Term
| what are the top three symptoms of a leiomyoma? |
|
Definition
menorrhagia
metrorrhagia
pain |
|
|
Term
| a uterus containing a fibroid is firm or soft? |
|
Definition
|
|
Term
| bleeding after menopause is _______ until proven otherwise |
|
Definition
|
|
Term
| what is the first line procedure to identify which women with post-menopausal bleeding are at higher risk of endometrial cancer? |
|
Definition
|
|
Term
| what is the cutoff for thickness of the endometrium for women not on tamoxifen? |
|
Definition
5mm
(8-11 if on tamoxifen) |
|
|
Term
|
Definition
| a condition in which the endometrial tissue, which normally lines the uterus is present within and grows into the muscular walls of the uterus |
|
|
Term
| what is the only definitive treatment for adenomyosis? |
|
Definition
| hysterectomy, but if patient can tolerate symptoms until she goes through menopause, they will resolve. |
|
|
Term
| define menopause. define post menopausal bleeding. |
|
Definition
no menses for 12 consecutive cycles.
any bleeding 6 months after cycles have ceased |
|
|
Term
| what are the most common causes of PMB? |
|
Definition
|
|
Term
| what are the most common gynecological cancers in the US? |
|
Definition
|
|
Term
| what is the most common type of endometrial cancer? |
|
Definition
|
|
Term
| what are 4 RF's for endometrial CA? |
|
Definition
-unopposed estrogen
-long term tamoxifen
-PCOS (if untreated)
-alcohol intake (2 or >2 drinks per day) |
|
|
Term
| define the stages 1-4 of endometrial CA |
|
Definition
1: endometrium or myometrium only
2: endocervical glandular involvement or stomal involvement
3: serosa or adnexa, vaginal metastasis, or pelvic or para-aortic lymph node involvement
4: bladder or bowel, or distant metastasis |
|
|
Term
| what is first line surgical work up for endometrial CA? |
|
Definition
| cytologic sampling of the peritoneal fluid |
|
|
Term
| white or black women are more likely to get endometrial ca? more likely to die from it? |
|
Definition
|
|
Term
|
Definition
| triad of fibroma, ascites, and pleural effusion |
|
|
Term
| what serologic marker is found in both benign and malignant conditions of adnexal neoplasm? |
|
Definition
|
|
Term
| a serum CA125 level greater than _____ U/mL has been shown to have a positive predictive value of 97 percent |
|
Definition
|
|
Term
| what is the most common type of ovarian cancer? |
|
Definition
|
|
Term
| what type of sex cord-stromal tumor is virilizing? |
|
Definition
| sertoli-leydig cell tumors |
|
|
Term
| what are the two most common types of ovarian germ cell tumors? |
|
Definition
dysgerminoma and immature teratoma
-mature teratoma are more likely to be benign |
|
|
Term
| define the staging of ovarian tumors 1-4 |
|
Definition
1- limited to one or both ovaries
2- pelvic extension or implants
3- microscopic peritoneal implants outside of the pelvis; or limited to the pelvis with extension to the small bowel or momentum
4- distant metastasis to the liver or outside the peritoneal cavity |
|
|
