Surgical oncology

Question 1

4 most common CA in order

Answer 1

1. prostate
2. lung
3. breast
4. colorectal
5. non-hodgkins lymphoma

Question 2

5 highest mortlaity CA

Answer 2

1. lung
2. colon
3. breast
4. prostate
5. pancrease

Question 3

of the most common what is only one that surgery can’t possibly cure

Answer 3

lymphoma

Question 4

2 cancers with bad prognosis

Answer 4

1. lung

2. pancreas

Question 5

**what is neoadjuvant therapy

Answer 5

before surg

Question 6

**what is adjuvant therapy

Answer 6

after surg

Question 7

• what is negative margin

Answer 7

no cancer for 1mm around

Question 8

***6 ways that surgery can play a role

Answer 8

1. cure
2. palliation
3. prevention
4. recurrent disease (failed meds)
5. complications of disease
6. diagnosis

Question 9

examples where surg. ir required for cure

Answer 9

breast, colon, rectal, lung, pancreatic

Question 10

where surg. is NOT required for cure

Answer 10

lymphoma and leukemia, tongue and throat, anal, rare rectal CA

Question 11

3 examples of use of surgical paliation

Answer 11

1. bowel abstructions
2. rectal cancer with low burden of disease
3. palpable nodal disease in breast

Question 12

3 examples of preventative surg. for CA

Answer 12

1. breast for BRCA-1
2. colorectal for FAP, IBD, HNPCC
3. gastric

Question 13

how does surgery play a role in failed treatments

Answer 13

use after normally curative treatments have failed

Question 14

when is surgery used for complications

Answer 14

when primary treatment is not surgery, but surgical complications occur

Question 15

when is surgery used of diagnosis

Answer 15

1. when can’t biopsy becuase in a weird place

2. when need to take the tumor to know what it is

Question 16

** what is most important intraoperative consideration

Answer 16

negative margins

Question 17

what are some complications for surgery

Answer 17

infection, bleeds, hernia, DVT, UTI, scarring, LEAK, flap death, sexual, bowel change, lymphedema