Small Bowel Cancer

Question 1

RF

Answer 1

Hereditary Cancer Syndromes
- Adenocarcinoma
Chronic Inflammation
- Adenocarcinoma - Crohn’s
- Lymphoma - Celiac
Diet
- Alcohol, refined sugar, red meat, smoked food
Tobacco

Question 2

Clinical

Answer 2

• Asymptomatic
• Abdominal Pain
• Weight Loss
• Nausea and Vomiting
• Gastrointestinal Bleeding
• Intestinal Obstruction

Question 3

Small Bowel cancer tumors

Answer 3

I. Adenocarcinoma
II. Carcinoid
III. Lymphoma
IV. Sarcoma

Question 4

MC cancer of small bowel

Answer 4

adenocarcinoma

Question 5

MC site of adenocarcinoma

Answer 5

duodenum

Question 6

Adenocarcinoma mainly due to

Answer 6

crohn’s disesae

Question 7

Carcinoid tumors commonly found

Answer 7

ileum

Question 8

Clinical carcinoid syndrome

Answer 8

Watery diarrhea, flushing, sweating, wheezing, dyspnea, abdominal pain, hypotension

Question 9

Cause carcinoid syndrome

Answer 9

Precipitated by:
alcohol
blue cheese
chocolate
red wine or exercise
anesthesia

Question 10

Dx carcinoid syndrome

Answer 10

Urinary excretion of 5-HIAA
Serum Chromagranin A
Somatostatin receptor scintigraphy

Question 11

Tx carcinoid syndrome

Answer 11

Octreotide

Avoidance of Triggers

Question 12

Tx carcinoid tumors

Answer 12

Surgical Excision
+/- chemotherapy
Chemoembolization

Question 13

sarcoma found where

Answer 13

jejunum and ileum

Question 14

Most common tumor in sarcoma

Answer 14

gastrointestinal stroma

Question 15

What is the MC extranodal form of lymphoma

Answer 15

Non-hodgkins and Marginal Zone B cell lymphoma

Question 16

Predisposing conditions of lymphoma

Answer 16

Autoimmune Disease
Immunodeficiency Syndromes (e.g HIV)
Long-Standing Immunosuppressive therapy
Crohn’s Disease

Question 17

Imaging Small bowel cancer

Answer 17

Upper Gastrointestinal series/small bowel follow through
Enteroclysis (CT, MRI or conventional)
CT scan with IV and oral contrast

Question 18

Direct visualization of small bowel cancer

Answer 18

Upper endoscopy
Push enterescopy
Double-balloon enteroscopy
Wireless Video Capsule

Question 19

Pre-op screening of small bowel cancer

Answer 19

CBC
LFTS
PET SCAN/CT

Question 20

Tx adenocarcinoma

Answer 20

surgical

Question 21

Tx carcinoid

Answer 21

surgical

Question 22

Tx sarcoma

Answer 22

Surgical Excision + Imatinib (advanced disease)


Question 23

Tx lymphoma

Answer 23

Surgical Excision (Node negative) + Chemotherapy (Node positive)