Uiuc M2 2010 Fcp Gu- Ca

Front 1

Benefits of treating weight loss/appetite loss in advanced cancer patients?

Back 1

1) patients may feel better
2) studies have shown no survival benefits, patient gain fat, not lean muscle.

Front 2

Hydocele in left testicle

anatomy?
potential malignant cause?

Back 2

L testicular vein goes into renal vein where right testicular vein goes into IVC.

Kidney tumor causing obstruction of L testicular vein.

Front 3

Risk in lung biopsy for cancer:

Back 3

pnemothorax
<risk if peripheral vs. central

Front 4

Adenocarcinoma starting in the following, often metastasize to where?

colon:
rectal:

Back 4

Colon: goes to liver first
Rectal: can go to lung first b/c different blood flow.

Front 5

♀ w/ bloating, distension, ascites, increased girth

symptoms suggestive of:
marker elevated?
first step in management:

Back 5

Ovarian CA symptoms:
CA-125 (not for screening, OK to follow)
1) pelvic ultrasound
2) if BRCA1/2 positive, MRI brain for mets

Front 6

Most lethal gynecological cancer

Back 6

Ovarian CA

Front 7

Prophylactic oopherectomy in BRCA1 and 2 patients
taking out too soon may:

Back 7

May affect cognition. yup, that's what he said.

Front 8

Abnormal vaginal bleeding

suspicious for:
risk factors:

Back 8

Uterine CA- usually adeno or adenosquamous.

unopossed estrogen (eg: tamoxifen)

Front 9

Uterine cancer

features:
tx:
post-op treatment:

Back 9

1) tends to be well localized
2) surgery
3) no known post-op that ↓risk of recurrence.

Front 10

Recurrence rates/places (in general):

seminomas:
germ cell tumors:
kidney:
breast CA:
melanoma:

Back 10

seminomas: reoccur late in lungs

germ cell tumors: come back quickly if they plan to.

kidney: if >5yrs free, then they don't come back.

breast: can come back after 5 years
menanoma: can come back after 5 years.

Front 11

Adjuvent hormone therapy in obese patients:

Back 11

doesn't work in patients with BMI > 30.

Front 12

PSA <10:

tumor marker doubling in 6month/1yr

Back 12

Bone metastasis not likely, although could be in lymph nodes.

probably life threatening.

Front 13

Gross hematuria:

suspicious of:

Back 13

Bladder cancer, until proven otherwise

Front 14

Flank pain and hematuria:

suspicious of:
w/gross hematuria, early stream? end stream?

Back 14

Kidney cancer

early stream: urethra
late stream: bladder

Front 15

abdominal pain

suspicious of:

Back 15

ovarian cancer

Front 16

dysphagia

suspicious of:

Back 16

esophageal cancer

Front 17

early satiety

suspicious of:

Back 17

gastric cancer

Front 18

large scrotum in 18y/o, US: 4cm mass.

management:

Back 18

Have to remove, biopsy could seed.

If seminoma, check periaortic lymph nodes.
if non-seminoma cancer, get chemo right away, but offer sperm banking because of infertility.
Keep monitoring blood levels.

Front 19

germ cell testicular cancer may metastasize as:

Back 19

large mediastinal mass

Front 20

Prostate cancer treatment:

options:

Back 20

1) risk for sx high for >70yrs
chemo ineffective.
2) radiation tx: for bone mets
3) Orchiectomy + prosthesis, ↓testosterone, or ketacorazone to block. • hormonal works for ~2years.