Cause Symptoms Diagnosis Management Stages Classification Risk factors

Fibrocystic Breast Helicobacter Pylori Lumps Monthly self-breast - analgesic

Syndrome (H. Pylori) (well-delineated, exam 7-10 days/ a - bra with support
movable, stretched, week after LMP - No coffee, tea,
Early puberty to 45 tender, painful) chocolate
yrs old due to Annual breast - Reduce NA intake
foreplay In upper outer ultrasound - to lessen fluid
quadrant Mammography retention (before
- Contraindicat menses)
Consistency could be ed x-ray to - cystic aspiration
soft and flexible or pregg - DANAZOL
hard firm and hard - Baseline age (DANOCRINE)
to get 35 yrs suppress estrogen
May shrink/diappear old formation to reduce
during lactation and - No cream, symptoms
preg powder, - surgical removal of
deodorant cysts.
Totally gone after
menopause

Breast Cancer Nipple discharge Biopsy Surgical Excision 0- none/ no spread

Obvious asymmetry - CA 125, CA
Leading cause of Dimple 15-3, - Simple 1/ early stage -
death ages 40 -44 Lumps in upper outer CEA(carcino Lumpectomy spread in small other
yrs old quadrant and armpit embryonic - Simple area (tissue)
Biopsy antigen) mastectomy
- CA 125, CA - Modified radical 2/localized - 20 to 50
15-3, mastectomy mm with some lymph
CEA(carcino - Radical Matectomy nodes or >50 mm no
embryonic lymph nodes
antigen) Adjuvant therapy
- chemotherapy 3/regional spread-
- hormonal therapy >50 mm some more
- radiation lymph nodes. Chest
wall and skin

4/Distant spread -
beyond breast
Myoma Stress within Abnormal excessive Myomectomy Intramural - uterine
myometrium uterine bleeding Subtotal wall
Anemia Hysterectomy
Proliferation of Tiredness, weakness, Total hysterectomy Submucosal -
smooth muscle lethargy TAHBSO endometrium line
cells Urinary frequency/
retention Subserosal -
Abdominal localized serous/parametrium
pain
Dyspareunia - pain Wandering/parasitic
Discharge (foul Intraligamentary
watery) Cervical
Infertility

Uterine cancer Cancer in (NO OTHER Biopsy by D&C Surgery 1- corpus uteri Obesity
endometrium SYMPTOMS OTHER Pelvic exam after - TAHBSO 1A- less than half of DM
Commonly after THAN BLEEDING) menopause - Lymphadenectomy myometrium Breast cancer
menopause Has a 5-years (pap smear not useful - Cytoreductive 1B - half or more of Tamoxifen use
survival rate of more Long, heavy, frequent for UC only for surgery (remove myometrium (chemo drug)
than 80% bleeding before cervical cancer) tumors) cytoreduction 2 - cervical stroma, Nulligravid
menopause (reduce tumors) not extend to uterus Late menopause
3 - local or regional Increased age
White, clear vaginal Adjuvant therapy 3A - corpus uteri and High levels of
discharge in - chemo adnexa estrogen
menopause, enlarged Paclitaxel, 3B - vagina and
uterus, lower doxorubicin, parametrial
abdominal pain, cisplatin, 3C -para-aortic/pelvic
dyspareunia, painful carboplatin lymph nodes
urination, pyometra 3C1- pelvic lymph n
- hormonal 3C2 - Paraaortic
Vaginal bleeding or Medroxyprogestero lymph n and/or pelvic
spotting after ne acetate (tumor ln
menopause suppressor) 4 - bladder, bowel
mucosa, distant
- radiotherapy metastases
1.Vaginal 4A - bladder, bowel
brachytherapy mucosa
2.External beam 4B - intra abdominal
therapy (stage 1,2) metastases and/or
inguinal lymph
nodes
Polycystic Ovary Elevated androgen Menstrual disorder - Oligoovulation Diet to lose weight
Syndrome oligomenorrhea, Anovulation Fruits, veg, whole
amenorrhea Excess androgen grain should be the
Most common Polycystic ovary carbs
endocrine disorder in Infertility
18-44 yrs old Oral contraceptives
Hyperandrogenism- - reduce hirsutism,
acne, hirsutism, regulate mens by
menometrorrhagia, binding w/
adrenergic alopecia testosteronne

Metabolic Syndrome Metformin - hypogly

Obesity, insulin drug, treats insulin
resistance resistance, support
ovulation
Weight gain, fungal
infection high LH, Clomiphene citrate
FSH, GnRH, (clomid)- ovulation
Estrogen to Spironolactone
testosterone=hirsutis -hirsutism, acne
m, dandruff
Avoid progesterone
bec adrenergic effect

Ovarian Cancer (OVERLOOKED KC Pelvic examination Localized - until TYPES History of

BROAD MASYADO Transvaginal fallopian tube ovarian/breast
Ages over 63 yrs SYMP) ultrasound Epithelial Cells - cancer
old(over 50% of Blood test - cancer Regional - nearby surface of ovary
cases are beyond Unexpected vaginal antigen CA 125 - is a organ (uterus) Ages over 63 yrs
this age) bleeding biomarker for Germ Cells - eggs old(over 50% of
Constipation ovarian cancer but Distant - elsewhere cases are beyond
Nausea, indigestion, sometimes in uterine (lungs) Stromal Cells - this age)
appetite loss, weight cancer releases hormones
loss, breathlessness, and links structures Children after 35 yrs
fatigue of ovaries old
Nulligravid
Urinate urgently or
often Undergoing hormonal
 Feeling full quickly replacement therapy
Pelvic or abdominal after menopause
pain Obesity and
overweight (MBI
Bloating >30)

High levels of
androgen, diet,
lactum powder)

Cervical Cancer Human Dysparunia Pap Test or PAP Precancerous lesions 1 - normal view none Sex before 16 yrs
papillomavirus Vaginal bleeding or SMEAR - screening are managed through seen old / within a year of
35 - 44 yrs old are (HPV) discharge for vulva, vagina, Cryosurgery - Early stage 1B- some menarche
most likely to get it cervix freezing are seen in cervix
But also >65 yrs of Pelvic pain not 21 yrs of age or 3 Diathermy- Late stage 1B - too Multiple partners
age esp those who Cells GROW related to mens yrs after being cateur/burn many seen in cervix
do not do regular SLOWLY so there is Loss of appetite/ sexually active Laser surgery Stage 2B - cancer Smoking
screeening time weight loss Hysterectomy spread outside Contraceptive esp for
fatigue Colposcopy cervix(to uterus), 5 yrs
General body - keep perineal clean bleeding Weak immune
weakness and dry, change pads Cancer - surgery, system
frequently, no lifting chemo, radiation STD
of heavy objects, no
intercourse in 2
weeks to prevent
bleeding, report
excessive bleeding