lecture 12 cancer in the GI Flashcards

1
Q

most common tumours of the GI

A

adenocarcinome

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2
Q

symptoms of GI cancer

A

wightloss
bleeding
pain
alteration of flow

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3
Q

alterations of flow

A

dysphagia
diarrhoea
constipation

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4
Q

occult poo

A

when you cant see it

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5
Q

epigastric pai

A

foregut

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6
Q

periumbiliacal pain

A

midgut

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7
Q

pain of cancer

A

visecral - poorly localised

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8
Q

usual spread

A

liver and lungs

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9
Q

risk factors

A
diet - high carb and fat
smoking
alcohol
inflammation
genetic
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10
Q

familial cancers

A

HNPCC

FAP

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11
Q

oesophagus is lined with

A

squamous epithelium

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12
Q

where do you find oesophageal squamous carcinoma

A

middle

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13
Q

where are oesophageal adenocarcinomas

A

typically lower down

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14
Q

adenocarcinoma of the oesophagus

A

barrettes

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15
Q

in adenocarcinoma what is the change of the epithelium

A

squamous to columnar

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16
Q

symptoms of oesophageal cancer

A

difficulty swallowing

17
Q

pain on swallowing

A

odynophagia

18
Q

risk factors of pancreatic cancer

A

smoking
diabetes
chronic pancreatitis

19
Q

oncogene almost always mutated in pancreatic

20
Q

tumour suppressor affected in pancreatic

21
Q

pancreatic symptoms

A

unlikely
pain
obstructive jaundice

22
Q

Migratory thrombophlebitis

A

is inflammation of superficial veins and appears in different places

23
Q

sign of pancreatic malignancy

A

Migratory thrombophlebitis

24
Q

neoplastic colon polyps

A

adenocarcinoma

25
FAP inheritance
autosomal dominant
26
FAP mutation
APC
27
APC is in cahrge of
beta catalyn and the wnt signalling
28
lynch syndrome
HNPCC
29
in HNPCC where is the problem
DNA mismatch repair
30
what increases chance of malignancy with polyps
the size
31
intestinal type gastric cancer mutation
increase in wnt signalling
32
diffuse infiltrative type gastric cancer mutation
E-cadherin (CDH1)