Gynecologic Oncology — Flashcards

Flashcard 41: _____ is used for clinical staging and planning treatment by determining the involvement of the endocervical canal in endometrial malignancy.

Answer: Fractional curettage

Extra: Note: Current FIGO staging for endometrial cancer is **surgical**. Fractional curettage is used to identify cervical involvement (Stage II) clinically or pre-operatively to plan the extent of surgery (e.g., simple vs. radical hysterectomy).

Flashcard 42: Theca lutein cysts of molar pregnancy often spontaneously regress after _____ of the pregnancy

Answer: suction evacuation

Flashcard 43: When microinvasion is confirmed in class II/III/IV PAP, in a old parous woman, with a recurrent or persistent lesion, in-situ adenocarcinoma cervix, do _____

Answer: hysterectomy

Flashcard 44: A _____ is the next line of management in the patient of suspected CA cervix if symptomatic (eg. Postcoital bleeding) and has a visible lesion.

Answer: targeted biopsy

Flashcard 45: Microinvasive carcinoma of the cervix is managed using a simple _____ in a woman with completed family

Answer: extrafascial hysterectomy

Flashcard 46: Theca-lutein cysts of size >_____cm or persistence is an indicator of choriocarcinoma

Answer: 6

Flashcard 47: Stage IA vulval cancer can be treated by _____

Answer: radical wide local excision

Flashcard 48: What is the ideal management of complete mole in a 40+ female who has completed her family?_____

Answer: Hysterectomy

Flashcard 49: Microinvasive carcinoma of the cervix includes lesions within _____ mm of the base of the epithelium

Answer: 5

Flashcard 50: Stage IV vulval cancers can be treated by _____ as mainstay treatment along with local excision on residual tumor

Answer: Primary chemoradiation (chemoradiotherapy)