Exam 2 - Colon Cancer Flashcards
Compare a pedunculated and a sessile colon polyp.
Pedunculated - attached by stem/stalk
Sessile - Flat
What is the most common adenoma classification of colon polyps?
Tubular adenoma
What is an emerging type of pre-cancerous polyp?
Sessile serrated polyp
What is the most common origin site of CRC?
Left-sided colon
What is the most common clinical presentation associated with CRC?
Asymptomatic
What are some red flag symptoms associated with the clinical presentation of CRC?
- Change in bowel habits
- Hematochezia or occult blood in stool
- Iron Deficiency Anemia
- Anorexia/Weight loss
- Abdominal pain
What is a classic finding on imaging to support colon cancer?
“Apple core” lesion
What does the TNM system stand for?
Tumor
Node
Metastasis
What are some hereditary risk factors associated with CRC?
- Adenomas or colon cancer
- FAP (Familial adenomatous polyposis)
- HNPCC (Hereditary nonpolyposis colon cancer)
What is the management of CRC?
- Partial colectomy
- Chemotherapy (if metastasis present)
- Radiation (commonly used for rectal adenocarcinoma)
What is included in surveillance of CRC?
- Serial CEA levels
- Annual CT chest/abd/pelvis
- Periodic colonoscopy
What types of visualization tests are recommended for the screening of CRC?
- Colonoscopy
- Flex Sigmoidoscopy
- CT Colonography
What types of stool-based tests are recommended for the screening of CRC?
- gFOBT
- FIT
- FIT-DNA
What is the gold standard diagnostic screening test for CRC?
Colonoscopy
What is a major advantage of a colonoscopy in regards to CRC screening?
- Able to both detect and remove polyps to prevent them from turning into cancer
- Only screening test that is preventative