Oesophageal tumours Flashcards
1
Q
Benign tumours (1)
A
Squamous papilloma
2
Q
Malignant tumours (2)
A
Squamous ell carcinoma
Adenocarcinoma
3
Q
Squamous cell carcinoma: Aetiology
A
Smoking Alcohol Males African origin Genetics Strong tea Human papilloma virus
4
Q
Squamous cell carcinoma mainly affects the upper/lower oesophagus?
A
Upper
5
Q
Squamous cell carcinoma: clinical presentation
A
Dysphagia to solids
Dysphagia to all foods
Unintentional weight loss
+ GORD symptoms
6
Q
Squamous cell carcinoma: investigations
A
Endoscopy
Biopsy
7
Q
Squamous cell carcinoma: management
A
Curative - oesophagectomy
Palliative: radiotherapy, chemotherapy
8
Q
Adenocarcinoma: aetiology
A
GORD Barrett's Oesophagus Obesity Males Causacian origin
9
Q
Adenocarcinoma: pathogenesis
A
GORD Metaplasia Barrett's oesophagus Low grade dysplasia High grade dysplasia Adenocarcinoma
10
Q
Adenocarcinoma: investigations
A
Endoscopy Biopsy CT chest, abdo PET scan EBUS
11
Q
Adenocarcinoma: management
A
Curative - endoscopic resection
No metastases - oesophagectomy, chemotherapy
