Pathology of Colon 2 - Neoplasia Flashcards
1
Q
How does dysplasia tend to appear in the colon?
A
The presence of polyps
Can mark the beginning of progression to colon cancer
2
Q
Types of adenomatous polyps?
A
Tubular
Villous
Tubulovillous
3
Q
Describe low grade dysplasia
A
Increased nuclear numbers & size
Reduced mucin
4
Q
Describe high grade dysplasia
A
Carcinoma in situ (growth is in the cells normal place)
Crowded
Very irregular arrangement
Not yet invasive
5
Q
Commonest form of colorectal carcinoma?
A
Adenocarcinoma (98%)
6
Q
Risk factors for colorectal carcinoma?
A
Smoking Lifestyle Family history IBD (CD & UC) Genetics
7
Q
Describe symptoms & characteristics of right sided colorectal carcinomas
A
Weight Loss
Anaemia
Polyploid growth
Vague pain
Weakness
Obstruction common
8
Q
Describe left sided colorectal adenocarcinomas
A
Annular shape/growth Often cause bleeding Altered bowel habit (diarrhoea) Obstruction common Tenesmus