Palliative Care in Gynecologic Oncology — Flashcards

Flashcard 1: _____ syndrome is a condition characterized by nonmalignant ascites and/or pleural effusion caused by pelvic tumors other than ovarian tumors

Answer: Pseudo-Meigs'

Flashcard 2: _____ is indicated for diagnosis in women with HSIL or adenocarcinoma in situ of the cervix

Answer: Conisation

Flashcard 3: Treatment for primary invasive cervical carcinoma: IA1: Type _____ Hysterectomy IA2: Type II (Modified Radical/ Wertheim) Hysterectomy IB1-IB2, and IIA1: Type III (Radical/Meigs-Wertheim) Hysterectomy IB3, IIA2 onwards: Chemoradiation

Answer: I (Simple)

Flashcard 4: Women who have known _____ gene mutations or a first degree relative with such mutations should undergo annual MRI screening for breast cancer (high lifetime risk 20-25%)

Answer: BRCA1/BRCA2

Flashcard 5: _____ 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 6: Uterine malignancy is a(n) _____ contraindication to uterine artery embolisation

Answer: absolute

Flashcard 7: Stage II vulvar cancer (extension to lower 1/3 urethra, vagina, or anus) is treated by _____ (or radical wide local excision) + bilateral inguinofemoral lymph node dissection.

Answer: radical vulvectomy

Flashcard 8: Stage IV vulval cancers can be treated by _____ as mainstay treatment along with local excision on residual tumor

Answer: Primary chemoradiation (chemoradiotherapy)

Flashcard 9: Clinical staging of CA cervix:Stage 4; A is _____ involvement

Answer: bladder/bowel

Flashcard 10: Cytobrush is used to take samples from the _____

Answer: endocervix