-
what meds decrease polyp load
celecoxib, esterogens, sulindac
-
invasive aspergilloma
voriconazole
-
how early should surveillance for cancer be done in Peutz Jegher and juvenile polyposis syndomre
teens
-
patietns with serrated polyp syndrome should have colonoscpy how often
yearly
-
do you do endoscopy in FAP and MAP to detect cancer
yes
-
what are the recommendations for average risk paitents in terms of colon ca screening
- colonoscpy q10 y
- sigmoidoscopy q10y + FOBT q1y
- sigmodiscopy q5y
- FIT or FOBT q1y
- FIT-DNA test q3y
-
how to treat anal margin ca
anal mucosa
- resect
- radiation and chemo for
-
above what percent on the gale model should women get prophylaxis against breast ca
1.7
-
women with BRCA1/2 should get what type of screening
- breast with MRI strting at 25 and mammo at 30
- ovarian with u/s
-
women >35 + lobular carcinoma in situ, atypical ductal hyperplasia, should get what
tamoxifen
-
u/s shows cystic mass, do you excise it
u/s shows mixed echo or solid component, do you excise it?
-
when you do chemo in breast ca in pregnancy
2nd trimester
-
how often to do mammo in breast ca s/p treatment
annually
-
can you give HPV vaccine in pregnancy
no
-
who do you screen for ovarian ca
- dermatomyositis
- history of BRCA1/2 or breast/ovarian ca
-
how you decrease mortality and pain in a metastatic prostate ca that is refractory to antiandrogens
radium 223
-
who do you evaluate frutehr for lung ca
>40 with hemoptysis x 1 week
-
what AED to use for metastasis causing seizure
phenytoin
-
what lung ca can cause marantic endocarditis
adenocarcinoma
-
what lung ca can cause svc syndrome and gynecomastia
large cell
-
-
how to treat refractory pain from mets in the bone
strontium 89
-
beta hcg and AFP is usually present in what testicular cancer
non seminoma
-
rx for seminoma
stage 1, 2, 3
-
rx for non seminoma
stage 1, 2, 3
-
do you do trans scrotal sugery for testicular mass
-
which testicualr ca doesnt respond to RT
non seminoma
-
best prognosis for hodking lymphoma
lymphocyte predominant
-
rx for hodgkin lymphoma
abvd
-
pt with chemo, what are they likely to develop later
leukoemia
-
how does hodgkin spread vs non hodgkin
hodgkin-continugouly via ln
non-hodgkin-hematogenously
-
when do you do RT in non hodgkin
if low grade and local
-
what can you expect after 2 rounds of rituximab
lymphopenia
-
wtd for MM with no end organ involvement
observe
-
how do you treat refractory hodkgin, non hodking
mm
stem cell transplant
-
what ppx you need to give with bortezumib
acyclovir
-
rx for mm
if refractory
lenalidomide, prednisone, melphalan
refractory , bortezumib with acyclovir
-
how you following smoldering mm
myeloma proteins q2mo
-
waldenstrons has what Ig
MGUS and MM?
Waldenstrons has IgM
MGUS and MM have IgG
-
rx for waldenstrons
plasmapharesis and fludrabine
-
pt refuses pancreatic ca, wtd
gemcitabine and paclitaxel chemo
-
pt has 0.8cm masss on liver, wtd
repeat in a few months
-
can you do RAIU for medullary thyroid ca
no, no C-cells to take itup
-
for which thyroid ca do you do thyroglobulin level
papillary and follicular
-
most common etiology of carcinoma of unknown orgicin
adenoca
-
unknown carcinoma and lower cervical LN are +, etiology
most likley lung
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