maagement of bowe tumours

Question 1

bowel tumours

Answer 1

Question 2

macroscopic

Answer 2

Right sided – Fe deficiency anaemia, take a long time to obstruct
Left sided – present with rectal bleeding and change in bowel
Rectum – as for left side but also tenesmus

Question 3

micoscopic

Answer 3

All adenocarcinomas
Arise in glandular tissue
Cf squamous carcinomas

Question 4

dukes

Answer 4

A – confined to the wall
B – through the wall
C1 – involving pericolic lymph nodes
C2 – involving the node nearest to the point of vascular ligation
D

Question 5

spread

Answer 5

LOCAL
DISTANT – transcoelomic haematogenous lymphatic lungs and liver

Question 6

progrnosis

Answer 6

Overall 50% due to late presentation
May change because of screening programme
DUKES A – 90%
DUKES B – 60%
DUKES C – 30%