Notes in OG8.2 Cervical Cancer

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Published	10/04/2024	Cervical cancer is the {{c1::fourth }} most common cancer in women
Published	10/04/2024	Cervical cancer is the {{c1::fourth }} most common cause of death in women
Published	10/04/2024	Cervical cancer peaks in {{c1::30s}} and {{c1::mid 60s }}
Published	10/04/2024	The most common spread of cervical cancer is {{c1::into the parametrium::location}}
Published	10/04/2024	Cervical cancer spreads first into the {{c1::pelvic }} lymphnodes, then {{c1::illiac }} and {{c1::aortic }} lymphno…
Published	10/04/2024	Post coital, intermenstrual or postmenopausal bleeding can all be associated with {{c1::cervical cancer }}
Published	10/04/2024	Hard, irregular, enlarged and possibly ulcerated cervix which bleeds on contact with a speculum → {{c1::cervical cancer::Diagnosis}}
Published	10/04/2024	Staging of cervical cancer is done with {{c1::CT or MRI }}
Published	10/04/2024	FIGO Stage I cervical cancer → {{c1::confined to the cervix::definition}}Has a {{c1::95-98::range}}% 5-year survival rate
Published	10/04/2024	FIGO Stage II cervical cancer → {{c1::Extends beyond the uterus but NOT to the pelvic side wall or lower 1/3 of vagina::definition}}Has a {{…
Published	10/04/2024	FIGO Stage III cervical cancer → {{c1::Extends to the pelvic sidewall and/or the lower third of the vagina, can cause hydronephrosis, non-fu…
Published	10/04/2024	FIGO Stage IV cervical cancer → {{c1::Extends beyond the true pelvis or involves the bladder or rectum::definition}}Has a {{c1::15-20::range…
Published	10/04/2024	Treatment of Stage 1a cervical cancer if family is incomplete → {{c1::cone biopsy}}
Published	10/04/2024	Treatment of Stage 1a cervical cancer if family is complete → {{c1::hysterectomy}}
Published	10/04/2024	Treatment of Stage 1b1 cervical cancer if family is complete → {{c1::Radical surgery}} or {{c1::Radical radiotherapy }}
Published	10/04/2024	Treatment of Stage 1b1 cervical cancer with higher morbidity → {{c1::Radical radiotherapy }}
Published	10/04/2024	A radical hysterectomy removes the:- {{c1::Uterus }}- {{c1::parametria }}- {{c1::upper third of the vagina }}- {{c1…
Published	10/04/2024	Radical radiotherapy is a combination of {{c1::external beam therapy (teletherapy) }} and {{c1::local vaginal therapy (brachytherapy&nb…
Published	10/04/2024	Treatment of stage Ib2 to IVa cervical cancer → {{c1::chemoradiotherapy }}
Published	10/04/2024	T/F No role of radiotherapy if recurrent cervical cancer that has been treated with radiotherapy before.{{c1::T}}
Published	10/04/2024	Pelvic exenteration → removal of the {{c1::vagina, uterus, bladder and rectum::4}}
Published	10/04/2024	Use {{c1::pelvic exenteration }} in those with recurrent cervical cancer who are surgical candidates
Published	10/04/2024	Risk factors for cervical cancer{{c1::HPV}}{{c1::smoking}}{{c1::HIV infection/immunosuppression}}{{c1::COCP}} use
Published	10/04/2024	Types of cervical cancer:{{c1::70-80::range}}% SCC{{c1::20}}% adenocarcinomararely: melanoma, sarcoma, lymphoma, small cell carcinoma
Published	10/04/2024	Later presentation of cervical cancer = {{c1::anorexia, weight loss, pain, anuria, renal failure, palpable supraclavicular nodes, DVT::symptoms}}
Published	10/04/2024	Investigations for cervical cancer{{c1::colposcopy + biopsy}}baseline bloods: {{c1::FBC, U&E, LFTs}}radiology: {{c1::MRI pelvis, CT TAP, +/- PET C…
Published	10/04/2024	Fertility-sparing options for cervical cancer{{c1::LLETZ}}{{c1::cone biopsy}}{{c1::radical trachelectomy}}pelvic lymph node evaluationonly available i…
Published	10/04/2024	Non fertility-sparing options for cervical cancer{{c1::simple hysterectomy}}{{c1::radical hysterectomy}}pelvic lymph node evaluation{{c1::chemoradiati…
Published	10/04/2024	Simple hysterectomy removes only the {{c1::uterus}}, {{c1::fallopian tubes}}, and {{c1::cervix}}
Published	10/04/2024	Radical hysterectomy removes the {{c1::uterus}}, {{c1::fallopian tubes}}, and {{c1::cervix}}, {{c1::parametrium}}, {{c1::upper 1/3 of vagina}}, {{c1::…
Published	10/04/2024	Radical trachelectomy removes the {{c1::cervix}}, {{c1::parametrium}}, {{c1::upper 1/3 of vagina}}, it is fertility sparing, do not perform if {{c1::l…
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