module 13 GI cancers Flashcards
1
Q
esophageal cancer
A
1-2% of all cancers men 3x > women > 60 overall 5 yr survival rate: 18% tumor may constrict lumen of esophagus - surgery, radiation, laser ablation
2
Q
esophageal cancer risk factors
A
genetic dietary: inc. nitrosamine, dec. fruit/veggie environmental chronic irritation smoking ETOH
3
Q
gastric carcinoma
A
> japanese Men > women 2:1 > 30 5 year survival rate: 28% tx: resection
4
Q
gastric carcinoma risk factors
A
h. pylori gastritis epstein barr virus genetic dietary ETOH
5
Q
gastric carcinoma s/s
A
none early spreads to organ/lymph easily anorexia wt. loss GI bleed
6
Q
small intestinal neoplasm
A
<50
tx: surgical removal, chemo
7
Q
SI neoplasm s/s
A
duct obstruction -> biliary stasis and jaundice bleeding ulceration obstruction intussusception
8
Q
colon cancer risk factor
A
> 40 diet: inc. fat, dec. fiber UC crohns genetic
9
Q
colon cancer s/s
A
depends on location black tarry stools (right colon) LEFT SIDE: occlusion - abd. pain - fullness - ribbon stool - blood/mucus BM RECTAL: - change in bowel habits: urgent need to deficate upon wakening, alternate constipation/ diarrhea - rectal fullness - dull ache in rectum
10
Q
colon cancer tx
A
surgery to remove tumor and adjacent tissue
poss. colostomy
chemo
radiatoin
11
Q
colon cancer and survival rates
A
local: 90%
regional: 70%
metastases: 14%
