GI Malignancy Flashcards
What are the key symptoms for upper GI malignancy?
Dysphagia
Epigastric pain
Jaundice
What are the key symptoms for lower GI malignancy?
Bowel obstruction
PR bleeding
Change in bowel habit
What are the red flags with dysphagia?
ALARM
Anaemia Loss of weight Anorexia Recent onset of progressive symptoms Masses/melaena
How does oesophageal carcinoma present?
Progressive dysphagia
What type of cancer can effect the oesophagus?
Squamous cell carcinoma
Adenocarcinoma
What are risk factors for oesophageal cancer?
Smoking
Barrett’s oesophagus - GORD
What are red flag features associated with epigastric pain?
Melaena
Haematemesis
What type of cancer typically effects the stomach?
Adenocarcinoma
Where does gastric cancer typically effect?
Cardia
Antrum
What other cancers can occur in the stomach?
Gastric lymphoma
GISTs - gastrointestinal stromal tumours
What is gastric lymphoma?
MALT tissue
Associated with H.pylori
What are red flags associated with jaundice?
Hepatomegaly - irregular border
Unintentional weight loss
Ascites
Painless
What are risk factors for pancreatic cancer?
Family history
Smoking
Chronic pancreatitis
What type of cancer effects the large bowel?
Adenocarcinoma
What are the risk factors for bowel cancer?
Family history
IBD
Polyposis syndromes
Low fibre diet