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Neoplasms Test Questions And Answers
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Neoplasms Test Questions And Answers Neoplasms Test Questions And Answers Neoplasms Test Questions And Answers
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Neoplasms TestList two types of benign vaginal masses - ANS Gartner duct cyst, inclusion cysts
A benign vaginal mass that arises from vaginal remnants of Wolffian or mesonephric system located
on the outer anterior aspect of the vaginal canal - ANS Gartner duct cyst
A benign, posterior lower vaginal surface mass that results from imperfect approximation or
childbirth lacerations or episotomy - ANS Inclusion cyst
Type of vaginal lesion that involves the basal epithelial layers, typically can just be monitored w/out
treatment - ANS Vaginal intraepithelial neoplasia (VAIN 1)
If treatment is necessary for VAIN, what do we use? - ANS Topical estrogen
atrophic vaginal changes that involve the basal epithelial layers, MC located in the upper 1/3 of the
posterior vaginal wall - ANS VAIN
Type of vaginal neoplasia that involves up to 2/3 of the vaginal epithelium - ANS VAIN 2
Type of vaginal neoplasia that involves more than 2/3 of the vaginal epithelium including the CIS, MC
in the 3rd decade of life and onward + has a high potential to progress to invasive carcinoma - ANS
VAIN 3
Tx for VAIN 3 - ANS Ablation of intraepithelial lesion
Vaginal CA makes up __% of malignancies - ANS 1%
MC type of vaginal CA = - ANS Squamous cell carcinoma
RFs for vaginal CA development - ANS HPV 16, 18
Plaque, ulcerations, or warty masses that are red or white in color, MC located in the posterior wall
of the upper 1/3 of vagina - ANS Vaginal CA
, Tx for vaginal CA - ANS If stage I: excision or radiation
Any other stage: chemoradiation
A minimal to mild squamous atypia/mild dysplasia that occurs MC with condyloma accuminata - ANS
Vulvar intraepithelial neoplasia (VIN) 1
*tx with imiquimod or cryotherapy
Type of vulvar intraepithelial neoplasia that is highly likely to become carcinoma, associated with
HPV, causes itching/irritation/raised mass lesion - ANS VIN type 2/3, usually a combo of both
CMs of VIN types 2/3 - ANS Itching, irritation
Raised mass lesion - rough texture, white/dusky red, hyperkeratotic
Tx for VIN types 2/3 - ANS Removal of affected areas
5-FU
Imiquimod
A hyperkeratotic plaque, warty, papule or ulcer that is MC seen in older women - not related to HPV
but related to keratinizing SCC or lichen sclerosis - ANS VIN, differentiated type
Tx for VIN the differentiated type - ANS Excision of affected area
What is the precancerous version of VIN that has not yet invaded the basement membrane; MC
going to cause vulvar pruritis that lasts >6W despite tx - ANS Paget disease
A fiery red background mottled with a white, hyperkeratotic area; raised lesion that appears
eczematous - ANS Paget disease
Tx of paget disease of the vulva - ANS Local wide excision or simple vulvectomy
MC type of vulvar CA - ANS Squamous cell carcinoma
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