Week 6 - Colorectal Cancer Flashcards

1
Q

describe the prevalence of colorectal cancer

A
  • 2nd most common for men

- 3rd most common for women

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2
Q

where do most colorectal tumours occur?

A
  • in the left colon (sigmoid) & rectum
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3
Q

what is one way to detect colorectal cancer

A
  • via sigmoid scope
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4
Q

what are the risk factors for colorectal cancer (5)

A
  • increases with age, particularly over 50
  • FHx
  • ulceratitive colitis
  • multiple colon polyps
  • diet

see notes for longer chart w

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5
Q

how does a low fiber diet increase the risk of colorectal cancer

A
  • creates a smaller, slower fecal bulk = increased amt of time a carcinogenic spends in the colon
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6
Q

what impact does increased dietary fiber intake have on colorectal cancer

A
  • will dilute the feces & lead to quick removal of carcinogens
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7
Q

what kind of diet increases the risk of colorectal cancer (5)

A
  • low fibre
  • high in fat & red meat
  • low calcium
  • low folate
  • low antioxidant vitamines
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8
Q

what are considered antioxidant vitamins

A

A, C, E

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9
Q

what 2 things seem to decrease the risk of colorectal cancer

A
  • NSAIDs

- hormone replacement therapy

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10
Q

what is often the first sign of colorectal cancer

A
  • bleeding and/or occult blood
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11
Q

describe the onset of symptoms in colorectal cancer

A
  • usually asymptomatic until late in its course
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12
Q

list manifestations of colorectal cancer (3)

A
  • bleeding and/or occult blood
  • weight loss
  • change in bowel habits
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13
Q

what changes in bowel habits is seen during colorectal cancer

A
  • diarrhea
  • constipation
  • incomplete emptying
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14
Q

what is a manifestations common with a left-sided tumour? why?

A
  • bowel obstruction

- solid feces has difficulty clearing past the mass

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15
Q

describe the survival rate of colorectal cancer if it is mucosal involvement only vs metastisis

A
  • mucosal only = 100

- metastasis = <20%

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16
Q

describe symptoms for a mass in the ascending colon

A
  • pain
  • mass
  • change in bowel habits
  • anemia
17
Q

describe symptoms for a mass in the transverse colon

A
  • pain
  • obstruction
  • change in bowel habits
  • anemia
18
Q

describe symptoms for a mass in the descending colon

A
  • pain
  • change in bowel habits
  • bright red blood in stool
  • obstruction
19
Q

describe symptoms for a mass in the rectum

A
  • blood in stool
  • change in bowel habits
  • rectal discomfort