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Colon cancer/med
WOCN program
Question | Answer |
---|---|
Explain cause, type of cell, treatment and occurrence of small bowel cancer | Rare, vague sx's, adenocarcinoma, upper jejunum, surgical resection |
List epidemiological factors that are associated with the development of colorectal cancer | Western industrialized higher, urban higher, African American, native Alaskans > Caucasian> Native American |
Name the two inherited genetic defects that colorectal cancers are related to | FAP and Lynch syndrome (HNPCC) |
In what section of the intestinal tract do most colorectal cancers occur | Sigmoid and right colon, 43% in rectum |
Evidence strongly suggests that the majority of sporadic colorectal cancers arise from what? | adenoma is formed by an abnormal cell, tumor suppressing gene inactivated that transforms adenoma to adenocarcinoma. 90% of CRC are adenocarcinoma |
Name risk factors for colorectal cancer | Diet ( high fat, low fiber) Obesity inactivity smoking Excessive alcohol intake >50y/o, genetic predisposition FAP lynch syndrome personal or family hx of polyps. IBD |
Screening for adenomatous polyps should start at what age | 50y/o |
Which bowel prep should not be used in pts with hepatic or renal impairment | |
What is the gold standard adjuvant chemotherapy treatment of advanced cancer | 5FU/levamisole |
Name the principle site of colorectal cancer metastasis | Liver |
What is the primary treatment for rectal cancer | |
Name two possible benefits to preoperative radiation and chemotherapy in the treat,met of rental cancers | |
In what instance is adjuvant radiation therapy use for patients with rectal cancer | |
Name two skin reactions that are common with radiation therapy | |
Explain what manifestations can be present when the gastrointestinal mucosa is involved in radiation | |
What are two types of anal cancer | |
Discuss the treatment of mucositis | |
Name two side effects of 5fu |