GI Oncology

Question 1

What is the most common type of colorectal cancer

Answer 1

Adenocarcinoma

Question 2

rectal bleeding, tenesmus, and a mass in the left illiac fossa is classic for what cancer

Answer 2

Colorectal

Question 3

what diagnostic tool should be used for suspected colorectal cancer?

Answer 3

colonoscopy with biopsy.

Question 4

What is the most common type of gastric cancer

Answer 4

adenocarcinoma

Question 5

what is the largest risk factor for developing gastric cancer

Answer 5

H.pylori infection

Question 6

jaundice, dyspepsia, dysphagia, ascites is common in what type of GI cancer

Answer 6

gastric cancer

Question 7

what diagnostic tool should be used for suspected gastric cancer?

Answer 7

OGD (gi upper endoscopy)

Question 8

what are the most common types of liver cancer?

Answer 8

Hepatocellular carcinoma (75%), cholangiocarcinoma (10-20%), angiocarcinoma (about 1%).

Question 9

what test is used in the diagnosis of HHC?

Answer 9

AFP (alpha fetoprotein test)

Question 10

CA19-9 is an antigen for what cancer?

Answer 10

Cholangio-carcinoma

Question 11

What age group is pancreatic cancer most common?

Answer 11

60-80 years old

Question 12

What is the most common type of pancreatic cancer

Answer 12

ductal carcinoma

Question 13

Name 5 risk factors for pancreatic cancer

Answer 13

Smoking, pancreatitis, Red meat, low fruit, FHx

Question 14

what is courvoiser’s law

Answer 14

Jaundice and enlarged gallbladder is most likely to be a malignancy of the biliary tree or pancreas

Question 15

what investigations do you use in pancreatic cancer?

Answer 15

CA19-9, FBC, LFTs

Question 16

what changes in LFTs would you expect to see in pancreatic cancer

Answer 16

Elevated bilirubin, APT and Gamma GT