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Pancreatic, Gastric, and Other GI Cancers
Clinical Medicine Test 5
23
Medical
Graduate
11/02/2010

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Cards

Term
Higher incidence of squamous cell carcinoma of the esophagus?
Definition
black men
Term
Higher incidence of adenocarcinoma of the esophagus?
Definition
white males
Term
What are the major causes in the US of esophageal cancer?
Definition
1) smoking
2) alchol consumption
Term
What is high risk factor for adenocarcinoma besides alcohol and smoking?
Definition
GERD - barrett esophagus - 40-125x
Term
What oncogene is the most critical in SCC esophageal cancer and is associated w/ a poor prognosis?
Definition
cyclin D1
Term
What clinical manifestation is present in 90% of people with esophageal cancer?
Definition
dysphagia
Term
What has a 100% accuracy for diagnosis of esophageal cancer?
Definition
upper GI endoscopy
Term
What are 3 risk factors gastric cancer?
Definition
1) dietary factors - nitrates
2) infections - H. pylori
3) familial syndromes
Term
What type of tumors are 95% of gastric tumors?
Definition
adenocarcinomas
Term
What are the most common symptoms associated with gastric cancer?
Definition
1) abdominal/epigastric pain w/weight loss
Term
Pareneoplastic syndromes associated with gastric cancer?
Definition
1) acanthosis nigricans
2) dermatomyositis
3) circinate erythemas
4) pemphigoid
5) seborrheic keratosis
Term
What diagnostic test has an accuracy of 95% for gastric cancer?
Definition
upper GI endoscopy
Term
What part of pancreas is responsible for 95% of cancers?
Definition
exocrine, 2/3 in head
Term
There is a higher rate of pancreatic cancer in whom?
Definition
black males
Term
What is the most accurate test for imaging and staging of pancreatic carcinoma?
Definition
endoscopic ultrasound
Term
What is the only curable treatment for pancreatic cancer?
Definition
surgery-whipple procedure (pancreaticoduodenectomy)
Term
What is the most common primary malignant tumor of the liver?
Definition
hepatocellular carcinoma
Term
What is the most common presentation with hepatocellular carcinoma?
Definition
1) R upper quadrant pain
2) epigastric pain
Term
what are the pareneoplastic syndromes associated with hepatocellular carcinoma?
Definition
1) hypoglycemia
2) hypercalcemia
3) erthrocytosis
4) PORPHYRIA CUTANEA TARDA
Term
What is the only curative treatment for hepatcellular carcinoma?
Definition
surgery - high recurrence rate of 75%
Term
What type of cancers are most Anal cancers?
Definition
squamous cell carcinomas
Term
What are associated with premalignant lesions with anal cancer?
Definition
1) HPV infection
2) conylomata acuminata
Term
What is imatginib mesylate and what is it used for?
Definition
1) signal transduction inhibitor
2) successful treatment of unresectable tumors
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