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Liver and Friends > Cholangiocarcinoma and 2ndary tumours > Flashcards

Cholangiocarcinoma and 2ndary tumours Flashcards

1
Q

What is a cholangiocarcinoma

A

Billiary tree adenocarcinoma

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2
Q

What are the RF for Cholangiocarcinoma

A

Flukeworms
Biliary Cysts
IBD
PSC

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3
Q

How does a patient present w/ Cholangiocarcinoma

A

Abdo pain
Jaundice
Weight loss
Pruritis and Fever

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4
Q

What investigations are used in Cholangiocarcinoma

A

Raised CEA and CA19-9
Raised LFT
1st = Abdo USS w/ CT
Gold = ERCP

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5
Q

What is the Gold standard investigation for cholangiocarcinoma and why is it CI

A

ERCP

CI = Invasive

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6
Q

Why is ERCP used as the gold standard investigation for Cholangiocarcinoma despite being Invasive

A

Stent strictures in tree

Obtain sample for biopsy

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7
Q

NO TREATMENT

A

NO TREATMENT = TOO LATE

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8
Q

Where do 2nd tumours arise from in liver cancer

A

GIT
Bronchial
Breast

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9
Q

How are 2nd liver tumours investigated

A

Raised ALP
1st = USS
Gold = CT/MRI for staging

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10
Q

How are 2nd liver tumours treated

A

Resection

Chemo

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Liver and Friends (27 decks)

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