Gastric and Pancreatic Cancers Flashcards
1
Q
high risk patients must be screened to prevent disease
A
- geographic risk groups
- familial predisposition
- premalignant conditions: atrophic gastritis, pernicious anemia, post-antrectomy
2
Q
linitis plastica
A
- aggressive infiltrating tumor in the wall of the stomach
- poor prognosis
- stomach is very rigid and does not distend
3
Q
risk factors for pancreatic cancer
A
- 80% are between 60-80
- men are more common
- young patients tend to be female
- diabetes: 2-3X increase in risk, female>male
- chronic pancreatitis: increase with years, independent of cause
- NOT related to alcohol or coffee consumption
- advancing age, males over 40, urban location, hereditary, smoking, occupational, high fat diet
4
Q
most common pancreatic cancer
A
- mucin producing ductal adenocarcinoma
- usually found in the head
5
Q
painless jaundice
A
- cancer of the pancreatic head until proven otherwise
6
Q
jaundice with cancer of the tail
A
- mets to the liver
7
Q
treatment of pancreatic cancer
A
- Whipple procedure
8
Q
diagnosis of pancreatic cancer
A
- US is imaging of choice
- CT is backup
- then ERCP and EUS
- in clinical practice, go right to CT
9
Q
H. pylori
A
- most common cause of chronic gastritis
- associated with intestinal type of cancer
- may be even more important in women
10
Q
most common stomach cancer
A
- adenocarcinoma
11
Q
benign gastric ulcers
A
- look like spokes on a wheel on x-ray
12
Q
diagnosis of stomach cancer
A
- endoscopy is gold standard
- no role for tumor markers in stomach cancer
