Pancreatic cancer Flashcards

1
Q

2 factors making the prognosis of ductal adenocarcinoma poor

A
  • mets early

- presents late

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2
Q

Where in the pancreas is the most common location for cancer

A

Head

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3
Q

2 genes of pancreatic cancer

A
  • KRAS2

- BRCA2

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4
Q

Where does epigastric pain in pancreatic cancer radiate to

A

Back

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5
Q

What relieves epigastric pancreatic cancer pain

A

Sitting forward

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6
Q

What does ductal painless obstruction lead to

A

Jaundice

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7
Q

Other symptoms of pancreatic cancer

A
  • systemic symptoms
  • epigastric mass
  • ascites
  • organomegaly
  • lymphadenopathy
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8
Q

Courvoiser’s Law in pancreatic cancer

A

Enlarged GB non-tender

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9
Q

Trousseau’s sign in pancreatic cancer

A

Lumps under skin (clots)

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10
Q

Pancreatic cancer is more common in what gender

A

Male

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11
Q

Most unique RF for pancreatic cancer

A

High fat diet

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12
Q

Which scan is the only one that GPs can directly refer to if cancer is suspected

A

CT TAP

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13
Q

Criteria for 2-week wait referral for CT scan

A
  • > 40

- jaundice

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14
Q

Criteria for direct access CT

A
  • > 60
  • weight loss
  • abdominal symptoms
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15
Q

Tumour marker in pancreatic cancer

A

CA19-9

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16
Q

What does MRCP show

A

Detailed biliary tract

17
Q

What can ERCP achieve

A
  • stent & relief obstruction

- biopsy

18
Q

What is removed in a radical resection in Whipple’s pancreaticodudodenectomy

A
  • head of panc
  • antrum & pylorus of stomach
  • 1st & 2nd duodenum
  • common bile duct
  • GB
  • relative lymph
19
Q

Palliative option for pancreatic cancer

A

ERCP stenting