Pathology of Colorectal Cancer Flashcards
What is a polyp?
A protrusion above an epithelial surface
Is a polyp always classed as a tumour?
Yes
Is a polyp benign or malignant?
Can be either
What is the differential diagnosis for a colonal polyp?
- Adenoma
- Serrated polyp- premalignant falt lesion of the colon
- Polypoid carcinoma
What does a pendunculated polyp mean?
any polyp that is attached to the base tissue by a slender stalk
Polyps sent for histopathology will show a dysplastic epithelial lining. T/F?
True
Adenoma’s of the colon are usually malignant and metastasise. T/F?
False- benign and local dysplasia.
Adenomas of the colon can be structurally seen in what 3 types?
- Tubular
- Villous
- Tubulovillous
An adenoma is called a _ when it becomes invasive.
Adenocarcinoma
What are the two methods of removing a polyp?
- Endoscopy
- Surgery
Inherited tumours and serrated adenomas have different genetic pathways. T/F?
True
Explain Dukes A,B,C staging in colorectal cancer.
A- Confined by muscurlaris propria.
B- Through muscularis propria
C- Metastasis to lymph nodes
Colorectal carcinoma is more commonly right sided than left sided. T/F?
False- Left sided in 75% cases
Rectum, sigmoid, descending affected
What are the presenting symptoms of L sided colorectal carcinoma?
- Rectal bleeding
- Obstruction
- Altered bowel habbit
What structures are affected in a right sided colorectal carcinoma?
Caecum, Ascending
Presenting symptoms of R sided colorectal carcinoma?
Anaemia & Weight loss
Colorectal carcinoma can be polypoid, stricturing or ulcerating in appearance. T/F?
True
Locally invasive Colorecatal carcinoma usually invades which structures? (2)
- Mesorectum
- Peritnoeum
- Other ograns
Which lymph nodes are usually taken over by nodal spread of Colorectal carcinoma?
Mesenteric lymph nodes
Which organ is most commonly affected by metastatic spread of Colorectal carcinoma?
Liver
What are the two inherited cancer syndromes?
- Hereditary Non polyposis Coli (HNPCC)
- Familial Adenomatous Polyposis (FAP)
What are the differences in symptom onset between HNPCC and FAP?
HNPCC- Late onset
FAP- Early onset
HNPCC are FAP are both autosomal dominant conditions. T/F?
True
What are the differences between HNPCC and FAP in terms of the number of Polyps found?
HNPCC < 100
FAP > 100