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7 Cards in this Set
- Front
- Back
- 3rd side (hint)
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What are the FIGO approved evaluation procedures for staging cervix?
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Pelvic exam, colposcopy, biopsy, conization, cystoscopy, proctosigmoidoscopy
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What are the FIGO allowed imaging procedures for cervix cancer?
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Plain films of lung or skeleton
IVP Barium enema NOT ALLOWED: CT, MRI, PET |
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What are the high risk factors for patients with clinical stage IA2, IB or IIA cervical cancer treated with radical hysterectomy (type 3) with pelvic lymphadenectomy that warrant the use of adjuvant chemotherapy and radiation therapy?
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1) Positive margin
2) Positive pelvic lymph nodes 3) Parametrial involvement (microscopic) Bonus question: What trial is this based on? |
GOG 109/SWOG 8797 (intergroup)
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While clinical stages of cervical cancer, based on the FIGO 2009 revision, are suitable for definitive surgery?
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IA1: Extrafascial hysterectomy or modified radical hysterectomy (if LVSI) or cone followed by observation (if desiring fertility and margins negative) or trachelectomy + pelvic LND (if LVSI)
- Pelvic nodes must be addressed if +LVSI IA2: Radical hysterectomy + pelvic LND +/- paraaortic LN sampling OR radical trachelectomy + pelvic LND +/- paraaortic LN sampling IB1: Radical trachelectomy + pelvic LND +/- paraaortic LN sampling FOR TUMOR <= 2 cm Selected IIA: Radical hysterectomy + pelvic LND +/- paraaortic LN sampling |
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What's removed in an extrafascial hysterectomy?
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Removal of uterus, cervix and a small rim of vaginal cuff
Bonus: What's the other name for this procedure? What stage(s) of cervical cancer is it appropriate for? |
Total or simple hysterectomy
IA1 ONLY |
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What's removed in a radical hysterectomy?
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Removal of:
Uterus Cervix Upper 1/3-1/2 of vagina All parametrial and paravaginal tissues to the pelvic wall Pelvic lymph node dissection often included Bonus question: What stage(s) of cervical cancer is this operation appropriate for? |
IA2, IB1
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What's removed in a modified radical hysterectomy?
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Removal of:
Uterus Cervix 1-2 cm of vagina Parametrial and paravaginal tissues medial to the ureters Bonus question: What stage(s) of cervical cancer is this operation appropriate for? |
Stages IB1, IIA1
May also be an option for stages IB2 and IIA2 (NCCN) |
