Colorectal Cancer (S) Flashcards
Colorectal cancer
cancer the large colon, including rectum, excluding anus
risk factors
Sporadic Lynch syndrome familial adenamatous polyps smoking IBD diet FH peutz-jegher syndrome
signs
abdominal pain weight loss rectal bleeding abdominal mass iron deficiency anaemia with no sign of bleeding
investigations
colonoscopy
biopsy
FIT test
criteria for referral
> 40 yrs - abdominal pain and weight loss
50 yrs - rectal bleeding
60 yrs - iron deficiency anaemia
under 40 with all those signs^
when is the public sent a FIT every year
age between 60-74 - England
age between 50-74 - Scotland
management
surgery chemo radio palliative care MDT
what antigen is used to monitor the disease
Carcinoembryonic antigen
what is the common inheritance
sporadic
non-hereditary non-polyposis
what kind of surgerys
right hemilectomy - caecum, ascending, prox transverse
left hemilectomy - descending, distal transverse
low anterior - sigmoid, upper rectum
abdominal perineum - rectum and anus
what surgery is performed in an acute situation
hartmanns
