Cancer de hígado Flashcards

1
Q

Epidemiologia

A

Cuarto en mortalidad
sexto en incidencia

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2
Q

Principal factor de reisgo

A

Obesidad que ocasiona hígado graso
En asia Hepatisis B
En Mexico Hepatitis C
La principal es cirrosis

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3
Q

Mutaciones en heparocarcinoma por cirrosis

A

TERT

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4
Q

Prevención de carcinoma hepatocelular

A

Control del peso
Tomas Cafe
Vacunación contra hepatitis

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5
Q

En que pacientes esta indicado el tamizaje

A

En cirroticos y en no cirroticos por infección cronica de VHB y VHC

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6
Q

Con que hacemos tamziaje

A

USG abdominal cada 6 meses

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7
Q

Clinica del hepatocarcinoma

A
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8
Q

Síndromes paraneoplasicos

A

Hiperqueratosis
Dermatomiositis

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9
Q

Estudio diagnostico de cancer de higado

A

TAC trifásica

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10
Q

Como se realiza la biopsia

A

De trucut con USG o TAC

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11
Q

HIstologia mas frecuente de nacer de hígado en pacientes jovenes

A

fibrolamenar

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12
Q

Sitio extrahepatico mas comun de metastasis

A

Pulmon

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13
Q

Estadificaicon que usamos en cancer de higado

A

Barcelona

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14
Q

Como dictamos el pronostico de cancer de higado

A

Funcion de hígado preservado
Usamos la puntuación de chil-pug

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15
Q

Manejo con CHIL PUG A

A

Transplante

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16
Q

Segundo tumor mas mortal despues de cancer de pancreas

A

Higado

17
Q

Mejor tx para cancer en etapa C

A

Inmunoterapia, es el mejor tx

18
Q

Tx locales para cancer de higado

A

Resección o ablacion

19
Q

Principal factor de reisgo en Mexico

A

Hepatitis C