Anw8020 Study Guide #2

Vaginal Cancer Diagnostic Evaluation {Ans: - pelvic examination -vaginal cytology - vaginal biopsy *Definitive diagnosis is accomplished by biopsy}Vaginal Cancer Screening {Ans: Cervical cytology (or vaginal cytology if the cervix has been removed) annually. Vaginal colposcopy and biopsy are indicated if abnormalities are noted on physical examination.}noncyclic mastalgia {Ans: unilateral, localized pain sharp or burning, occurs frequently in women 40 years and older}Adenomyosis {Ans: growth of endometrium into the muscular portion of the uterus ●Symptoms: ○ Heavy menstrual bleeding ○ dysmenorrhea ●Treatment options: ○ Hysterectomy ○ Uterine artery embolization (UAE) ○ Hormonal treatment}Cervical cancer screening {Ans: Women 21-65 Pap smear with cytology Q3 years Women 30-65 Pap smear with HPV testing Q5 years}Examples of common causes of non-milky (pathologic) nipple discharge include: {Ans: intraductal papilloma and mammary duct ectasia. Both of these types may have a palpable mass. ●Intraductal papilloma is from "a small, benign growth in the duct" that causes bloody, unilateral and uniductal nipple discharge for women typically between age 40-50 (Schuiling & Likis, 2017, p. 362). ●Mammary duct ectasia is duct dilation, inflammation and fibrosis that typically occurs in women > 50 years of age. Nipple discharge is usually bilateral, multiductal,