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Selectives - OB/GYN

Gynecologic Oncology Selective

Selective Number: (Oasis - S52l) 1913

Rotation Supervisor: Dr. Amir Jazaeri

Available: TBA

Duration: 2 weeks

Report to: Chief Resident or Fellow on Gyncologic Oncology service

Time to Report: 6:00 am

Place to Report: 8 West, University Hospital

Suggested preparatory reading: "Practical Gynecologic Oncology" by Berek and Hacker

Typical Day: 6:00 am - 6:00 pm

Number of students per rotation: 1

Course Description: Preliminary evaluation of ambulatory Gynecologic Oncology patients in the Cancer Center. Morning and afternoon rounds and assistance with clinical care of inpatients. Observation and participation in surgical cases and frozen section pathological diagnosis, writing the brief Op Note. Ten minute presentation to Attendings and other team members on a Gyn Onc topic to be determined in consultation with the Gyn Onc Fellow. The student will be able to:

  • perform a pelvic exam, pap smear and obtain relevant history
  • learn risk factors and risk reduction approaches for gynecologic cancers
  • make appropriate triage assessments of patients with potential gyneologic pathology

Gestational Trophoblastic neoplasia is important because of its malignant potential and the associated risks of morbidity and mortality. The student will be able to describe:

  • symptoms and physical findings
  • diagnostic methods
  • management and follow-up

Vulvar neoplasm. Proper evaluation of vulvar symptoms allows for early recognition and diagnosis of neoplasia, which can improve outcome and may avoid the need for extensive surgery. The student will be able to describe:

  • risk factors of vulvar neoplasms
  • methods of diagnosis
  • diagnosis and management

Cervical disease and neoplasia. Detection and treatment of pre-invasive lesion reduces the medical and social costs of, as well as the mortality associated with, carcinoma of the cervix. The student will be able to describe:

  • risk factors of cervical disease and neoplasia
  • indications for screening
  • symptoms and physical findings of cervical neoplasia
  • evaluation and management of the patient with abnormal Pap smear
  • impact of staging on management and prognosis

Endometrial carcinoma is the most common gynecologic malignancy, with approximately 41,000 cases per year. The student will be able to describe:

  • risk factors for endometrial carcinoma
  • symptoms and physical findings
  • management of the patient with postmenopausal bleeding
  • methods to diagnose endometrial carcinoma
  • impact of staging on management and prognosis
  • management of the patient with endometrial cancer

Ovarian neoplasms. Adnexal masses are a common finding in both symptomatic and asymptomatic patients. Management is based on determing the origin and character of these masses. The student will be able to describe:

  • evaluation of the patient with adnexal mass
  • characteristics of:
    • functional cysts
    • benign neoplasms
    • carcinomas
  • evaluation and management of carcinomas of the ovary
    • symptoms and physical findings
    • risk factors
    • histologic classification
  • impact of staging on management and prognosis