GI Cancers Flashcards

1
Q

HCC can cause bruising/bleeding, T or F

A

True, due to low clotting factors

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2
Q

Can HCC cause pale stool, itch, dark urine?

A

Yes, obstructed jaundice

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3
Q

Are the majority of incidental liver lesions found on CT benign or malignant?

A

Benign adenoma or haemangioma

generally don’t Ix unless radiologically/clinically suspicious

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4
Q

Does HCC cause a destructive or hepatitic picture on LFTs?

A

Can cause are you doing depending on the specific location of tumour

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5
Q

What tumour marker is used for HCC?

A

AFP

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6
Q

Can HCC cause a low serum albumin

A

Yes

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7
Q

What imaging is done first when investigating HCC?

A

US

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8
Q

If US is suspicious for HCC, what is done next?

A

CT

triphasic CT AKA dynamic CT AKA 3 phase CT

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9
Q

What test is done for HCC diagnosis?

A

Can make diagnosis from triphasic CT

Gold standard biopsy usually not needed

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10
Q

Liver mass + raised AFP + raised Cea =

A

Colon cancer met

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11
Q

What tumour marker is associated with pancreatic cancer?

A

CA 19-9

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12
Q

Which GI cancer can cause acanthosis nigricans?

A

Gastric adenocarcinoma

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13
Q

What is Courvasier sign?

A

Jaundice + RUQ mass = pancreatic/biliary malignancy till proven otherwise

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14
Q

Whipple’s procedure is are used in the treatment of which GI cancer?

A

Pancreatic cancer

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15
Q

“Cancer of Crypts of Lieberkühn, chromagrammin positive” describes what GI cancer?

A

Carcinoid of the appendix

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16
Q

The double duct sign is associated with what GI cancer?

A

Pancreatic cancer

17
Q

“Long history gastritis, smoking, feel full eating small quantity food, struggle eating, eating less, early satiety, epigastric discomfort”

A

Gastric adenocarcinoma

18
Q

“Painless jaundice, weight loss, pruritus, pale stool, dark urine”

A

Pancreatic cancer