Cram 2 Flashcards
Cortical Ca of the adrenals is diff in mena and women how?
Women = hyperfunctioning and homogenous Men = non functioning and heterogenous
Most common malig of panc?
direct signs?
Indirect signs?
Adenocarcinoma
Direct = MASS (panc head = hypo, solid, >2cm)
Indirect = dilated panc duct, CBD dilation, double duct sign, dilated BG
Urinary Ca mets to?
Kidneys
What is peritoneal carcinomatosis?
Difuse met spread to peritoneum
Risks of choleangiocarcinoma?
- chronic stasis/inflamm
- choledochal cyst
- caroli’s
Connective tissue cancer?
Sarcoma
RCC mets to?
All organs
Check: IVC, renal veins, AO nodes and other kidney
Infiltrative liv mets from?
Breast lung melanoma
GB mets associated with stones?
No
Benign multi small cysts in head of panc?
Serous cystadenoma
Differentials of TCC?
- Clots
- Sloughed papilla
- Fungal balls
Most common liv CA in children?
Hepatoblastoma
What does metastatic lymphoma look like?
Non-specific renal enlargement and diffuse hypoechoic of kidney
Gold standard of prostate cancer treatment?
Radical prostatectomy
Epithelial cancer?
Carcinoma
Non- hodgekins?
- Older
- Cancer of B and T cells
- 50% affecting aorta nodes
- Mets to liv and spleen
Rare bladder cancer wth distant mets?
Squamous Cell
Nephroblastoma also called?
Wilms tumour
Pruritis = ?
Assoc with?
Itching
Cholangiocarcinoma
Bladder TCC pres?
Painless hematuria
US of lymphomas?
- ane/hypo solid
- lobulated
- compress organs (floating aorta, sandwich sign, silhouette/mantle sign)
What can nephroblastoma get confused w/?
Neuroblastoma of adrenal (cant tell origin)
Malig large cysts in panc tail?
Macrocystic/mucinous
What is a neuroblastoma?
Highly malig adrenal tumor in kids arises from medulla
Peritoneum malig affecting middle aged men and associated with asbestos?
Mesothelioma
Another name for HCC?
Hepatoma
Hypoechoic liv mets from?
Breast, lung lymph
Most common renal CA in children?
Nephroblastoma / Wilms
Eval steps of prostate CA?
- DRE (digital exam)
- PSA (pros specific antigen but does not mean CA)
- TRUS
- Biopsy
Calcified liv mets from?
Muinous adenocarc of colon
Most common type of cholangiocarcinoma?
Hilar-klatskins (bifur of rt and lt hep duct)
Most common type of cancer?
Adenocarcnoma
Floating aorta?
Nodes around AO and and post make it float
GB carcinoma is called
Adenocarcinoma
What cancer often invades the portals/hepatics?
HCC
Most common liver cancer?
Mets
Malignant vasc tumor?
Epitheloid hemiangioendothelioma
What is TCC?
Pres?
Bladder/uretur CA from epitheleial
Gross or micro hematuria
Lymphoma?
Cancer of lymph tissue in spleen
Triad of RCC?
- Flank pain
- Gross hematuria
- Renal mass
Symptoms of prostate CA?
Asymptomatic
Bulls eye.target liv mets from?
Bronchogenic ca
Adrenal mets from?
Lung
Most common GI tumor in children?
Lymphoma
Silhouette/mantle sign =
lymph nodes surrounding the ao and IVC
Most common CA in adult kidneys?
RCC
What is cholangiocarcinoma?
Adenocarcinoma of the bile ducts
Pertioneum CA in aids patients?
Lyphoma non-hodgekins
Normal CBD and dilater intrahepatic ducts indicate what ca?
Klatskins (cholangiocarcinoma)
Echogenic liv mets from?
GI or HCC
Site of prostate cancer?
Peripheral zone
What is pseudomyxoma peritoni?
Metestatic Gelly acites from epithelial tumour that looks like displaced bowel loops startburst appearance
Sandwich sign?
Nodes around SMA make it stand up
Most common cancer in men?
Andenocarcinoma of prostate (2nd leading cause of death in men)
Cystic liv mets from?
Cystadenocarcinoma
Malig bowel looks like?
- Short segment
- asymmetric
- thick wall
Most common primary liver cancer?
Hepatocellular carcinoma HCC
Hemangiosarcoma of spleen looks like and mets where?
Looks like hemangioma and mets to liver
Hepatoblastoma associated to?
Beckwith Weidmanb syndome (elevated AFP)
Liver enzymes increased w/ HCC?
ALT
ALP
AST
AFP
Liver mets look like?
Multiple lesions with hypo halo
US of HCC?
- Hypo w/halo
2. Hyper (sim to hemangi, lipoma, adenoma)
Most common malig of GI tract?
Adenocarcinoma
Lymphomas related to?
- Hodgekins
2. Non-hodge
Hypernephroma is?
RCC
Hodgekins?
- Young
- High survival
Agressive primary liver CA linked to arsenic/thorotrast/PVC?
Hemangiosarcoma (Angiosarcoma)
GB carcnoma associated to?
Gallstones (appears as polypoid lesion with irreg borders)