LIVER & GALLBLADDER CH

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Author:
RadTherapy
ID:
181166
Filename:
LIVER & GALLBLADDER CH
Updated:
2012-11-02 00:15:34
Tags:
LIVER GALLBLADDER
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Description:
LIVER & GALLBLADDER CH
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  1. The liver is divided up into 2 lobes, which side is larger?
    Right
  2. Where is the liver located
    RUQ of abdomen
  3. The liver is considered an exocrine gland that
    • secretes and produces bile
    • filter toxins
  4. Which hepatobillary ca is most common
    • HCC hepatocellular carcinoma
    • and increasing in incidence as a result of hep c
  5. What are the clinical presentations for hepatobillary ca
    • #1 JAUNDICE
    • abdominal pain
    • weight loss
    • fatique
    • fever
    • night sweats
  6. Where dose the hepatobillary ca spread within the lymphnodes (5)
    • porta hepatic
    • celiac
    • cystic
    • pericholeductal
    • hilar
  7. Where is the blood spread for hepatobillary ca
    • lung
    • brain
  8. What is the work up for hepatbillary ca
    • history and physical
    • CBC w/chemistry. liver function
    • CA19-9
    • AFP
    • CEA
    • ultrasound
    • CT
    • cholangiography to check to see if bileducts are clogged
  9. Which treatments are done for hepatobillary ca
    • surgery
    • liver transplant
    • chemo
    • rad
  10. What is the rad dose for hepatobillary ca
    36-60 GY
  11. What are the critical structures for hepatbillary ca
    • bowel
    • kidneys
    • cord
  12. For liver CA who are more common to get it and what age group
    • men
    • 60-70
  13. Which disesaes are liver ca associated with
    • cirrhosis
    • hep B
  14. What are symptoms of liver ca
    • weakness
    • loss of appetite
    • bloating
    • weight loss
    • dull pain
    • fever
    • anorexia
    • nausea
  15. What is the histology for liver ca
    • hepatocellular carcinoma
    • or
    • cholangio carcinoma (adenocarcinoma)
  16. distant mets occur in about ____ % of patients for liver ca
    50%
  17. Which chemo drug is used for liver ca
    Adriamycin
  18. What is the liver tolerance dose
    30GY
  19. What is the 5 year survival rate for liver ca
    1%
  20. What does the gall bladder do
    stores and concentrates bile
  21. Gallbladder ca is more common in _____
    What age is peak?
    • women 4:1
    • 60-70
  22. ____ is treatment of choice for gall bladder ca
    surgery because invasion of the liver happens early so they will partially remove part of the liver
  23. What is the histology for gallbladder ca
    • adenocarcinoma
    • squamous cell
    • or
    • sarcome
  24. What is the 5 year survival rate for gall bladder ca
    10-30%

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