Nurs 534-Breast and OBGYN Ca Drexel Midterm Questions with 100% Correct Answers

Common ca Correct Answer Vulvar cancer Vaginal cancer Cervical cancer Endometrial cancer Ovarian cancer Vulvar ca etiology and occurrence Correct Answer Occurrence: uncommon, 5% of gyn cancers, most often seen in postmenopausal women, 1% lifetime risk Etiology: 90% of squamous cell histology Vulvar ca risk factors Correct Answer smoking, HIV HPV infection, lichen sclerosis, immunosuppression, vulvar or cervical neoplasia and northern European ancestry Early stage vulvar ca has Correct Answer favorable prognosis, approximately 40% of vulvar carcinomas will recur locally, with a median survival of 52 months Vulvar ca clinical presentation Correct Answer Vulvar lump with or without associated pruritis, discharge, erythema, dyspareunia, dysuria or bleeding Dx/Tx of vulvar ca Correct Answer Examine patient for coexistent vaginal or cervical lesions (present in up to 50% of cases) Biopsy suspicious lesions for change over time and as many eventually become pathologic Stage 1 vulvar ca Correct Answer tumors of 1mm invasion: surgical wide excision Larger Stage I and II tumors 2cm vulvar ca Correct Answer radical vulvectomy with IND vs radical wide excision, partial or complete vulvectomy with secondary inguinal incisions Stage III & IV vulvar ca Correct Answer radical vulvectomy +/- radiation and chemotherapy Complications of vulvar ca tx include Correct Answer lymphedema, sexual dysfunction and depression