GI CANCER POWERPOINT AND HANDOUT / CB

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Author:
RadTherapy
ID:
179612
Filename:
GI CANCER POWERPOINT AND HANDOUT / CB
Updated:
2012-10-24 16:00:05
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GI CANCER POWERPOINT HANDOUT CB
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GI CANCER POWERPOINT AND HANDOUT / CB
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  1. What are some of the causes of GI cancer?
    • Alcohol and tobacco use
    • Chemical exposure
    • Barrett's esophagus (change occures with GERD)
    • Achalasia (Lower 2/3 of esophagus loses normal peristaltic activity)
    • Plummer-Vision Syndrome (Iron deficient anemia)
  2. Name some signs and symptoms of GI cancer:
    • Dysphagia and weight loss
    • Chest pain
    • Regurgitation and aspiration
    • Odynophagia
    • Hematemesis
    • Coughing
    • Hemoptysis
    • Hoarseness
  3. 4 Detections of GI cancer:
    • Chest X-ray
    • Barium Swallow
    • PET/CT
    • Esophagoscopy
  4. What are the % of the GI tumor locations (upper, lower and middle):
    • 10%-25% located in the upper third
    • 25%-50% located in the lower third
    • 40%-50% located in the middle third
  5. What is the most common pathology in GI cancer?
    Squamous Cell (upper and middle)
  6. What pathology is Distal esophagus and GE junction?
    Adenocarcinomas
  7. Rare GI tumors include:
    • Adenoid cystic carcinoma
    • Mucoepidermoid carcinoma
    • Leimyosarcoma
    • Melanoma
    • Lymphoma
    • rhabdomyosarcoma
  8. What is the Staging (TNM) is based on?
    Extension outward (page 783 in textbook)
  9. What is the % 5 year survival?
    5%
  10. What are the 3 route of spread?
    • Lymphatic
    • Local Invasion
    • Distant Metastasis
  11. Which route spreads in longitudinal fashion and skip lesions are present at t significant distance forme primary lesion (submucosal spread)?
    Lymphatic
  12. Which route of spread is considered Trachoesophageal and bronchoesophageal fistulas?
    Local invasion
  13. Where does the distant metastasis spread?
    • Liver
    • Lung
    • Bone
    • Adrenals
    • Brain
  14. What are the 3 treatment techniques for GI cancer?
    • Surgery
    • Chemotherapy
    • Radiation Therapy
  15. Which treatment technique can treat middle and lower third ONLY, usually reserved for small non-metastatic lesions?
    Surgery
  16. What are some possible complications of having surgery? 
    • Anastomotic leaks
    • PE
    • Myocardial infarction
    • Strictures
    • GE reflux
  17. Which treatment method is used in conjunction with radiation for better local control and distant metastatic disease?
    Chemotherapy
  18. Which drugs are used to treat during chemotherapy?
    5-Fu and Cisplatin

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