Oesophagus And Gastric Cancer Flashcards Preview

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Flashcards in Oesophagus And Gastric Cancer Deck (15):
1

Stomach tumours (bening)?

Bening

Epithelial
- adenoma

Connective tissue
-leiomyoma
- fibroma
- neurofibroma

Vascular
- haemangioma

2

Stomach tumours (malignant)?



Primary
- adenocarcinoma
-Leiomyosarcoma
-lymphoma
-lymphosarcoma

Secondary
-adj tumours Px Cx

3

Risk factors for tumours?9

Atrophic gastritis
H.pylori
Previous gastric surgery
Adenomatous polyps
Blood group A
Hypogammaglobulinaemia

4

Gastric cancer symptom (local)?

Dyspepsia
Pain
Vomiting
Dysphasia
Haemorrhage
Perforation

5

Gastric cancer symptoms (secondary)?

Jaundice
Ascites

6

Gastric cancer symptoms (general)?

Anorexia
Weight loss
Anaemia

7

Most common symptoms?

1. Weight loss
2. Vomiting
3. Anaemia

8

Staging instruments?

Examination
Bloods cxr
Ogd and biopsy
Pft and echo
Ct
Endoluminal ultrasound
Laparoscopy

9

Staging and treatment

T123 & n0 = surgery

T3 & n1 = surgery and chemo

T4 & any N = surgery and chemo and palliative

Any T and Nx M1 = palliative

10

Oesophageal tumour (benign)

Leiomyoma

11

Oesophageal tumours (malignant)

Primary
-adenocarcinoma
-squamous cell
-leiomyosarcoma

Secondary
-invasion into lungs

12

Factors for oesophageal cancer?

Excess alcohol
Smoking
Diet low in fruit and veg
Ingestion exogenous carcinogens
HPV infection

13

Predisposing risk factors for oesophageal cancer?

High
-tylosis A
-Plummer Vinson

Interned
-Gord
-barrett's oes
-achalasia
-ectopic mucosa
-DXT
-SCC Hd & Neck

Low
- oes diverticula
- corrosive stric
- coeliac di
-scleroderma

14

Surgical approaches

Transthoracic
-Lewis Tanner = lap & Rt Thoracotomy

Transhiatal
-Orringer = lap & Lt cervical incision

Three stages
-McKeown = Rt Thoracotony lap lt cervical lx

Min invasive
= thoracoscopic laparoscopic Lt C lx

15

Oesophageal cancer treatment

T12 & no = surgery

T3 &no = pre op chemo and surgery

T3 N1 = per op chemo and surgery & definitive chemorediotherapy

T4 any N = definitive chemorediotherapy