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10 Cards in this Set

  • Front
  • Back
not a true polyp
HYPERPLASTIC POLYP
This type of POLYP:
1. is the most common
2. has no malignancy potential
3. is composed of overgrowth of gastric mucosa
HYPERPLASTIC POLYP
This type of POLYP:
1. is either tubular or villous
2. associated with adenocarcinoma, esp if lesion is >2cm
3. has a 3.4% malignant transformation
ADNEOMATOUS POLYP
With this condition, most pts present late and have a 5 year survival rate of <20%. World-wide, it is the most common cancer after lung cancer.
GASTRIC CARCINOMA
List the types of GASTRIC CARCINOMAS.
1. adenocarcinoma (90-95%)
2. lymphoma
3. leiomyosarcoma
4. carcinoid
5. adenocathomas
6. squamous cell carcinoma
Clinical presentation of this condition includes:
1. epigastric pain
2. bloating
3. early satiety
4. N/V
5. anorexia
6. weight loss
7. upper GI bleed
GASTRIC CARCINOMA (all types present with these sxs)
What are possible PREDISPOSING FACTORS of GASTRIC CARCINOMAS?
1. dietary nitrates
2. hypochlorhydria
3. H. pylori*
4. certain foods
a. starch
b. pickled vegetables
c. salted fish
d. salted meat
e. smoked foods
f. salt
5. cigarette smoke*
(* = actual linked with increased incidence of gastric carcinoma has been established)
What are the PRECANCEROUS CONDITIONS of concern?
1. pernicious anemia
2. H/O previous partial gastrectomy
3. chronic atrophic gastritis
4. adenomatous polyps
5. gastric dysplasia
6. hereditary factors
What would you use to diagnose GASTRIC CARCINOMAS?
1. upper GI series
2. endoscopy with biopsy and cytology
How would you treat GASTRIC CARCINOMAS?
1. surgical removal if resectable
2. chemotherapy/radiation if appropriate