Cancers Flashcards

(32 cards)

1
Q

Which cancers are linked to alcohol

A

Pancreatic and liver
breast
mouth
colon
esophogeal

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2
Q

syndromes associated with pancreatic cancer

A

pets joggers syndrome
MEN TYPE 1
LYNCH SYNDROME - ovarian, stomach

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3
Q

metastasis of pancreas

A

lung and liver

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4
Q

rf pancreatic cancer

A

smoke
age
genetic syndromes
chronic pancreatitis

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5
Q

mutation associated with pancreatic cancer

A

95 % are the KRAS gene- tumour suppressor gene
obesity
males

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6
Q

signs of pancreatic cancer

A

jaundice - esp if head
courvesier
diabetes body and tail
hypercoagubale state
trousseaus sign - migratory thrombophlebitis
marantic endocarditis - sterile vegetation on valve
pale coloured stools
dramatic weight loss
post prandial pain
if splenic vein involved- splenomegaly, portal hypertension etc

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7
Q

diagnosis of pancreatic

A

us - will only show if >2cm you can asses for liver metatsist

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8
Q

markers for p cancer

A

CA-19

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9
Q

gall bladder cancer RF

A

women (due to higher oestrogen content)
primary scleorsing cholangitis
parasites- thailand opisthorchis
gall stones
porcelain gall bladder- remove prophylactically
IBD -
obese
chronic cholecystitis

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10
Q

labs for gall bladder cancer

A

ALP
LIVER ENZYMERS
GGT
anemia of chronic disease

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11
Q

tx of gall bladder cancer

A

cholecystectomy with partial liver and lN dissection

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12
Q

macroscopic colon cancer

A

PUAm

polypid
ulcerative
anular
mixed

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13
Q

histolgical types of colon cancer

A

adenocarcarinoams -commonly begin as a polyp
carcinoid tumours

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14
Q

carcinoid syndrme

what is the origin

A

FLUSHING
diarrhea + abdo pain

resp symptoms- wheezing, cough (ashtma like symptoms)

heart failure (less common) affcets the vaves

edema

caused by substances entering the systemic circulation - vasoactive substances such as SERATONIN

these tumours come for the enterochromaffin cells which are neuroendocrine cells usuually arise from GI and lung tumours

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15
Q

Which method is useful in the diagnosis and preoperative staging of tumors of the rectum?

A

ENDORECTAL ULTRASOINS

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16
Q

Whist is is the most common sit for metastasis of colorectal carcinomas?

A

liver then lung then retropertinoeum ….ovary (krukenberg)

17
Q

if you have a kruken berg what symptoms could you expect

A

dyspareunia
bloating
ascites

18
Q

whats a feature of krukenberg

A

secretes bare mucous hence hwy its name is signet ring tumour

19
Q

Which is the most common complication of the left-sided colon cancer?

A

Complete obstruction of the large bowel (ileus).

20
Q

Which is the most common complication of the right-sided colon cancer?

A

iron deficiency anemia

21
Q

most common tumour for lunch syndromes and descripton

A

it is a genetic mutation
AD - 50%
UTERUS 2
COLON CANCER 1(mostly on the RHS)

22
Q

OBSTIPATION

A

means no poo or gas

23
Q

MEN TYPE 1

A

AD - 50%
genetic mutation
3 p’s
pancreatic
pituatiary
parathyroid

most likely benign

24
Q

peutz jagers syndrome

A

common in kids to have bluish dots on lips and mucosa that fade as you get older
polpys that form in GI (mainly small intestines +stomach)

benign vibe

25
which type of colon cancer msore common which is better to have ?
LEFT left
26
which type of colon cancer more likely with iron deficiency anemia
RIGHT
27
WHICH TYPE OF COLON is more likely to spread to peritoneum rather than liver and lung
right
28
pellet like stools could mean
colon cancer
29
what age do we start screening for colon
60
30
FAP
Patients develop hundreds of adenomatous polyps in their teens and are virtually guaranteed to develop colorectal cancer by their 20s, unless they undergo prophylactic proctocolectomy. Note that there is a high risk of developing duodenal cancer, so patients undergo regular endoscopic surveillanc
31
indication for a FIT
>40 unexplained weight loss and abdo pain >10 means need a colonscopy another indication is a person over 60 who is anemic
32
tumour marker for liver cancer
AFP