colorectal cancer Flashcards
duke a
no serosal fat , only bowell wall
good5 year prognosis
duke a …
survielance follow up?
colonoscopy
anually… first 2 yrs
then 3rd yearly
duke a
survey occult blood
monthly first 4 yrs
then yearly
col ca bowel habits
may or may not change
col ca blood work and age ?
anaemia + old age
dermoid cyst
females of child bearing age
multiple tissues involved
anaemia : do nothing and reassure
young age +
anaemia resolvable by supplements
> sixty yrs and anaemia
faecal occult blood testing
colonoscopy indication for screening
both 1st and 2nd degree
relatives have cancer
col ca rx
angiogenesis inhibitor
BEVACIZUMAB( VEGF inhibitor)
co ca rx:
CAPE CITA BANE ?
prodrug of 5FLUROURACIL
CAPECITABANE advantage
ORAL BD
…. instead of 5fu iv for 24 hrs
COL CA
METASTASIS indication ???
high CEA levels
meckels diverticulum see ?
technitium scan
col ca METASTASIS RX ??
OXALI PLATIN
Multitherapy
with
5fu +folinic acid
> SIXTY yrs plus anaemia
anaemia evaluation
COLONoscopy
then
upper gi Endoscopy
COL CA
CEA use ?
1=post operative surviellance
2=disease progression
3=diesease free survival rate
col ca … plus …?
in presence of LIVER METS
WHAT disease or syndrome
carcinoid syndrome
HORMONE excess
RX RESECTION WITH METS , OCTREOTIDE AND peptide receptor RT
carcinoid syndrome in COL CA
which hormone ?
neuro endocrine tumor
SERITONIN excess in liver mets
neuro endocrine tumor m/C location
ILEUM
PARAGANGLIOMA
neck
catecholamines secrete 2 percent
tumor of sympathetic nervous system
pheocromocytoma
secrete
adrenaline
loc at adrenal