GI Malignancies Flashcards

1
Q

Risk Factors for Gastric Cancer?

A
H Pylori (Lymphoma - treat infection and then cancer goes)
Alcohol
Smoking
FHx
Male
High Salt Intake
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2
Q

Main types of Gastric Cancer?

A

GIST
Lymphoma
Adenocarcinoma 90%

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3
Q

Tumour Markers for Gastric Cancers?

A

CEA

CD117 (GIST)

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4
Q

Surgery for Gastric Cancer?

A
Endoscopic Mucosal Resection
Roux en Y
Partial Gastrectomy (if proximal)
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5
Q

What are the two types of gastric adenocarcinoma?

A

Diffuse (Signet Cells)

Intestinal (glandular tissue)

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6
Q

Prognosis of Gastric Adenocarcinomas?

A

Poor

20% 5ys

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7
Q

How do Gastric Adenocarcinomas spread?

A

Transcoelomic (Peritoneum, Ovaries) Krunkenberg
Lymph
Liver

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8
Q

Symptoms of Gastric Cancer?

A

Early Satiety
Weight Loss
Pain
Anaemia

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9
Q

What are the types of pancreatic cancer?

A

Ductal 90%

Islet Cell

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10
Q

Investigating Pancreatic Cancer?

A
LFTs
Tumour markers
USS
Endoscope and Biopsy
CT Staging
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11
Q

Location of pancreatic cancers?

A

Normally at the head of the pancreas

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12
Q

Risk Factors for Pancreatic Cancer?

A

Diabetes
Chronic Pancreatitis
Smoking
Age

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13
Q

Symptoms of Colorectal Cancers?

A
Tenesmus
Obstruction
Perforation
Weight Loss
Change of Bowel Habit
Anaemia
Blood in stool
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14
Q

Treating Colorectal Cancers?

A

Resection - hemicolectomy or Hartmanns (acute)

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15
Q

Risk Factors for Rectal Cancers?

A

More common females

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16
Q

Investigating Rectal Cancers?

A

Bloods - FBCs, CRP
Sigmoidoscopy
Biopsy
CT Staging

17
Q

Investigating Colorectal Cancers?

A

Bloods - FBCs, CRP
Endoscopy and Biopsy
CT Staging

18
Q

Treating Colorectal Cancers?

A

Resection - hemicolectomy or Hartmanns (acute)
Chemoradiotherapy

Palliative: Stent, radiotherapy

19
Q

Risk Factors for Rectal Cancers?

A

More common in males

20
Q

Investigating Rectal Cancers?

A
Bloods - FBCs, CRP
Sigmoidoscopy
DRE
Biopsy
CT Staging