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27 Cards in this Set

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