Path tutorial Flashcards
Staging for colon cancer
Duke’s
A-D depending on whether it crosses muscularis purpura
Symptoms of colon cancer
More narrow stool
constipation
Bleeding
Anaemia/fatigue/pallor/breathless on exertion
Distal colon - blood in stools - haematochezia
Loss of weight and appetite
What kind of cancer is bowel cancer
Gland forming adenocarcionma
Name a differential for
Red thing - benign polyps = adenoma
dysplastic
Symptoms of adenomatous polyp
Asymptomatic
Bleeding
Change in bowel habits
Pathological features of Crohns’s
Flat Cobblestone appearance Strictures e.g. in ileoceocal area Skip lesions - where parts of the colon have been skipped Thickened bowel wall Fistula Perforation Creeping fat
Location of crohns vs UC
Crohn’s - ileocaecal region
UC - Colon
UC gross appearance
Superficial ulcers
Pseudopolyps
Microscopy of UC and
Crypt abscesses, distortion, metaplasia
Microscopy of CROHNS
non-caseating granulomas
deep ulcers
perforation
Chronic constipation in person over 60 with fever
diverticulitis
