10.1 Common GI Malignancies

Question 1

How would oesophageal carcinoma present?

Answer 1

Dysphagia, weight loss

Question 2

How would gastric cancer present?

Answer 2

Symptoms vague

Advanced cancer- weight loss, vomiting, epigastric pain

Question 3

What investigations would be done if oesophageal carcinoma or gastric cancer were suspected?

Answer 3

Endoscopy, biopsy, barium meal

Question 4

When will an oesophageal adenocarcinoma occur?

Answer 4

Barrett’s oesophagus

Question 5

Where will advanced gastric cancer spread to?

Answer 5

Lymph nodes, liver, peritoneum, ovaries

Question 6

What are the 4 types of tumours of the large intestine?

Answer 6

Anal carcinoma, polyps, adenoma, adenocarcinoma

Question 7

What is Familial Adenomatous Polyposis (FAP)?

Answer 7

Autosomal dominant condition causing lots of adenomas to form. There is a high risk of the adenomas becoming malignant.

Question 8

What are the stages of Duke’s staging for colorectal adenocarcinomas?

Answer 8

A- confined to bowel wall
B- through wall but no lymph node involvement
C- lymph node involvement