Vélinda cancer Flashcards

1
Q

Góðkynja æxli

  • tíðni
  • einkenni
  • tegundir
  • í hvaða vef
  • meðferð
A
  • sjaldgæf
  • valda dysphagiu
  • leyomyoma, cystur, polypar
  • ofast í submucosa
  • endocopic eða surgery
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2
Q

Faraldsfræði

  • tíðni
  • kynjahlutfall
  • 5 ára lifun
A

7-9 á ári

kk&raquo_space; kvk

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3
Q

Hvaða tegund af æxli

A

Adenocarcinoma > 90%

-ATH í heiminum ef flöguþekju algengara

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4
Q

Áhættuþættir

A

reykingar, áfengi, achalasia (Squamous)

GERD, Barrett´s, offita (Adeno)

lútbruni, geislaskaði

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5
Q

Einkenni

A

dysphagia (90%) (fyrst solid svo vökvar)
megrun (70%)
brjóstsviði (50%)

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6
Q

Greining:

A

magaspeglun (sýni)
CT til að sýna útbreiðslu
PET ef grunur um meinvörp

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7
Q

meðferð við flöguþekjucancer

A

lyf + geislar hafa sýnt svipaðan árangur og skurðmeðferð

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8
Q

Meðferð

A

Endoscopic mucosal resection (carcinoma in situ)

Vélindaresection

  • trans-thoracic (meira hér á Íslandi)
  • trans-hiatal
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