gastric 5 Flashcards
Hyperplastic polyps occur in
left colon
serrated appearance (saw tooth)
benign
Ischemic colitis most likely to occur at what location?
Splenic flexure, very last thing fed by the SMA
results in postprandial pain (after meal)
What is Adenoma Carcinoma sequence
progression of adenomatous polyp into carcinoma
APC (adenomatous polyposis choli gene) mutation of both genes
KRAS mutation
P53 mutation (can become carcinoma)
Increased cyclooxygenase expression
Risk factors for adenomatous polyps to become carcinoma
size >2cm sessile growth (not like a mushroom, more like a bulge)
Gene mutation leading to Famial Autosomal Polyposis
APC mutation on chromosome 5
100% of cancer
Peutz Jeghers syndrome
what is it
presentation
Hamartomatous polyps throughout GI
hyperpigmentation of lips, oral mucosa, genital skin