Surgery at University Of Cape Town | Flashcards & Summaries

Lernmaterialien für Surgery an der University of Cape Town

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Invasive ductal carcinoma (most common)

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Invasive ductal carcinoma (most common)

• Mostly unifocal tumours
• More aggressive, early metastases
70–80% of all invasive breast carcinomas
Unilateral localization

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SIRS is defined by the presence of 2 or more of the following criteria


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• Heart rate > 90 beats per minute
•Core temperature <36°C or >38°C
• White blood cell count < 4000 or >12000/mm³
•Respirations >20/min or PCO2 <32mmHg

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Important bloods to do in pancreatits

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FBC

U and E

Blood gas

Liver function

INR

Ca and lipid profile

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Sigmoid colectomy

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Tumours within sigmoid colon removed

Entire sigmoid colon is removed in accordance with the blood supply of sigmoidal arteries

Ischemic complications factor heavily as blood supply is more tenuos

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Left hemi-colectomy:

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Removal of left half of colon

Lesions from distal transverse colon to descending colon

Extent of resection determined by blood supy of left colic artery

Continuityrestored sometimes (transverse to sigmoid colon)

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Breast Ca Associated genetic diseases


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Li-Fraumeni syndrome

Peutz-Jeghers syndrome

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Types of screening available to high risk populations

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Flexible sigmoidoscopy

Colonoscopy

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Familial Adenomatous Polyposis (FAP)

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AD

100s of adenomatous polyps within colon

Defect on APC gene on chrmosome 5/aka tumour suppressor gene

100% risk of colorectal Ca

Onset of Ca in 4th decade

Presents is teenagehood

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Aims of breast U/S

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Distinguish between solid and benign cysts

Evaluates axillary, supra and infraclavicular LNs

Guidanc eon interventional procedures (FNA, Core needle biopsy)

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Triple assessment

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Clinical assessment

Radiographic assessment

Biopsy

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History questions for breast Ca

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1. Age

2. Symptoms and duration

​3. Personal hx of breast and other Cas

4. Age of menarche

5. Age at first live birth

6, Breastfeeding history

7. Menopause

8. Family hx of breast and other Ca

9. Oral contr. use

10. HRT

11. Smoing/alcohol

12. shift work

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Breast Ca epidemiology

Incidence

Peak inc

Mortality

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Incidence: Most common Ca in women. 30% of all Cas

Peak: 50-70 years post menopause

Mortality: Leading cancer death in SA women

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Q:


Invasive ductal carcinoma (most common)

A:


Invasive ductal carcinoma (most common)

• Mostly unifocal tumours
• More aggressive, early metastases
70–80% of all invasive breast carcinomas
Unilateral localization

Q:

SIRS is defined by the presence of 2 or more of the following criteria


A:


• Heart rate > 90 beats per minute
•Core temperature <36°C or >38°C
• White blood cell count < 4000 or >12000/mm³
•Respirations >20/min or PCO2 <32mmHg

Q:

Important bloods to do in pancreatits

A:

FBC

U and E

Blood gas

Liver function

INR

Ca and lipid profile

Q:


Sigmoid colectomy

A:

Tumours within sigmoid colon removed

Entire sigmoid colon is removed in accordance with the blood supply of sigmoidal arteries

Ischemic complications factor heavily as blood supply is more tenuos

Q:

Left hemi-colectomy:

A:

Removal of left half of colon

Lesions from distal transverse colon to descending colon

Extent of resection determined by blood supy of left colic artery

Continuityrestored sometimes (transverse to sigmoid colon)

Mehr Karteikarten anzeigen
Q:

Breast Ca Associated genetic diseases


A:

Li-Fraumeni syndrome

Peutz-Jeghers syndrome

Q:

Types of screening available to high risk populations

A:

Flexible sigmoidoscopy

Colonoscopy

Q:


Familial Adenomatous Polyposis (FAP)

A:

AD

100s of adenomatous polyps within colon

Defect on APC gene on chrmosome 5/aka tumour suppressor gene

100% risk of colorectal Ca

Onset of Ca in 4th decade

Presents is teenagehood

Q:

Aims of breast U/S

A:

Distinguish between solid and benign cysts

Evaluates axillary, supra and infraclavicular LNs

Guidanc eon interventional procedures (FNA, Core needle biopsy)

Q:

Triple assessment

A:

Clinical assessment

Radiographic assessment

Biopsy

Q:

History questions for breast Ca

A:

1. Age

2. Symptoms and duration

​3. Personal hx of breast and other Cas

4. Age of menarche

5. Age at first live birth

6, Breastfeeding history

7. Menopause

8. Family hx of breast and other Ca

9. Oral contr. use

10. HRT

11. Smoing/alcohol

12. shift work

Q:

Breast Ca epidemiology

Incidence

Peak inc

Mortality

A:

Incidence: Most common Ca in women. 30% of all Cas

Peak: 50-70 years post menopause

Mortality: Leading cancer death in SA women

Surgery

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