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GI CANCER POWERPOINT AND HANDOUT / CB
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What are some of the causes of GI cancer?
Alcohol and tobacco use
Chemical exposure
Barrett's esophagus (change occures with GERD)
Achalasia (Lower 2/3 of esophagus loses normal peristaltic activity)
Plummer-Vision Syndrome (Iron deficient anemia)
Name some signs and symptoms of GI cancer:
Dysphagia and weight loss
Chest pain
Regurgitation and aspiration
Odynophagia
Hematemesis
Coughing
Hemoptysis
Hoarseness
4 Detections of GI cancer:
Chest X-ray
Barium Swallow
PET/CT
Esophagoscopy
What are the % of the GI tumor locations (upper, lower and middle):
10%-25% located in the
upper
third
25%-50% located in the
lower
third
40%-50% located in the
middle
third
What is the most common pathology in GI cancer?
Squamous Cell (upper and middle)
What pathology is Distal esophagus and GE junction?
Adenocarcinomas
Rare GI tumors include:
Adenoid cystic carcinoma
Mucoepidermoid carcinoma
Leimyosarcoma
Melanoma
Lymphoma
rhabdomyosarcoma
What is the Staging (TNM) is based on?
Extension outward (page 783 in textbook)
What is the % 5 year survival?
5%
What are the 3 route of spread?
Lymphatic
Local Invasion
Distant Metastasis
Which route spreads in longitudinal fashion and skip lesions are present at t significant distance forme primary lesion (submucosal spread)?
Lymphatic
Which route of spread is considered Trachoesophageal and bronchoesophageal fistulas?
Local invasion
Where does the distant metastasis spread?
Liver
Lung
Bone
Adrenals
Brain
What are the 3 treatment techniques for GI cancer?
Surgery
Chemotherapy
Radiation Therapy
Which treatment technique can treat middle and lower third ONLY, usually reserved for small non-metastatic lesions?
Surgery
What are some possible complications of having surgery?
Anastomotic leaks
PE
Myocardial infarction
Strictures
GE reflux
Which treatment method is used in conjunction with radiation for better local control and distant metastatic disease?
Chemotherapy
Which drugs are used to treat during chemotherapy?
5-Fu and Cisplatin
Author
RadTherapy
ID
179612
Card Set
GI CANCER POWERPOINT AND HANDOUT / CB
Description
GI CANCER POWERPOINT AND HANDOUT / CB
Updated
2012-10-24T20:00:05Z
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