Metastatic Disease of Unknown Primary Flashcards

1
Q

Which investigations should be performed in all patients with metastatic disease of unknown primary?

A

FBC, U+E, LFT, calcium, urinalysis, LDH
CXR
CT CAP
AFP + hCG

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What investigation should be performed if lytic bone lesions are detected in metastatic disease of unknown primary?

A

Myeloma screen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What investigations should be performed directed towards symptoms in metastatic disease of unknown primary?

A

Endoscopy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What investigation should be performed in men with metastatic disease of unknown primary?

A

PSA
Testicular US (in men with germ cell tumours)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What investigation should be performed in women with metastatic disease of unknown primary?

A

CA 125 (if peritoneal malignancy or ascites)
Mammography (if clinical or pathological features compatible with breast cancer)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly