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8 Cards in this Set

  • Front
  • Back
The lifetime risk of dying from colon cancer is around _______.

Average CC patient loses _____ years of life.

5 year survival rate for:
tumor confined to bowel
distant metastases
2.6%

13

80% - confined to bowel
<5% - distant metastases
bright red rectal bleed, tenesmus, mass on exam:

anemia, RLQ pain, blood in stool

bowel habit changes, smaller stools, blood in stool
rectal adenocarcinoma

R side adenocarcinoma

L side adenocarcinoma
Major risk factors for adeno?

Factors that make a good screening test?

What is sensitivity?
specificity?
>50 years old, UC, familial polyposis, high fat/meat-low fiber diets

cost-effective, high sensitivity, specificity, PPV

+test, +condition
-test, -condition
All people 50 years or older should get occult blood test _________ and sigmoidoscopy _________.

Pancreatic cancer: in which ethnics groups is it more common?
occult blood annually
sigmoidoscopy q 5 years

blacks, Hawaiians
Common S/S of pancreatic cancer?

Any screening tests?

Is routine screening recommended?

pts. should be counseled on:
weight loss (90%), malnutrition (75%)

None cost-effective, non-invasive or reliable

Not recommended

tobacco use
Oral cancer

common causes:

how to screen?

routine screening recommended for asymptomatic patients?
tobacco, snuff, EtOH, UV light, betel nut/leaf chewing

inspection/palpation of oral cavity

insufficient evidence for routine screening
Liver cancer

two types:

S/S?

Risk factors?

Primary prevention?
hepatocellular, cholangiocarcinoma

Abd pain, hepatomegaly

primary liver disease, Hep B Ag, hemachromatosis, a-1-antitrypsin deficiency

avoid getting liver diseases, hepatitis B,C
Stomach cancer

gastric cancer rates correlate to _______________ status.

Risk factors?

Routine screening recommended?
lower socioeconomic

high nitrate ingestion, smoked/salted foods, H. pylori, achlorhydria, blood group A

not recommended