Pathology of the Colorectal Carcinoma Flashcards

1
Q

polyp

A

profusion above an epithelial surface

tumour (swelling)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

differential diagnosis of a colonic polyp

A

adenoma
serrated ployp
polypoid carcinoma
other

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

types of ployp

A

pedunculated
sessile
flat

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

most polyps are adenomas

A

tubullovillous
villous
tubular

all are dysplastic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

adenoma-carcinoma sequence

A

normal mucosa - adenoma (dysplastic) - adenocarcinoma (invasive)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

colorectal carcinoma

A

dukes a - confined by muscular proproa

dukes b - through muscularis propria

dukes c - metastatic to lymph nodes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

colorectal carcinoma - left side

A

blood PR
altered bowel habit
obstruction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

colorectal carcinoma - right side

A

anaemia

weight loss

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

diverticular disease

A

common
asymptomatic
related to low fibre diet and increased intralumenal pressure
leads to herniation through the membrane

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

diverticulum

A

an abnormal sac or pouch formed at a weak point in the wall of the alimentary tract

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

diverticular disease - complications

A
inflammation
rupture
abscess
fistula
massive bleeding
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

ischaemia of the large bowl

A

old people disease - caused by atherosclerosis

left sided disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

pseudomembranous colitis

A

antibiotic-induced
can get it on chemo
anything that kills bacteria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

collagenous colitis

A

thickened basement membrane
normal is between 2-3 microns
disease is patchy
associated with intraepithelial inflammatory cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

radiation colitis

A

chronic active or inactive colitis
telangectasia
bizarre stromal cells, bizarre vessels

may be other complications of immunosuppression if also on chemo

consequence of radiotherapy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

acute infective colitis

A

rarely drugs, ischaemia, endoscopy prep.

17
Q

common diseases

A
diverticular 
ischaemia
antibiotic induced
microscopic
radiation
infective
ulcerative
crohns