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ENARM > ONCO 1 > Flashcards

ONCO 1 Flashcards

1
Q

Datos USG en METASTASIS al HIGADO

A

NODULO HEPATICO HIIIPOOOVASCULAR

En Cance hepatico, el nodulo es HIPERVASCULAR

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2
Q

1 CA que da METS al higado

A

CA COLORRECTAL

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3
Q

Tamizaje de poliposis adenomatosa familiar

A
  • ANALISIS DE GEN APC en leucocitos de sangre periperiferica

* COLONOSCOPIA A PARTIR DE LOS 12 AÑOS

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4
Q

TX POLIPOSIS ADENOMATOSA FAMILIAR

A

colectomia cuando aparezcan polipos

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5
Q

pronostico de poliposis adenomatosa familair

A

el 100% se convierte en cancer

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6
Q

tx CA RECTAL localizado

A

MICROCIRUGIA TRANSANAL ENDOSCOPICA

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7
Q

DX TEP

A

TAC HELICOIDAL

pese a que pueda estar el DIMERO D elevado, eso no confirma el dx

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8
Q

clinica de Ca PANCREATICO

A
  • ** CA 19-9 ELEVEADO ***
  • Perdida de peso
  • Ictericia (x BD)
  • Dorsalgia
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9
Q

CLINICA CA PANCREATICO EN CABEZA PANCREATICA

A
  • Perdida de peso
  • Ictericia
  • DOLOR ABDOMINAL
  • COLURIA // ACOLIA
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10
Q

CLINICA DE CA PANCREATICO EN CUERPO PANCREATICO

A
  • PERDIDA DE PESO
  • DOLOR ABDOMINAL
  • nauseas
  • fatiga
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11
Q

1 dx en cancer pancreatico

A

USG HIGADO Y VIA BILIAR

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12
Q

DX estadificacion de CA PANCREATICO

A

TAC HELICOIDAL

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13
Q

estudio prequirurgico en CA PANCREATICO

A

USG DOPPLER

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14
Q

TX CA PANCREAS

A

OPERACION WHIPPLE

“pancreatoduodenectomia”

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15
Q

tx coadyuvante post OPERACION WHIPPLE

A

5-FLUOROURACILO + ACIDO FOLINICO

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16
Q

que es el TUMOR DE KLATSKIN

A

“colangiocarcinoma hilar” del arbol biliar

en la union del ducto biliar hepatico izqueirdo y derecho

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17
Q

CLINICA DE COLANGIOCARCINOMA (Klatskin)

A

Obstruccion biliar =

  • ictericina
  • ACOLIA
  • COLURIA
  • PRURITO
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18
Q

DX COLANGIOCARCINOMA

A

COLANGIORESONANCIA

no hay marcadores tumorales especificos, pero pueden servir el CA 19-9, Antgeno carcino embrionario

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19
Q

TX COLANGIOCARCINOMA

A

HEMIHEPATECTOMIA +/- pancreatoduodenectomia + reseccion del conducto biliar + linfadecectomia regioponal

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20
Q

clinica de SARCOMA RETROPERITONEAL

A
  • “casi todos son malignos”
  • MASA ABDOMINAL >20cm
  • distension abdominal,
21
Q

DX INICIAL SARCOMA RETROPERITONEAL

A

TAC ABDOMEN / PELVICA

22
Q

Caracteristica de SARCOMA RETROPERITONEAL

A

DA METASTASIS RAPIDACEMNTE, en especial a PULMON

23
Q

DX ELECCION SARCOMA RETROPERITONEAL

A

BIOPSIA DE NUCLEO CON AGUJA

24
Q

1 tipo histologico de SARCOMA RETROPERITONEALES

A

LIPOSARCOMA

25
Q

TX SARCOMA RETROPERITONEAL

A

RESECCION QUIRURGICA CON MARGENES NEGATIVOS

26
Q

TX ADYUVANTE POST WHIPPLE EN CASO DE ALERGIA A 5-FLUORORACILO

A

GEMCITABINA

27
Q

Origen de los TUMORES DEL ESTROMA GASTROINTESTINAL

A
  • proceden de celulas marcapasointestinales

- celulas intersticiales de CAJAL

28
Q

CD presente en TUMORES DEL ESTROMA GASTROINTESTINAL

A

CD117 (presente en las celulas de CAJAL)

29
Q

lugares mas comunes de presentacion de TUMORES DEL ESTROMA GASTROINTESTINAL

A

1 ESTOMAGO

30
Q

TX TUMORES DEL ESTROMA GASTROINTESTINAL

A

Reseccion quirurgica hasta margenes negativos

31
Q

tx para evitar RECURRENCIA del estroma gastrointestinal

A

IMATINIB

32
Q

CLINICA DE AMPULOMA

A
  • Ictericia OBSTRUCTIVA
  • Sangre oculta en heces
  • Perdida de peso
33
Q

dx AMPULOMA

A

COLANGIOPANCREATOGRAFIA TRANSDUODENOSCOPIA + biopsia

34
Q

tx AMPULOMA

A

DUODENOPANCREATECTOMIA CEFALICA

35
Q

Gen afectado en POLIPOSIS ADENOMATOSA FAMILIAR

A

GEN APC

36
Q

TIPO DE POLIPO QUE SE ASOCIA MAS A MALIGNIDAD

A

VELLOSO

37
Q

TX POLIPOSIS ADENOMATOSA FAMILAIR

A

Colectomia con anastomosis ileorrectal

38
Q

farmacos que sirven para RETARDAR o PREVENIR los polipos

A

CELECOXIB // SULINDACO

39
Q

Clinica de SX LYNCH

A
  • carcinoma colorrectal a una edad temprana (surge en colon proximal)
40
Q

Criterios dx de sx lynch

A

AMSTERDAM II

41
Q

DX SX LYNCH

A
  • 3 familiares con sx lynch (1 de ellos debe de ser familiar directo)
  • en 2 generaciones sucesidas de una familia con dx antes de los 50 años
42
Q

tx sx lynch

A

RESECCION QUIRURGICA + QT

43
Q

TX CARCINOMA EPIDERMOIDE DEL ANO

A

“PROTOCOLO DE NIGRO” = QT + RT

44
Q

Estirpe celular de la “enfermedad de BOWEN”

A

CARCINOMA DE CELULAS ESCAMOSAS DEL ANO IN SITU

45
Q

1 causa de ENFERMEAD DE BOWEN

A

VPH 16-18

46
Q

Nombre que recibe el condiloma ACUMINADO GIGANTE

A

TUMOR DE BUSCHKE-LOWENSTEIN

47
Q

Dx CANCER TIROIDES

A

USG + BAAF

48
Q

Estirpe de CA TIROIDEO que presenta “NUCLEOS DE ANITA LA HUERFANITA”

A

CARCINOMA PAPILAR

49
Q

TX CARCINOMA PAPILAR DE TIROIDES

A

<1 cm = HEMITIROIDECTOMIA

> 1 cm =TIROIDECTOMIA TOTAL

ENARM (178 decks)

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