gastric cancer

Question 1

what are the 2 types of adenocarcinoma

Answer 1

intestinal and diffuse

Question 2

intestinal adenocarcinoma

Answer 2

tumours are polypoid or ulcerating lesions - differentiated cells

Question 3

diffuse adenocarcinoma

Answer 3

undifferentiated cells

Question 4

does type 1 or 2 adenocarcinoma have a better prognosis

Answer 4

1

Question 5

RF for adenocarcinoma

Answer 5

diet smoking and H pylori

Question 6

CF adenocarcinoma

Answer 6

late presentation 
epigastric pain that radiates through to back 
loss of appetite and weight 
vomiting 
dysphagia 
abdominal mass

Question 7

where can adenocarcinoma spread

Answer 7

to lymph nodes and involve left supraclavicular node - Virchows node

Question 8

adenocarcinoma Ix

Answer 8

upper GI endoscopy
biopsy
CXR
CT

Question 9

adenocarcinoma treatment

Answer 9

palliative - surgery chemo and radio

Question 10

surgery adenocarcinoma

Answer 10

resection

- total or partial

Question 11

what are some complications of total gastrectomy

Answer 11

iron and B12 deficiency

Question 12

what age range do GIST effect

Answer 12

55-65

Question 13

what are GIST linked with

Answer 13

defect of pacemaker cells - ICC

Question 14

GIST biopsy

Answer 14

spindle cell tissue, cell undergoing multiple mitoses

Question 15

MALToma

Answer 15

derived from mucosa associated lymphoid tissue

involve b cells in lymph nodes primarily