Colorectal Carcinoma Flashcards

1
Q

What is the most common cancer of the GI tract?

A

Colorectal carcinoma

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2
Q

Where is the large intestine relative to the peritoneum?

A

Some parts are intraperitoneal and others are retroperitoneal

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3
Q

What are the four layers of the wall of the large intestine?

A

Mucosa, submucosa, muscular layer and serosa/adventitia

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4
Q

What microscopic structures are found on the mucosa?

A

Intestinal crypts

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5
Q

What structures are found in the submucosa?

A

Neurovascular structures and lymph nodes

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6
Q

What type of carcinomas are most colorectal carcinomas?

A

Adenocarcinomas

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7
Q

What’s an adenocarcinoma?

A

?

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8
Q

What is the most common cause for the development of a colorectal carcinoma?

A

Sporadic mutations

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9
Q

What is a less common cause for colorectal carcinomas?

A

Genetic link - APC gene

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10
Q

What forms when colonic cells start to divide rapidly and inappropriately?

A

Polyps

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11
Q

How are adenocarcinoma related to polyps?

A

Adenocarcinoma are malignant versions of polyps

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12
Q

What are the two types of polyps?

A

Adenomatous and serrated

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13
Q

Do all polyps have the same risk of turning into adenocarcinomas?

A

No

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14
Q

How are adenomatous polyps formed?

A

Contain APC gene

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15
Q

Describe the appearance of adenomatous polyps

A

Look like normal colonic mucosa

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16
Q

How are serrated polyps formed?

A

Mutations in DNA repair genes

17
Q

Describe the appearance of serrated polyps

A

Saw tooth appearance