GI Neoplasia II

Question 1

Cancer of the small intestine is

Answer 1

extremely rare

Question 2

Colon cancer mortality is second only to lung cancer

Answer 2

ok

Question 3

70% of colorectal tumors are what type of cancer

Answer 3

adenocarcinoma

Question 4

Know the non-neoplastic polyps slide

Answer 4

ok

Question 5

Which type of polyp predisposes to CRC

Answer 5

adenomatous

Question 6

Hyperplastic polyps have no malignant potential

Answer 6

ok

Question 7

inflammatory polyps occur when

Answer 7

long-standing IBD. not neoplastic

Question 8

The larger the polyp…

Answer 8

the greater the risk of cancer

Question 9

Villous polyps =

Answer 9

greater risk for cancer

Question 10

Higher incidence of colorectal cancer in developed countries thought to be due to what?

Answer 10

high fat low fiber diet

Question 11

first degree relative with colon cancer means your risk

Answer 11

doubles

Question 12

Colon cancer on the right side (ascending colon) is more likely to lead to what symptoms

Answer 12

anemia

Question 13

Colon cancer on the left side, descending side, more likely to lead to

Answer 13

obstruction and overt bleeding

Question 14

rectal cancer more likely to lead to

Answer 14

pain, bleeding, tenesmus

Question 15

Treatment of colon cancer

Answer 15

• endoscopic polypectomy may be curative if teh cancer is localized to the head of the polyp
• Do a pre-op CT to look for metastatic disease and surgery to remove the tumor and adjacent lymphatics is the mainstay

Question 16

Chemotherapy in CRC used when

Answer 16

• As adjuvant therapy in pts with positive nodes

- to decrease recurrence and improve survivial