9.1 CA colon Flashcards
Term to describe whole rectum
Mesorectum
Most lesions located at the
Sigmoid and rectum
Originating from benign ___
Precancerous ___
_____ (majority of CRC)
Polyps ..
Adenocarcinoma
CRC
Colorectal cancer
Risks factors of CRC
- Dietary habit
Consume fatty food and red meat diet
Low fibre diet - lack of exercise
- obesity
- alcohol and smoking
Ribbon shaped stool
一條條
Due to bowel obstructions
Tenesmus
痾唔清
好急但係痾唔到
Proctoscopy
直腸鏡
Fecal occult blood test FOBT
Sample needed
Comparison
-gFOBT
3 blood samples
-FUT
1-2 samples
More sensitivity and specificity
Gold standard for colorectal screening
Colonoscopy
Full bowel preparation
3day before: low residue diet
1day before: clear liquid diet
Evening: klean Prep (1sachet dissolve in 1L)
Complication of colonoscopy
Perforation
Bleeding
Hk CRC screening requirement
Suggest screening interval
50-75y/o
No family Hx
FIT 1-2year
Colonoscopy 10year
Colonic stenting
支架
Relieve bowel obstruction
Loop colostomy
豬鼻