Dilatation and curettage
Examination under anesthesia