foreign turkey corner foreign foreign okay [Music] um difficult questions women huh um okay uh without any internal structures diameter usually less than 50 millimeter Hotel resolved foreign foreign [Music] foreign foreign so pre-operative assessment at the women Jara ovary and masnia pre-operative assessment history clinical examination investigation history was a family his job breast and ovarian cancer careful examinations very important just for this percentage foreign uh Co 125 um less than
200 units these two lines is very important you can see a 125 levels within more than 200 units investigation foreign people so here is a EMP question pre menopausal women yeah so this requires immediate evaluation this is director history what will you uh what will be your diagnosis and immediate intervention the fastest always here 125 is this is very important this is also a question if a patient says that she had family he stopped breast and ovarian cancer like her mother died of breast can
cer or her mother died of colon cancer then what will be the next step of management then your answer should be this referral to the regional cancer genetic service okay and another very important line postmenopausal women which lasts for more than 12 months and or with significant family history then she should undertake appropriate testing okay foreign [Music] [Music] okay so this is the guideline from UK okay that doesn't matter guidelines because guidelines is these foreign thank you sorry f
oreign combination foreign so this is these three uh part is very important routines important Logistics foreign [Music] foreign so I'm I guess somebody okay so uh a sensitivity and specificity is very important sensitivity is 78 percent and specificity of 87 percent thank you a connector chart is threshold this is very important uh table do the threshold to 100 sensitivity 78 is specificity 87 at threshold 250. 70 percent by the way uh Dr Habiba foreign okay solidarity as it is metastasis multi
locular system bilateral so um foreign though the RMI 255 such a moderate risk for malignancy so risk of cancer is 20 percent 800 treatment centers Elite clinician in gyne cancer United cancer unit lead clinician not necessarily oncologists more than 250 higher risk of malignant is very high around 75 percent so either come around foreign rules 0.06 foreign less than seven millimeter presence of Augustine shadow maximum foreign Diagnostics this is a very important chart um foreign foreign this i
s another very important slide aspirations actually ovariance is okay ovariance is very high around 53 to 84 percent is foreign foreign to come by lateral POTUS this is very important slide I hope you all remember it very clearly okay guideline from 2016. sister incidents five to seven percent another investigations foreign [Music] our full vaginal examination examination especially BMI okay so family history okay so family history Jodi two or more individual with ovarian cancer who are first de
gree relatives of each other relatives cancer at any age and one with breast cancer diagnosed under age of 50 years who are fast relatives of each other foreign days of 60 years three or more family members with colon cancer or two with colon cancer and one with stomach over and endometrial urinary tractor small bowel cancer is foreign [Music] foreign [Music] other causes non-gynecological causes so causes for raised CR125 um 80 78 for adenix and masses especially um foreign uh um okay solid nod
ule and popular projections there is a slight difference foreign foreign foreign answer [Music] this is guidelines so always remember pre-menopause foreign okay foreign less than five centimeter unilocular unilateral is foreign Department characteristics foreign um [Music] foreign foreign actually this is the slider yet decreasing the risk breastfeeding protective Factor because this is the decreasing the risks are this is the increasing the risk foreign [Music] foreign foreign [Music] okay 2A a
nd 2 Beta uterus involvement of a bladder rectum involvements fallopians is foreign okay foreign foreign positive involvement uterus involvement fallopian tube involvement is this free money lymph node involvement and others organization organ involvement less than two centimeters 3B are more than uh two centimeters 3C or it's just four means leave our lungs but it ruptures during surgery now what is the stage so is to see one again data this is one C two positive paternal washing one C uh three
foreign what will be the foreign two more markers still 125 both have Barbies is looks uh these are the uh foreign foreign syndrome happy bike to ball and leak syndrome tumors okay feature brainer's tumor questions body endothermal sinus tumoric 5 hydroxy um indole acetic acid have five hydroxine dollars it's a borderline ovarian tumor tubular structures separated by stomach the start only cell tumor radiation because this is foreign non-epithelial tumor sex chordstromal tumor or granulocystal
tumor to the one is [Music] non-epithelium cancer old is just foreign foreign okay [Music] surgical or clinical um it is [Music] foreign this is the staging laparotomy that means disease this is two our advances This Money Three foreign foreign three cycle cystitis hemorrhagic inflammation this platin nephrotoxicity and deafness carboplatin myelosuppression Methotrexate minus operational bone marrow toxicity the increase in neurotoxicity Wind blasting bone marrow toxicity so bone marrow project
engine Methotrexate carboplating are neurotoxicity are we interested memories so rice cooker dude most common are immatures foreign foreign foreign foreign foreign investigation practice it is foreign questions no problem I can help right so biops okay foreign [Music] foreign so what is the stress of this foreign less than one millimeter the list is one b one B that I remember corbination is very carefully remember foreign lymph node so three years um foreign foreign foreign foreign foreign to r
emember diagnosis foreign foreign [Music] foreign foreign [Music] [Music] foreign foreign [Music] foreign foreign Toyota shop Center actually provide foreign melanoma again five years Survival on a question is just foreign questions especially there is steroids Philadelphia can't actually positively mediation more than two centimeter infection one millimeters [Music] foreign tumor 2 centimeter close to the vital organ management previous exam questions any size centralization must lymphatidectom
y previously questions thank you so uh this is tough topics the most common most common tumor present pregnancies breast cancer most common gynecological cancer in pregnancy as a whole female can Circle a breast cancer is cervical cancer gynecological cancer in developing countries voice foreign foreign [Music] poorly differentiated Advanced stage are more monitorial invasion it also low grade it is with good progresses but type 2 is with bad prognosis so mutation is important are um logical typ
e this is this two part is important diagnosis um [Music] foreign foreign foreign lymph node so um what will be the stage Dr Habiba mm-hmm [Music] um okay it is foreign [Music] [Music] sorry so management okay management instruction my history clinical examination is okay yesterday is solution foreign foreign [Music] foreign foreign foreign foreign tikachu foreign [Music] it's just one it get cheap or it's just one beer bread one bread to it intermediate tricks arrest is one big red tree foreign
Hardware uh um foreign stage just pictures stretching here pattern is take a two centimeters three to this picture memories hello again investigations under anesthesia I view just extra City MRI system so MRI is very important for both endometrial and cervical cancer it is MRI and for CA over this is CT scan indication of faith ful memories primary surgery foreign relative care csrvix equipment is very much important yes foreign foreign hysterectomy foreign it's just foreign foreign continue fo
reign foreign foreign foreign okay size more than two centimeters okay and more than 22. sorry already grown okay sorry abbreviations foreign foreign so thank you okay um foreign problems okay [Music] I would say to foreign foreign [Music] you can see 18 times foreign
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