August 27, 2015 - Pancreas and Bile Duct Cancer Flashcards Preview

COURSE 1 > August 27, 2015 - Pancreas and Bile Duct Cancer > Flashcards

Flashcards in August 27, 2015 - Pancreas and Bile Duct Cancer Deck (10):
1

5-Year Relative Survival of Pancreatic Cancer

Extremely poor. Between 5-7%. This is one of the worst cancers you can get.

2

Risk Factors for Pancreatic Cancer

Obesity

Diabetes

Cigarette smoking

3

Cholangiocarcinoma Location

May be intrahepatic, perihilar (most often), or distal.

A image thumb
4

Intrahepatic CCA Presentation

Usually asymptomatic.

Usually not jaundiced.

Usually just with constitutional symptoms such as fatigue, malaise, anorexia, weight loss.

Increased ALP and GGT.

5

Hilar/Extrahepatic CCA Presentation

Jaundice

Pruritis

Anorexia, malaise, weight loss

ALP, GGT >> ALT, AST

6

Endoscopic Ultrasound (EUS)

A great diagnostic imaging test, however may not be as readily available. Can image the entire pancreas, apulla, gall bladder.

7

Surgical Approach to Pancreatic Cancer

An R0 resection must be achieved to confer any survival benefit. This means aiming for at least a 1cm clear margin from the growth. It is hard to resect at this area without causing critical and lethal damage to nearby structures.

8

Recurrence Rate After Resection

Unfortunately, still very high even with an R0 resection.

9

Presentation for Pancreatic or Gall Bladder Cancer

Painless jaundice with weight loss are the ominous signs.

10

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