Exam 4 - Types of Cancers Flashcards
malignancy of the oral mucosa
may occur on the lips, tongue, floor of mouth
oral cancer
oral cancer risk factors
smoking
drinking
alcohol
chewing tobacco
marijuana
occupational exposure
viruses (HPV)
early s/sx of oral cancer
painless ulcerations
leukoplakia (white patches)
erythroplakia (red patches)
late s/s of oral cancer
impaired speaking, swallow, chewing
swollen lymph nodes
blood-tinged sputum
trimus (difficulty moving the jaw)
malignant neoplasm of the esophagus
esophageal cancer
esophageal cancer causes
GERD
tobacco
alcohol (excessive use)
obesity
oral hygiene
nitrates
Barrett’s esophagus (chronic inflammation)
achalasia (slow emptying)
esophageal cancer s/sx
late onset
progressive dysphagia
substernal, epigastric, back pain
weight loss
regurgitation of blood-flecked contents
s/sx of esophageal cancer is in the upper 1/3
sore throat
choking
hoarseness
hemorrhage
races with the highest incidence of stomach cancer
Hispanics
African Americans
Asian Americans
stomach cancer risk factors
H. pylori
genetics
chronic gastritis
gastric polyps
pernicious anemia
achlorhydria (lack of HCl)
smoked foods nitrates
where is stomach cancer most commonly found
distal portion of the stomach
stomach cancer mets usually goes to the ___
liver
stomach cancer s/sx
satiety (early fullness)
anorexia
indigestion
vomiting
unrelieved ulcer-like pain
late s/sx of stomach cancer
weight loss
cachectic
palpable mass
GI bleed
rapid movement of hypertonic chyme into small intestines
dumping syndrome
dumping syndrome s/sx
occurs within 15 minutes of eating
weakness
dizziness
diaphoresis
epigastric fullness
tachycardia
abdominal cramping
self-limiting
dumping syndrome education
no fluids with meals
low carb
small meals with protein + fats
colorectal cancer risk factors
family hx - 1st degree relative with CRC and IBD
lynch syndrome
smoking
alcohol
high beef, low fat diet
low fiber intake
factors that reduce risk of CRC
exercise
diet high in fruit, veggies, and grains
long term use of NSAIDs
colorectal cancer s/sx
rectal bleeding (most common)
alt. C/D
sensation of incomplete evacuation
obstruction
change in stools (narrow, ribbon like)
L sided colorectal cancer is associated with ___
obstruction
R sided colorectal cancer is associated with ___ ___ and ___
bloody stool; diarrhea
anal cancer is associated with ___
HPV
anal cancer risk factors
HPV
anal sex
smokers
cervical, vulver cancer
immune compromised
anal cancer s/sx
rectal bleeding
sensation of a mass
pain
can be no s/sx at all
pancreatic cancer risk factors
smoking
environmental chemicals/toxins
high fat diet
DM
chronic pancreatitis
> 60 y/o
pancreatic cancer s/sx
pain*
jaundice*
weight loss*
vague upper abdominal, lower back pain
early mets
ascites
insulin deficiency
abdominal pain aggravated by meals
*classic signs
renal cell cancer is associated with ___ and ___ ___
smoking; bladder cancer