Cram 2 Flashcards

1
Q

Cortical Ca of the adrenals is diff in mena and women how?

A
Women = hyperfunctioning and homogenous 
Men = non functioning and heterogenous
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2
Q

Most common malig of panc?

direct signs?

Indirect signs?

A

Adenocarcinoma

Direct = MASS (panc head = hypo, solid, >2cm)

Indirect = dilated panc duct, CBD dilation, double duct sign, dilated BG

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3
Q

Urinary Ca mets to?

A

Kidneys

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4
Q

What is peritoneal carcinomatosis?

A

Difuse met spread to peritoneum

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5
Q

Risks of choleangiocarcinoma?

A
  • chronic stasis/inflamm
  • choledochal cyst
  • caroli’s
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6
Q

Connective tissue cancer?

A

Sarcoma

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7
Q

RCC mets to?

A

All organs

Check: IVC, renal veins, AO nodes and other kidney

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8
Q

Infiltrative liv mets from?

A

Breast lung melanoma

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9
Q

GB mets associated with stones?

A

No

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10
Q

Benign multi small cysts in head of panc?

A

Serous cystadenoma

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11
Q

Differentials of TCC?

A
  • Clots
  • Sloughed papilla
  • Fungal balls
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12
Q

Most common liv CA in children?

A

Hepatoblastoma

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13
Q

What does metastatic lymphoma look like?

A

Non-specific renal enlargement and diffuse hypoechoic of kidney

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14
Q

Gold standard of prostate cancer treatment?

A

Radical prostatectomy

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15
Q

Epithelial cancer?

A

Carcinoma

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16
Q

Non- hodgekins?

A
  • Older
  • Cancer of B and T cells
  • 50% affecting aorta nodes
  • Mets to liv and spleen
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17
Q

Rare bladder cancer wth distant mets?

A

Squamous Cell

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18
Q

Nephroblastoma also called?

A

Wilms tumour

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19
Q

Pruritis = ?

Assoc with?

A

Itching

Cholangiocarcinoma

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20
Q

Bladder TCC pres?

A

Painless hematuria

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21
Q

US of lymphomas?

A
  • ane/hypo solid
  • lobulated
  • compress organs (floating aorta, sandwich sign, silhouette/mantle sign)
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22
Q

What can nephroblastoma get confused w/?

A

Neuroblastoma of adrenal (cant tell origin)

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23
Q

Malig large cysts in panc tail?

A

Macrocystic/mucinous

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24
Q

What is a neuroblastoma?

A

Highly malig adrenal tumor in kids arises from medulla

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25
Q

Peritoneum malig affecting middle aged men and associated with asbestos?

A

Mesothelioma

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26
Q

Another name for HCC?

A

Hepatoma

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27
Q

Hypoechoic liv mets from?

A

Breast, lung lymph

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28
Q

Most common renal CA in children?

A

Nephroblastoma / Wilms

29
Q

Eval steps of prostate CA?

A
  1. DRE (digital exam)
  2. PSA (pros specific antigen but does not mean CA)
  3. TRUS
  4. Biopsy
30
Q

Calcified liv mets from?

A

Muinous adenocarc of colon

31
Q

Most common type of cholangiocarcinoma?

A

Hilar-klatskins (bifur of rt and lt hep duct)

32
Q

Most common type of cancer?

A

Adenocarcnoma

33
Q

Floating aorta?

A

Nodes around AO and and post make it float

34
Q

GB carcinoma is called

A

Adenocarcinoma

35
Q

What cancer often invades the portals/hepatics?

36
Q

Most common liver cancer?

37
Q

Malignant vasc tumor?

A

Epitheloid hemiangioendothelioma

38
Q

What is TCC?

Pres?

A

Bladder/uretur CA from epitheleial

Gross or micro hematuria

39
Q

Lymphoma?

A

Cancer of lymph tissue in spleen

40
Q

Triad of RCC?

A
  • Flank pain
  • Gross hematuria
  • Renal mass
41
Q

Symptoms of prostate CA?

A

Asymptomatic

42
Q

Bulls eye.target liv mets from?

A

Bronchogenic ca

43
Q

Adrenal mets from?

44
Q

Most common GI tumor in children?

45
Q

Silhouette/mantle sign =

A

lymph nodes surrounding the ao and IVC

46
Q

Most common CA in adult kidneys?

47
Q

What is cholangiocarcinoma?

A

Adenocarcinoma of the bile ducts

48
Q

Pertioneum CA in aids patients?

A

Lyphoma non-hodgekins

49
Q

Normal CBD and dilater intrahepatic ducts indicate what ca?

A

Klatskins (cholangiocarcinoma)

50
Q

Echogenic liv mets from?

51
Q

Site of prostate cancer?

A

Peripheral zone

52
Q

What is pseudomyxoma peritoni?

A

Metestatic Gelly acites from epithelial tumour that looks like displaced bowel loops startburst appearance

53
Q

Sandwich sign?

A

Nodes around SMA make it stand up

54
Q

Most common cancer in men?

A

Andenocarcinoma of prostate (2nd leading cause of death in men)

55
Q

Cystic liv mets from?

A

Cystadenocarcinoma

56
Q

Malig bowel looks like?

A
  • Short segment
  • asymmetric
  • thick wall
57
Q

Most common primary liver cancer?

A

Hepatocellular carcinoma HCC

58
Q

Hemangiosarcoma of spleen looks like and mets where?

A

Looks like hemangioma and mets to liver

59
Q

Hepatoblastoma associated to?

A

Beckwith Weidmanb syndome (elevated AFP)

60
Q

Liver enzymes increased w/ HCC?

A

ALT
ALP
AST
AFP

61
Q

Liver mets look like?

A

Multiple lesions with hypo halo

62
Q

US of HCC?

A
  1. Hypo w/halo

2. Hyper (sim to hemangi, lipoma, adenoma)

63
Q

Most common malig of GI tract?

A

Adenocarcinoma

64
Q

Lymphomas related to?

A
  1. Hodgekins

2. Non-hodge

65
Q

Hypernephroma is?

66
Q

Hodgekins?

A
  • Young

- High survival

67
Q

Agressive primary liver CA linked to arsenic/thorotrast/PVC?

A

Hemangiosarcoma (Angiosarcoma)

68
Q

GB carcnoma associated to?

A

Gallstones (appears as polypoid lesion with irreg borders)