Gastric Cancer

Question 1

Most common cause of chronic gastritis and therefore can lead to cancer.

Answer 1

H. pylori infection

Question 2

What are the 3 factors that determine risk for GI cancer?

Answer 2

1. Geographic Location (ex. Japan)
2. Family Hx
3. Premalignant conditions (ex. atrophic gastritis, pernicious anemia)

Question 3

Most common type of gastric cancer.

Answer 3

Adenocarcinoma

Question 4

What is Linitis Plastica?

Answer 4

Stomach cancer not associated with H. pylori infection or chronic gastritis. Characterized by rigid stomach that does not dilate after eating.

Question 5

When are men more likely to present with pancreatic cancer? Women?

Answer 5

Men: older population (60-80yrs)
Women: younger population

Question 6

What two medical conditions are associated with high incidence of developing pancreatic cancer?

Answer 6

Diabetes

Chronic Pancreatitis

Question 7

Most common type of pancreatic cancer.

Answer 7

Mucin-producing ductal adenocarcinoma

Question 8

How do pancreatic cancer patients present?

Answer 8

Abdominal and upper back pain while standing that is relieved when bent over. Intense pain while lying supine.

Question 9

What does jaundice AND a tail pancreatic cancer indicate?

Answer 9

Metastasis to the liver

Question 10

Three tests best used to diagnose pancreatic cancer and Tx.

Answer 10

Dx: CT, ultrasound, ERCP
Tx: whipple procedure