GI cancers Flashcards
what are the causes of oral cancer
tobacco
alcohol
HPV
candida
high risk sites for oral cancer
Soft , non-keratinising sites:
ventral tongue
floor of mouth
lateral edges of tongue
red flags for oral cancer
red/white/ red & white lesion ulcer facial numbness pain change in voice = dysphonia dysphagia
strange manifestations of oral cancer
drooping eyelid/facial palsy fracture of mandible double vision blocked/bleeding nose facial swelling
what are the 2 types of oesophageal cancer
squamous cell carcinoma (SCC)
adenocarcinoma (AC)
cause of oesophageal cancer
smoking
male
old age
barrets oesophagus
describe the development of oesophageal cancer
- normal squamous oesophageal cells
- chronic inflammation
- barrett’s metaplasia
- low grade dysplasia
- high grade dysplasia
- adenocarcinoma
investigations of oesophageal cancer
endoscopy biopsies (minimum 6)
1st line investigation for new onset dysphagia >55y
endoscopy
what investigations are used for staging cancer
CT (chest, abdomen, pelvis)
PET-CT - metastases
treatment of SSC oesophageal cancer
radical chemo
treatment of AC oesophageal cancer
if T1a = endoscopic resection
no metastases or co-morbities = oesophagectomy +/- chemo
metastases = palliative
what is the main cause of gastric cancer
H.pylori
name the 3 benign gastric tumours
hyperplastic polyps
cystic fundic gland polyps
benign peptic ulcer
name the 3 malignant gastric tumours
carcinoma = adenocarcinoma
lymphoma = maltoma
gastrointestinal stromal tumour (GIST)