Colorectal Cancer Flashcards
1
Q
Colorectal Cancer Types
A
Mostly Adenocarcinoma
2/3 Colonic
1/3 Rectal
2
Q
How common is Colorectal Cancer?
A
2nd most common
3
Q
Risk Factors for Colorectal Cancer: SIIN
A
Sporadic 95% Inheritable: HNPCC 5%, FAP <1% Inflammatory Bowel Disease Neoplastic Polyps
4
Q
Risk Factors for Sporadic CC:
A
Male Age Increasing Previous Cancer Environmental - Diet - Obesity - Smoke - Exercise - Diabetes
5
Q
Metastasis of Colorectal Cancer
A
Lung
Liver
Lymphatics
Bone
6
Q
Colorectal Cancer Symptoms
A
Rectal Bleeding Altered Bowel Opening - diarrhoea Abdominal Pain Anorexia Weight Loss
7
Q
Age - Colorectal Cancer
A
86% of presentations are in those > 60 years
8
Q
Right sided Colorectal Cancer
A
Weakness Weight loss Vague pain Obstruction Anaemia
9
Q
Left sided Colorectal Cancer
A
Altered bowel habit
Fresh blood
Mucus
Obstruction
10
Q
Signs Colorectal Cancer
A
Palpable Rectal Mass
Abdominal Mass
Anaemic
11
Q
Investigations Colorectal Cancer
A
Colonoscopy with biopsy CT CT Colonography Barium Enema Bloods - FIT, FBC, LFT Liver US (mets) Sigmoidoscopy MRI
12
Q
Colorectal Cancer Screening
A
50-74 yrs
Every 2 years
FIT Testing
Especially - px with Heritable cx risk (FAP, HNPCC, IBD, PHcx, FHcx)
13
Q
Colorectal Cancer Treatment SRC
A
- Surgery
Laparoscopic (tumour removal
Endoscopic, Colostomy (for stoma opening)
Partial Hepatectomy (treat metastases). - Radiotherapy (Palliation) (in Rectal Cancer) - Chemotherapy (Adjuvant) (After surgery)
