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27 Cards in this Set
- Front
- Back
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6 possible abnormal results on pap smear
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ASC-US
ASC-H LSIL HSIL SCC AGC |
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ASC-US is
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atypical squamous cells, unknown siginificance
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ASC-H is
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atypical squamous cells, can't rule out high grade lesion
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SIL is
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squamous intraepithelial lesion
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AGC is
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atypical glandular cells
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patients with ASC-US get ___
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HPV DNA check
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patients with ASC-US with HPV DNA get ___
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colposcopy
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patients with ___ (5) get colposcopy with ___ (2)
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ASC-US with HPV DNA
ASC-H LSIL HSIL AGC cxal biopsy endocervical curettage |
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patients with SCC get ___
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colposcopy
cxal biopsy |
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scenarios for biopsy outcome
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satisfactory, negative ECC
satisfactory, positive ECC unsatisfactory invasive cancer |
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if ECC is negative and no invasive cancer is present, possible dxs are ___
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CIN I
CIN II CIN III |
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if ECC is positive, you must do a ___
possible dxs are ___ (4) |
deep LEEP (or other conization)
invasive cancer CIN II CIN III microinvasive SCC |
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LEEP is
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loop electrosurgical excision procedure
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CIN I tx
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repeat pap smear in 6 m
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CIN II and CIN III tx
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LEEP
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80% of cxal ca is ___
20% is ___ |
SCC
adenoca |
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___ is an adenoca associated with in utero DES exposure
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clear cell adenoca
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most common sign of cxal cancer is ___, especially ___.
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abnormal vaginal bleeding
postcoital bleeding |
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cxal ca is staged clinically/surgically
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clinically
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stage I cxal ca
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confined to cx
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stage II cxal ca extends beyond ___ but doesn't reach ___ (2)
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cx
pelvic wall lower 1/3 of vagina |
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stage III cxal ca extends to ___ or ___
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pelvic wall
lower 1/3 of vagina |
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___ (2) cervical cancers are txed with simple hysterectomy
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carcinoma in situ (stage 0)
microinvasive ca (stage Ia-1) |
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tx for stage Ia-2 to IIa cxal ca is either ___ or ___
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rads
radical hysterectomy + LN dissection |
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tx for stage IIb to IV cxal ca is ___
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chemo + rads
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chemo for advanced disease is ___
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cisplatin
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radical hysterectomy means removal of ___ (4)
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uterus
cervix upper vagina parametrium |
