Malignant Neoplasms Flashcards

1
Q

What is the most common primary of the liver?

A

Hepatocellular carcinoma (HCC, hepatoma)

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2
Q

Most aggressive renal CA associated with chronic UTIs, stones, strictures

A

Squamous cell carcinoma

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3
Q

Presents as Cushing’s, Conn’s, viralization/feminization, precocious puberty

A

Adrenal cortical cancer

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4
Q

Benign cystic neoplasm found in the panc head

A

Microcystic (serous cystadenoma)

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5
Q
A

Metastatic lymphoma to the kidney

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6
Q

The most commonly diagnosed cancer in men

A

Adenocarcinoma

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7
Q
A

Renal cell carcinoma (hypernephroma)

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8
Q

The most common malignancy of the pancreas and is associated with smoking, alcohol and diabetes

A

Adenocarcinoma

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9
Q

The most common tumour of the GI tract in children <10 years

A

Lymphoma

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10
Q
A

Adenocarcinoma of the pancreas

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11
Q
A

Adenocarcinoma of the GB

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12
Q

Most common malignant tumour of the GI tract

A

Adenocarcinoma

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13
Q

4 risk factors for HCC

A
  • alcoholic cirrhosis
  • hepatitis B & C
  • Toxic metabolites
  • metabolic disorders
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14
Q

The 4 most common sites of mets

A
  • lung
  • liver
  • bone
  • adrenal
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15
Q
A

Hepatocellular Carcinoma (hepatoma/HCC)

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16
Q

How do secondary neoplasms spread?

A
  • blood
  • lymphatics
  • direct invasion
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17
Q
A

Lymphoma

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18
Q
A

TCC of the bladder

19
Q

Focal, non-mobile mass or thickening on the bladder wall

A

TCC of the bladder

20
Q

What lab value increases in 70% of patients with HCC?

A

AFP

21
Q

Tumour of the collecting system

A

Transitional cell carcinoma (TCC)

22
Q

What is the most common primary liver tumour in children? What lab value will be elevated?

A

Hepatoblastoma, serum AFP elevated

23
Q
A

Klatskins Cholangiocarcinoma

24
Q

What is an extremely rare but aggressive malignancy of the liver that has rapid metastatic spread?

A

Hemangiosarcoma

25
Q
A

Microcystic (serous cystadenoma)

26
Q

Primary of the peritoneum associated with asbestos exposure

A

Mesothelioma

27
Q

Indirect signs of adenocarcinoma of the pancreas

A

Dilated pancreatic duct/bile duct
Dilated GB

28
Q

The most common malignant renal tumour in adults

A

Renal cell carcinoma (RCC, hypernephroma)

29
Q

Lab findings in liver mets

A

LFT’s (ALK PHOS, AST, ALT)

30
Q

This lymphoma affects the younger age group and those over 60 and 25% have para-aortic lymphadenopathy

A

Hodgkin’s lymphoma

31
Q

What sonographic characteristics are seen in malignancies?

A
  • Hypoechoic halo
  • multiple liver masses
  • high velocity signals
  • hypervascular lesions
  • lymphadenopathy
32
Q

Most common malignant tumour in the liver

A

Metastases

33
Q

What is the sign triad for mets to the kidney?

A
  • nonspecific renal enlargement
  • diffusely hypoechoic
  • displacement of organs/vessels
34
Q

This lymphoma arises in the older age group and 50% have para-aortic lymphadenopathy

A

Non-Hodgkin’s

35
Q

Highly malignant tumour in the adrenal medulla in small children

A

Neuroblastoma

36
Q

Solid mass in the ureter with hydronephrosis

A

TCC of the ureter

37
Q

The 3 forms of cholangiocarcinoma (bile duct carcinoma)

A
  • Intrahepatic
  • Distal
  • Hilar (Klatskins)
38
Q
A

TCC of the kidney

39
Q

The most common form of cholangiocarcinoma that appears as a normal CBD and dilated intrahepatic ducts

A

Klatskins tumour

40
Q

The most common malignant renal tumour in children

A

Nephroblastoma

41
Q
A

Hepatoblastoma

42
Q

Larger cystic malignancy of the pancreas tail

A

Macrocystic (mucinous)

43
Q

This malignancy is associated with gallstones

A

Adenocarcinoma of the GB