Gastrointestinal Neoplasms

Question 1

what are the two subtypes of esophageal cancer?

Answer 1

squamous cell carcinoma

adenocarcinoma

Question 2

what increases the risk of esophageal adenocarcinoma by 30-60x?

Answer 2

Barrett’s esophagus

Question 3

how do you diagnose esophageal carcinoma?

Answer 3

direct tissue biopsy via upper endoscopy

Question 4

what is the long-term prognosis for esophageal carcinoma?

Answer 4

poor - 90% mortality

Question 5

what do you do for the midlife or older person who has newly-diagnosed iron deficiency anemia?

Answer 5

colonoscopy (if negative)

endoscopy

Question 6

gastric cancer is the ____cause of cancer worldwide?

Answer 6

3rd

(Japan and China more common than US)

Question 7

what surgery is done for gastric cancer?

Answer 7

usually gastrectomy

Question 8

what can predispose you to GI cancer?

Answer 8

immunosuppresion

Question 9

what is a push enteroscopy?

Answer 9

pediatric colonoscope into the small bowel

Question 10

what is the frequency of small bowel cancer among GI cancers?

Answer 10

rare - 2%

Question 11

what are the risk factors for small bowel cancers?

Answer 11

FAP major risk

AA race

men>women

Question 12

what is the survival rate at 5 years for small bowel adenocarcinoma and sarcoma?

Answer 12

30%

25%

Question 13

colon cancer is the _____cause of death in the US?

Answer 13

2nd

Question 14

what is the lifetime risk of colon cancer in people without genetic syndrome?

Answer 14

5%

Question 15

what is the lifetime colon cancer risk with FAP?

Answer 15

100%

Question 16

what kinds of cancer can cause jaundice?

Answer 16

gallbladder

liver

pancreatic

ampullary

bile duct

Question 17

pancreatic is the _____cause of cancer related deaths

Answer 17

4th

Question 18

abdominal pain and weight loss are early or late signs in pancreatic cancer?

Answer 18

late