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22 Cards in this Set
- Front
- Back
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the main thing to consider when deciding whether to screen for a cancer is... |
mortality benefit and whether that exists or not |
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What screening test has the biggest mortality benefit that we know of? |
mammography over the age of 50 |
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there is some controversy about... |
whether to start mammograms at age 40 or 50
but there is greater mortality benefit if you start at age 50
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how often should mammograms be performed? |
every two years after age 40 |
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At what age can a woman STOP mammograms? |
at age 75 |
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do you ever recommend breast self exam? |
nope |
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What intervention shows the most benefit to patients that have a lot of family hx of breast cancer? |
starting a SERM like raloxifene
this has shown great benefit to patients that have 2 or more first degree relatives. |
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What is the big use of aromatase inhibitors? |
they are mostly useful for preventing breast cancer metastasis |
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does diet modification help prevent breast cancer? |
it hasn't really been proven to help |
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What is the use of BRCA? |
hard to say at this point
we don't really know how to manage patients after they test positive for BRCA there is still some debate over this |
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The wrong answer regarding BRCA is.. |
offer them bilateral mastectomy |
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When do pap smears start? How often should women have pap smears? |
at age 21
then are done every 3 years |
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When can you do them every 5 years however? |
after age 30 and you combine them with HPV testing as well |
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Who should get the HPV vaccine? |
every woman between age 11 and 26 |
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When do pap smears stop? |
they can stop after age 65 or if you have had the cervix removed for a non-cancer-related reason like fibroids |
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What is the lifetime risk of colon cancer in Americans? |
about 8% |
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What is the basic guideline for colonoscopies? |
should be done every 10 years after 50
or should be started 10 years prior to the dx of a first degree relative |
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What is the purpose of capsule endoscopy? |
it detects small bowel bleeding that you can't see with EGD or colonoscopy
not used in screeening typically |
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What is the proven test to lower mortality of prostate cancer? |
there is none
neither PSA nor DRE has really shown any clear benefit |
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why is PSA not a great screen? |
because the vast majority of lesions that it picks up require no treatment
and about 25% of prostate cancer patients have a normal PSA as well so it just doesn't really work |
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But if the patient wants a PSA then... |
they should get one |
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the best preventive measure for lung cancer is... |
smoking cessation
there is no good screen for lung cancers |
