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GI > oesophageal tumours > Flashcards

oesophageal tumours Flashcards

1
Q

benign tumours

A

squamous papilloma
HPV related
asymptomatic and rare

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2
Q

malignant tumours

A

squamous cell carcinoma or adenocarcinoma

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3
Q

squamous cell oesophageal tumours

A 
upper oesophagus
males
vitamin A, zinc def
HPV 
oesophagitis 
strong tea
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4
Q

oesophageal adenocarcinoma

A

lower oesophagus

main risk factor is barrett’s oesophagus

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5
Q

mechanism of adenocarcinoma

A

genetic factors or reflux > chronic reflux oesophagitis > Barrett’s > low grade > high grade > adenocarcinoma

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6
Q

presentation

A 
unrelenting dysphagia- progressive
food causes pain
weight loss
heartburn
vomiting 
lethargy
hoarse voice
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7
Q

investigations

A

endoscopy + biopsy to diagnose
CT scan
edoscopic US
laparscopy

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8
Q

management T1

A

endoscopic resection

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9
Q

management T2,3,4

A

perioperative chemo with radical surgery

neoadjuvant chemoradiotherapy- SSC

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10
Q

management T4B M1

A

palliative

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GI (25 decks)

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