Lec 04 Surgical Oncology

Question 1

What is the Couric (Angelina) Effect and how is it related to breast cancer?

Answer 1

Angelina Jolie’s preventive mastectomy raised awareness for colon/breast cancer

Question 2

What are the three mechanisms of cancer spread?

Answer 2

direct extension, lymphatic spread, hematogenous spread

Question 3

What is the rank of malignant neoplasms in terms of mortality (PHL)?

Answer 3

3rd

Question 4

What are the two most common sites of malignancies?

Answer 4

breast and lung

Question 5

What are the top 3 sites of cancer in females?

Answer 5

breast, cervix, lungs

Question 6

What are the top 3 sites of cancer in males?

Answer 6

lungs, liver, colon/rectum

Question 7

What are the nine warning signs of cancer?

Answer 7

Change in the bowel and bladder habits
A sore that does not heal
Unusual bleeding or discharge
Thickening or lump in breast or elsewhere
Indigestion or difficulty in swallowing
Obvious wart or mole
Nagging cough or hoarseness
Unexplained anemia
Sudden or unexplained weight loss

Question 8

What preventive measures should be taken for Cervical CA?

Answer 8

HPV vaccination, having one sexual partner. safe sex

Question 9

What preventive measures should be taken for Hepatic CA?

Answer 9

Hep B vaccination, minimal alcohol intake, avoid fatty foods

Question 10

What preventive measures should be taken for Prostate CA?

Answer 10

No evidence

Question 11

What type of screening should be done for Colorectal CA?

Answer 11

regular medical check-up for those >40 y.o., yearly DRE

Question 12

What are the limitations of surgery in cancer?

Answer 12

cancer cells in log phase follow zero-order kinetics, regional modality

Question 13

T/F Surgery is the only modality with long-term curative potential

Answer 13

T

Question 14

What is the primary advantage of intraoperative radiation therapy?

Answer 14

less damage to surrounding cells

Question 15

Who is the father of surgical oncology?

Answer 15

James Ewing