Oesophago-gastric Cancer Flashcards Preview

JL Gastrointestinal > Oesophago-gastric Cancer > Flashcards

Flashcards in Oesophago-gastric Cancer Deck (18):
1

What are the two types of oesophageal cancer?

adenocarcinoma
squamous cell carcinom

2

What are the three types of gastric cancer?

1. Adenocarcinome
2. Lymphoma
3. GISTs

3

What causes adenocarcinomas in oesophageal cancer?

Reflux disease - Barrett's

4

What causes squamous cell oesophageal carcinoma?

Smoking and alcohol

5

What is the main cause of gastric adenocarcinomas?

H. pylori

6

What are two paraneoplastic syndromes of oesophageal cancer?

1. hypercalcaemia
2. Inappropriate hormone production

7

What are dysphagia, odynophagia, haematemesis, regurgitation, dysphonia and weight loss all symptoms of?

Oesophageal cancer

8

What is abdnominal pain, emesis, anorexia, dysphagia, early satiety and upper GI haemorrhage all symptoms of?

Gastric cancer

9

What is used to investigation oesophageal cancer and gastric cancer?

Upper GI endoscopy and biopsy

10

What three imaging studies can be sued for oesophageal cancer?

1. Barium meal
2. CT (MRI) scan of chest and abdomen
3. Bronchoscopy

11

What are these alarm features of: >55 years of age, dysphagia, evidence of GI blood loss, persistent vomiting, unexplained weight loss, upper abdominal mass and anaemia?

Gastric cancer

12

What is the only way to cure oesophageal cancer?

Surgery

13

What two stages of oesophageal cancer cannot have surgery?

T4 and M1

14

What are 3 contraindications to oesophageal cancer surgery?

1. Direct invasion of adjacent structures
2. Fixed cervical lymph nodes
3. Widespread metastases

15

What are three other forms of oesophageal cancer treatment other than surgery?

1. Radiotherapy
2. Intubation/stents
3. Canalisation: dilatation, laser, diathermy, alcohol, PDT

16

What treatment is available for proximal lesion gastric cancer?

Total gastroectomy

17

What treatment is available for distal gastric cancer lesions?

Partial gastrectomy

18

What is one adverse prognostic factor for gastric cancer?

Superficial gross appearance (linitis plastica)