Transcript Ovarian Cancer

NUR 866:
Female Reproductive Problems and Women’s
Health Agents Pharmacology:
Study Questions
Wanda Lovitz, ARNP
Specific Drugs to know
estrogen/Premarin
 Prempro/Premphase
 progesterone/ Provera and DepoProvera
 tamoxifen/Novadex

Study Questions

What is the most curable female
reproductive cancer?

What are the risk factors for this type of
cancer?
Questions: PAP

Ellie is 38 years old, never married, and has always had
painful, and irregular menstrual cycles. Her last PAP
smear showed ASCUS (atypical cells of undetermined
significance)

What advice should Ellie be given r/t the
ASCUS findings on her PAP?

What further testing should be done?
Compare the risk factors, diagnostic test,
treatment, and prognosis for endometrial
and ovarian cancer.

Endometrial Cancer

Ovarian Cancer
– Risk factors
– Risk factors
– Dx tests
– Dx tests
– Treatment
– Treatment
– Prognosis
– Prognosis
Question: Ovarian cancer

Grandmother Jones is a thin 70 year old woman with a history of
endometrial cancer. She is doing well with treatment but expresses
concern because her mother ides at the age of 56 from ovarian cancer.
Grandmother Jones had a right mastectomy for cancer at the age of
50. She also has a history of diabetes.

Is there any dx test available that could be done to
help alleviate Grandmother Jones’s concern that
she may have ovarian cancer? Explain your
answer.
What sx would you expect a
client with ovarian cancer to
have?

Ovarian cancer sx
What are the clinical
manifestations of breast cancer?

Breast cancer clinical manifestations:
Questions: endometriosis
Megan is a married 28 year old. She has been
attempting unsuccessfully to have children for the last 2
year. She has endometriosis and had an episode of PID
about 1 year ago.
Describe the sx Megan would likely have
with endometriosis?
How would her endometriosis have been
diagnosed? What tests?
Questions: PID

Describe the sx Megan would have
presented with when she had PID

How would her PID have been diagnosed?
What tests?

Could the PID be contributing to Megan’s
problem with getting pregnant. Explain.
Questions: menstrual
irregularities

Ellie has heavy, painful, irregular periods.
What is the medical term for the following:
– Heavy
– Painful
– Irregular (bleeding between periods)
– What is the most cause of dysmenorrhea?
Questions: cervical cancer

Why is cervical cancer often considered a
sexually transmitted disease?

You took care of Megan when she was
hospitalized last year with PID. What is the
cause of PID?