Neoplastic Disease of the GI Tract Flashcards

1
Q

most common cancers

A
  1. lung
  2. breast
  3. colorectal
  4. prostate
  5. head and neck
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2
Q

what is dysplasia

A

abnormality in growth and differentiation

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3
Q

difference between hypertrophy and hyperplasia

A

hyperplasia - tissue growth due to increase in cell number
hypertrophy - increase in cell size

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4
Q

def. of neoplasm

A

an abnormal mass of tissue
excessive and uncoordinated growth
growth persists even after evoking stimulus removed

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5
Q

in epithelial tissues, severe dysplasia is often referred to as…

A

carcinoma in situ

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6
Q

5 features of dysplasia

A

hyperchromatism (dark staining nuclei)
nuclear pleomorphism (variation in nuclear shape)
loss of orientation
cell crowding and stratification
increased and/or abnormal mitotic figures

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7
Q

what is cancer of epithelium called

A

carcinoma

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8
Q

what is cancer of soft tissue called

A

sarcoma

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9
Q

what is cancer of blood called

A

lymphoma
leukaemia

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10
Q

5 routes of metastasis

A

lymphatic
vascular
perineural and intraneural
spread across cavities
iatrogenic

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11
Q

effects of benign tumours

A

bleeding
space occupying lesions within skull
hormones
obstruction of lumen
compression of adjacent structures

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12
Q

what is intussesception

A

when polyp is dragged forward by peristalsis pulling the bowel with it and causing obstruction

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13
Q

what are borderline tumours

A

when it is difficult to predict behaviour of some neoplasms

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14
Q

two common forms of borderline tumours

A

lots of local invasion but no metastasis
appear benign but later develop metastasis

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15
Q

differentiation of high grade vs low grade tumours

A

high grade - poorly differentiated

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16
Q

most common cancer type in oesophagus worldwide

A

squamous cell carcinoma

17
Q

risk factors for squamous cell carcinoma of oesophagus

A

tobacco
alcohol
diet
hot drinks
infection
genetics

18
Q

most common type of oesophageal cancer in UK

A

adenocarcinoma

19
Q

risk factors for adenocarcinoma of oesophagus

A

acid reflux and barrett’s

20
Q

what type of oesophageal cancer is a smoker and heavy drinker likely to get

A

squamous cell carcinoma

21
Q

what is barrett’s oeosphagus

A

metaplasia from squamous to columnar epithelium

22
Q

causes of gastric adenocarcinoma

A

diet
h.pylori (causing gastritis)
bile reflux

23
Q

what are the two histological patterns of gastric cancer

A

intestinal type
diffuse type

24
Q

four types of tumours in small intestine

A

adenocarcinoma
neuroendocrine tumours
GISTs
lymphoma

25
Q

what are neuroendocrine tumours

A

epithelial tumours associated with the synthesis of hormone or NT like substances

26
Q

what are GISTs

A

GI stromal tumours
soft tissue tumours that can arise anywhere in the GI tract

27
Q

hamartomatous meaning

A

cells which are normally found in that tissue but are present in abnormal proportions and in excess

28
Q

do hyperplastic colorectal polyps have malignant potential

A

no

29
Q

what are the three types of adenoma

A

villous
tubulovillous
tubular

30
Q

how does an adenoma progress to an adenoma carcinoma

A

by accumulation of mutations
and invasion into tissue wall

31
Q

what genetic condition increases polyp formation in intestine

A

familial adenomatous polyposis (FAP)

32
Q

what gene is inactivated in 80% of colorectal cancer

A

APC tumour suppressor gene

33
Q

what genes/syndromes predispose to colorectal cancer

A

FAP
HNPCC/Lynch syndrome

34
Q

who is screened for colorectal cancer in scotland

A

50-74s

35
Q

what is the screening test for colorectal cancer

A

faecal occult blood test or qFIT

36
Q

positive colorectal screening results in

A

referral for colonoscopy