Exam 2 GASTRIC CA Flashcards Preview

Q4 Clin Med III (GI) > Exam 2 GASTRIC CA > Flashcards

Flashcards in Exam 2 GASTRIC CA Deck (12):
1

Zollinger-Ellison Synd (ZES) is?

a/w? (3)

Gastrinoma of pancreas
Non-β islet cell tumor

↑↑ acid secretion
PUD
Multiple Endocrine Neoplasm Synd

2

ZES ulcers U seen where?

duodenal bulb
60% malig, 1/2 die w/i 5 yrs

3

ZES presentation? (4)

Abd pain
Severe reflux
D from large vol of acid
Steatorrhea from acid inactivation of pancreatic lipase

4

ZES Labs?

ZES tx? (2)

Fasting Serum Gastrin = >300

DOC: PPI
P tumor resection

5

Gastric CA: U what kind?

See in?

Adeno

M > F
< 40yo

6

Gastric CA caused by? (5)

H. pylori (untreated)
Chronic gastritis
Gastric polyps
Prior gastric surgery
Genes

7

Gastric CA clinical presentation? (5)

Asympt early or PUD sxs
"Mass effect" pain
Wgt loss
Occult GI bleed
P Fe Def anemia

8

Virchow's Node is?

metastatic spread to supraclavicular LN

9

Sister Mary Joseph's Node is?

metastatic spread to periumbilical LN

10

Gastric CA imaging?

UGI for pathology
Bx for dx
Abd CT for resectability and LN involv

11

Gastric CA metastasizes how?

Directly or via blood
to regional LN, omentum, liver

12

Gastric CA tx? (2)

Prognosis?

Stage w/ CXR, CT (chest/abd/pelvis), MRI
Gastrectomy

Stage II 1/2 5 yrs
Stage III 1/4 5 yrs