Cancer Staging and Types Overview

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Questions and Answers

What is a characteristic sign of DKA that indicates severe insulin insufficiency?

  • Jaundice
  • Fruity breath (correct)
  • Weight loss
  • Clear stool

Which of the following is NOT a risk factor for pancreatic cancer?

  • Alcoholism
  • Age
  • Chronic liver disease (correct)
  • Diabetes

What is the primary treatment strategy for Crohn's disease during a flare-up?

  • Regular insulin drip
  • Resting the bowels (correct)
  • High fiber diet
  • Chemotherapy

Which symptoms could indicate the presence of esophageal cancer?

<p>Anorexia and dysphagia (A)</p> Signup and view all the answers

What is a common treatment modality for colon cancer?

<p>Surgery resulting in colostomy or ileostomy (A)</p> Signup and view all the answers

Which condition is characterized by overproduction of premature white blood cells leading to low white blood cell counts?

<p>Leukemia (B)</p> Signup and view all the answers

Which treatment is commonly used for patients with neutropenia due to cancer treatments?

<p>Bone marrow transplant (A)</p> Signup and view all the answers

What is the main purpose of using proton pump inhibitors in pancreatitis treatment?

<p>To reduce gastric acid secretion (C)</p> Signup and view all the answers

What is the primary characteristic of Stage 4 cancer?

<p>Large tumor size with involvement of lymph nodes and metastasis (C)</p> Signup and view all the answers

Which type of cancer is most dangerous due to its origin from melanocytes?

<p>Malignant melanoma (A)</p> Signup and view all the answers

What complication is most commonly associated with gastrectomy?

<p>Dumping syndrome (B)</p> Signup and view all the answers

What is a common risk factor for esophageal cancer?

<p>High alcohol consumption (B)</p> Signup and view all the answers

Which clinical manifestation is commonly associated with liver cirrhosis?

<p>Jaundice and ascites (A)</p> Signup and view all the answers

The presence of high ammonia levels is indicative of which condition?

<p>Liver diseases such as cirrhosis and hepatitis (D)</p> Signup and view all the answers

What is a typical sign of hepatic encephalopathy?

<p>Sudden personality changes (A)</p> Signup and view all the answers

What is an expected clinical manifestation of acute pancreatitis?

<p>Severe epigastric pain (C)</p> Signup and view all the answers

Flashcards

Stage 4 cancer

Advanced cancer, characterized by large tumor size, lymph node involvement, and metastasis (spread).

Gastric cancer

Cancer that develops in the lining of the stomach.

Hepatic encephalopathy

A brain disorder caused by liver damage, leading to toxin build-up affecting brain function.

Hepatitis

Inflammation of the liver, often due to infection.

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Ascites

Fluid buildup in the abdominal cavity.

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Gastrectomy

Surgical removal of part or all of the stomach.

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Dumping syndrome

A condition that occurs after gastric surgery, affecting digestion.

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Compartment syndrome

Increased pressure within a confined body space.

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Pancreatitis Cancer Diagnosis

Diagnosed by abnormal levels of liver enzymes (AST, ALP, ALT, GTT).

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Pancreatitis Cancer Treatment

Often involves surgery (laparoscopic), pain relievers, acid reducers, and meds to manage bowel issues.

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Pancreatic Cancer Prognosis

Poor prognosis, especially if the cancer has spread to lymph nodes.

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Bone Cancer Risk Factors

Breast and ovarian cancer frequently metastasize (spread) to bone.

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DKA (Diabetic Ketoacidosis)

A severe condition caused by lack of insulin, usually in type 1 diabetes.

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Inflammatory Bowel Disease (IBD)

A group of chronic inflammatory conditions affecting the digestive tract, has no cure.

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Esophagus Cancer Risk Factors

Smoking, alcohol, chronic reflux (GERD), or nutritional deficiencies are risk factors for esophageal cancer.

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Leukemia Treatment

Chemotherapy, sometimes radiation therapy, and potentially bone marrow transplant are treatment options for leukemia in general.

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Study Notes

Stages of Cancer

  • T1,2,3 tumor size: Measures the size of the tumor.
  • N- Lymph nodes involved (N-1,2,3): Indicates whether lymph nodes are affected by the cancer.
  • M-metastasis (spread) (M-1,2): Indicates if the cancer has spread to other parts of the body.
  • Stage 4 t3 n3 m1: An advanced stage of cancer, where the tumor is large, lymph nodes are affected, and the cancer has spread.

Skin Cancer

  • Malignant melanoma: A dangerous form of skin cancer arising from melanocytes in the basement membrane.

Gastric Cancer

  • Gastric cancer: Cancer of the inner lining of the stomach.
  • Risk Factors (R/F):
  • Helicobacter pylori (H. pylori) infection causing ulcers.
  • Untreated ulcers.
  • Smoking.
  • Consumption of lean meats and alcohol.

Gastroscopy

  • Gastroscopy: A procedure to examine the stomach and check for issues and size.
  • Treatment: Gastrectomy (partial stomach removal), chemotherapy, and radiation may be used.
  • Dumping Syndrome: A potential side effect of gastrectomy, resulting in digestive issues. Managing this involves eating small, frequent meals.

Other Cancer Considerations

  • Anorexia: Loss of appetite, an early sign of various cancers.
  • Weight Loss: Unexplained weight loss can be a symptom of some cancers.
  • Changes in Bowels: Changes in bowel habits.
  • Unexplained Epigastric Pain: Pain in the upper abdomen, could indicate some cancers.
  • Ovarian Cancer: Cancer originating in cells of the ovaries.

Other Medical Conditions

  • Esophageal Cancer: Cancer of the esophagus, often linked to high alcohol consumption.

  • Liver Cancer: A poor prognosis cancer with ascites (fluid buildup in the abdomen) as a possible clinical manifestation.. Diagnosis includes ammonia level testing.

  • Cirrhosis: End-stage liver disease, with healthy liver tissue replaced by scar tissue.

  • Hepatic Encephalopathy: Brain disorder caused by liver disease, leading to toxin buildup.

  • Jaundice: Yellowing of the skin, caused by bile accumulation.

  • Rhabdomyolysis: A muscle breakdown condition, a complication of compression injuries.

  • Compartment Syndrome: Increased pressure in a confined body area.

  • Hepatitis A, B, C: Infections; potential causes of liver disease.

  • Acute Pancreatitis: Inflammation of the pancreas.

  • Pancreatic Cancer: Poor prognosis cancer often not diagnosed until it has spread. Symptoms include asymptomatics, weight loss, and abdomen pain but can have multiple symptoms.

  • Diabetes and Pancreatitis History: Risk factors in pancreatic cancer.

  • Fractures and Blood Clots: Risk of blood clots is higher with fractures leading to a need for medical attention if dyspnea occurs.

  • Diabetic Ketoacidosis (DKA): Severe insulin insufficiency, common in type 1 diabetes. Symptoms include fruity breath and rapid breathing.

  • Chronic Inflammatory Bowel Disease (IBD): Risk factor for some cancers. Treatment involves chemo, radiation, and surgery.

  • Leukemia: Cancer of the bone marrow leading to premature white blood cell overproduction.

  • Neutropenic Patients: Patients with low neutrophil levels, requiring careful considerations for procedures and treatments.

  • Lymphoma: Cancer of the lymph nodes

  • Pericardial Effusion: Fluid accumulation around the heart needing pericardialcentesis

  • Bladder Cancer: Cancer arising in the bladder.

  • Breast Cancer: Cancer arising in breast tissue. Risk factors include age and family history. Dx includes mammograms, MRIs, and ultrasounds.

  • Prostate Cancer: Cancer affecting cells in the prostate.

  • Ovarian, cervical, uterine cancer: Cancer affecting the reproductive organs with heavy irregular menstrual cycles as a risk.

  • Vocabulary: Key terms to know include Anaplasia, Apoptosis, Metastasis.

  • Skin Cancer Prevention: Sunscreen is a primary prevention method.

  • Other conditions: Crohn's disease, Ulcerative colitis, Esophageal cancer are discussed, along with related symptoms and risk factors.

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