Colorectal Cancer Flashcards Preview

Oncology > Colorectal Cancer > Flashcards

Flashcards in Colorectal Cancer Deck (13):
1

What is a tumour marker for colorectal cancer?

CEA (carcinoembryonic antigen)

2

Where would you find a colorectal cancer? (think thirds)

1/3 in the rectum
1/3 sigmoid
1/3 in remainder of the colon

3

How may emergency patients present?

obstruction, perforation, bleeding, abdo pain

4

What is the aim of screening?

To pick up benign poylps before they progress to invasive cancer

5

What is the screening programme?

Every 2 years for men & women aged 60-74

6

What are the NICE guidelines for referral to a suspected cancer pathway? (40, 50, 60)

Refer if:
>40 with weight loss & abdo pain
>50 with unexplained rectal bleeding
>60 with iron deficiency anaemia or change in bowel habit
OR TESTS SHOW OCCULT BLOOD IN FAECES (ANY AGE)

7

What is the best imaging for staging & detecting mets?

CT thorax abdo & plvis

8

Is local recurrence more common in
a) colon cancer
b) rectal cancer

b) local recurrence is more common in rectal cancer

9

How is neoadjuvant treatment considered in rectal cancer?

Based on risk of recurrence

10

What are 3 types of bowel surgery?

Anterior resection
Hartman's
APER (abdo-perineal excision of the rectum)

11

What is the best treatment in low volume/ single site disease?

Surgeru

12

In terms of risk of recurrence, when is adjuvant therapy most appropriate?

In mod/ high risk, increased benefit od adjuvant chemotherapy

13

What is the most common chemo agent for colorectal cancer?
Give a side effct

5 FU

SE: hand-foot syndrome