Metastatic disease Flashcards
1
Q
Investigations for metastatic disease of unknown primary
A
FBC, U&Es, LFT, calcium, urinalysis, LDH
Chest xray
CT CAP
AFP and hCG
2
Q
Specific investigations
A
Bone lesions- myeloma screen
Endoscopy
PSA
Women with peritoneal malignancy or ascites- CA 125
Men with germ cell tumours- testicular US
Mammography
3
Q
Most common causes of bone metastases
A
Prostate
Breast
Lung
4
Q
Most common sites for bone mets
A
Spine
Pelvis
Ribs
Skull
Long bones
5
Q
Lung metastases from
A
Breast
Colon
Renal cell
Bladder
Prostate
6
Q
Cannonball metastases
A
Round, well-defined lung secondaries (cannonball)
Most commonly seen with renal cell cancer (also choriocarcinoma, prostate cancer)
