GI Malignancies Flashcards
Risk Factors for Gastric Cancer?
H Pylori (Lymphoma - treat infection and then cancer goes) Alcohol Smoking FHx Male High Salt Intake
Main types of Gastric Cancer?
GIST
Lymphoma
Adenocarcinoma 90%
Tumour Markers for Gastric Cancers?
CEA
CD117 (GIST)
Surgery for Gastric Cancer?
Endoscopic Mucosal Resection Roux en Y Partial Gastrectomy (if proximal)
What are the two types of gastric adenocarcinoma?
Diffuse (Signet Cells)
Intestinal (glandular tissue)
Prognosis of Gastric Adenocarcinomas?
Poor
20% 5ys
How do Gastric Adenocarcinomas spread?
Transcoelomic (Peritoneum, Ovaries) Krunkenberg
Lymph
Liver
Symptoms of Gastric Cancer?
Early Satiety
Weight Loss
Pain
Anaemia
What are the types of pancreatic cancer?
Ductal 90%
Islet Cell
Investigating Pancreatic Cancer?
LFTs Tumour markers USS Endoscope and Biopsy CT Staging
Location of pancreatic cancers?
Normally at the head of the pancreas
Risk Factors for Pancreatic Cancer?
Diabetes
Chronic Pancreatitis
Smoking
Age
Symptoms of Colorectal Cancers?
Tenesmus Obstruction Perforation Weight Loss Change of Bowel Habit Anaemia Blood in stool
Treating Colorectal Cancers?
Resection - hemicolectomy or Hartmanns (acute)
Risk Factors for Rectal Cancers?
More common females