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CCC > GP cancer > Flashcards

GP cancer Flashcards

1
Q

CXR referral criteria for lung cancer?

A
  1. Age >40 + smoker + one unexplained symptom
    or
  2. Age >40 + 2 unexplained symptoms

Symptoms: Cough, Fatigue, chest pain, weight loss, anorexia

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2
Q

Appointment criteria for lung cancer?

A

CXR that suggests lung cancer
or
Age>40 with haemoptysis

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3
Q

What is the time allowed for cancer referral for appointments or investigations?

A

2 weeks

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4
Q

General red flag symptoms?

A 
Weight loss
Night sweats
Loss of appetite/anorexia
Pain
Bone pain
Night sweats
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5
Q

Risk factors for breast cancer?

A

Smoking
Oestrogen - early menarche, late menopause, COCP
Age
BRCA1, BRCA2

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6
Q

Red flags for breast cancer?

A

Breast lump, pain or discharge
P’eau d’orange
Axillary or supraclavicular node

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7
Q

Key investigations when screening for breast cancer?

A

Breast exam - hard, non-mobile, painful lump. skin changes

Mammogram - every 3 years from 50-70 or young women with +ve FH

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8
Q

Appointment referral criteria for breast cancer?

A

Age >30 and unexplained breast lump or axillary node
or
Age > 50 and one of discharge, retraction, other concerns
or
Skin changes that suggest breast cancer

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9
Q

Non-urgent referral for breast cancer?

A

Age < 30, unexplained lump without pain

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10
Q

Stages of breast cancer?

A

Stage 1 - confined to breast tissue
Stage 2 - spreads to axillary LN
Stage 3 - spreads to superficial structures of chest wall and involvement of ipsilateral internal mammary LN
Stage 4 - distant metastases (lung, liver, bone and brain) and supraclavicular LN

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11
Q

Risk factors for gastric cancer?

A 
Smoking
Diet (spicy or burnt)
Alcohol
H. pylori
Male
>50yrs
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12
Q

Red flags for gastric cancer?

A

Haematemesis
Dysphagia and dyspepsia
N+V
Upper abdominal mass + pain

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13
Q

Key investigations for gastric cancer?

A

Gastro exam (abdo)

Endoscopy with biopsy

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14
Q

Referral criteria for endoscopy (gastric Ca)

A 
Dysphagia
or
Age >55 with weight loss + one of:
upper abdo pain
reflux
dyspepsia
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15
Q

Pancreatic cancer risk factors?

A

Smoking
FH
increased BMI
Alcohol

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16
Q

Most common type of pancreatic cancer?

A

Pancreatic ductal adenocarcinoma (exocrine)

17
Q

Red flag symptoms of pancreatic cancer?

A 
Abdominal pain
Weight loss
Diarrhoea/constipation
Painless jaundice
New diagnosis of DM
18
Q

Appointment referral criteria for pancreatic cancer?

A

Age > 40 with jaundice

19
Q

Direct access CT referral criteria?

A 
Age > 60 with weight loss + one of:
Constipation
Diarrhoea
Nausea
Vomiting
New onset diabetes
20
Q

Colorectal cancer risk factors?

A

Smoking, IBD, diet, alcohol

21
Q

Red flags for colorectal cancer?

A 
Bowel change
Malaena/rectal bleeding
Abdo pain (vague)
Abdo or rectal mass
22
Q

Key investigations in screening for colorectal cancer?

A

Full abdo exam

Faecal occult blood screen - every 2 years 60-74yrs (home test kit)

23
Q

Age related appointment referral criteria for suspected colorectal cancer?

A

Age > 40 with weight loss + abdominal pain

Age > 50 with rectal bleeding

Age > 60 with iron deficient anaemia or change in bowel habit

Age<50 with rectal bleeding + one of:
abdo pain
Bowel change
Wt loss
Fe anaemia
24
Q

What symptom of colorectal cancer should prompt two week referral in all age groups?

A

abdominal mass

25
Q

When should focal occult blood screen be offered to screen for colorectal cancer?

A

Every 2 years for 60-74 year olds

Additionally:
Age > 50 with unexplained weight loss and abdominal pain
Age < 60 with bowel habit change or Fe anaemias

26
Q

Risk factors for prostate cancer?

A

Benign prostate hypertrophy (BPH)
BRCA2
pTEN gene

27
Q

Red flag symptoms for prostate Ca?

A

Obstructive: hesitancy, dribbling, nocturne, increased frequency, urgency, retention
Prostate mass: irregular, enlarged or loss of median fissure

28
Q

Key investigations when screening for prostate Ca?

A

DRE - feel for irregular mass

PSA - highly raised (Nb 25% of men with Prostate Ca have a normal PSA)

29
Q

Appointment referral criteria for prostate cancer?

A

If prostate feels malignant

30
Q

Criteria for performing a PSA and DRE?

A

Lower urinary tract symptoms (LUTS) - hesitancy, retention, frequency, dribbling, nocturia

Erectile dysfunction

Visible haematuria

31
Q

Risk factors for testicular Ca?

A

Age 15-25
Caucasian
Testicular atrophy
Maldescent of testis

32
Q

Red flag symtom of testicular Ca?

A

Painless testicular swelling

33
Q

Investigations for screening for testicular Ca?

A

Testicular exam

Tumour markers:
b-HCG
LDH
AFP (of raised more likely to be non-seminoma)

34
Q

Appointment referral criteria for testicular Ca?

A

Non-painful enlarge or abnormal shape testis

35
Q

Direct access USS referral criteria for testicular Ca?

A

Unexplained persistent testicular symptoms

CCC (16 decks)

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