Oncology i

download Oncology i

of 7

Transcript of Oncology i

  • 7/28/2019 Oncology i

    1/7

    -

    MC Intracranial Tumor

    Meningioma

    PSAMMOMA Bodies

    apillary carcinoma of the Thyroid

    erous Adenocarcinoma of Ovary

    Meningioma

    Mesothelioma

    MC primary Brain Tumor

    Astrocytoma

    Clues for Meningioma

    Not part of brain

    ushed down of brain

    Eliptical on CT or MRI

    SAMMOMA bodies

    Whenever there is calcification at the

    Gray-white junstion what is the meaning

    Metastasis

    List 3 types of astrocytomas

    Glioma

    Oligodendroglioma

    Ependymoma

    Clues for Glioma

    Unilateral Blindness

    Clues for Ependymoma

    Hydrocephalus

    MC in conus Medularis

    n Ventricles

    Clue for Oligodendroglioma

    Whirly pattern of biopsy

    MC primary cancer of brainGBM (Grade IV Astrocytopma)

    What imaging modality is used in

    hildren to find posterior fossa tumors?

    MRI

    MC tumor of Posterior fossa

    1 Medulloblastoma

    2 Craniopharyngioma

    Presentation of posterior fossa tumor

    Early morning vomiting

    Clues for Craniopharyngioma

    Looks like motor oil

    Can cause DI

    Derive from Rathkes pouch

    MC Pituatary Tumor

    Nonfunctional Pituitary Adenoma

    MC functional Tumor of pituitary

    rolactinoma

    What is true of all pituitary tumors?

    They cause increased Prolactin

    Clues for increased prolactin

    Galactorrhea and Amenorrhea

    What cell type make up most of the

    pituitary?

    Chromophobes 95%

    Clue for pituitary adenoma

    Bitemporal Hemi-anopsia becauses thetumor affects the nasal fibors in the optic

    chiasm.

    Why do all pituitary tumors cause

    increase prolactin?

    Dopamine inhibits PRL in the pituitary.

    Most tumors affect this inhibition and

    causes release of PRL.

    What are the only hormones made by

    acidophills?

    GH, PRL

    What pituitary cell type makes all

    hormones except GH, PRL?

    Basophils

    MC Pineal gland tumor

    Pinealoma

    Clue for pinealoma

    Precocious puberty in young female

    Irregular menstrual cycle in older female

    Eisotropia (medial deviation) affects LR

    MCC tumor and cancer in nasopharynx

    FibromaSquamous cell carcinoma

    With what virus is nasopharyngeal

    carcinoma associated?

    EBV

    What is the most common risk factor for

    nasopharylgeal carcinoma?

    Smoking

    Location of oropharyngral cancer in

    smokers

    Floor of mouthTip of tongue

    Hard palate

    Lip

    Location of oropharyngral cancer in

    tobacco chewers

    Lower Lip

    Tip of tongueFloor of mouth

    MC of the brain

    Intracranial TumorMeningioma

    1 brain tumor Astrocytoma

    1 brain cancer GBM

    1 tumor in childrenMeduloblastom

    Craniopharyngioma

    Tumor of ventricular EpendymomaPituitary tumor Nonfcn adenoma

    Functional pituitary tumor Prolactin

    Pineal gland tumor Pinealoma

    5 Tumors in the anterior mediastinumThymus

    Thyroid

    Teratomas

    T-cell Leukemia

    T-cell Lymphoma

    MEN I - Wormer

    Pituitary Adenoma

    Parathyroid Adenoma

    Pancreatic Adenocarcinoma

    MENII - Sipple

    Medullary carcinoma of thyroidPheochromocytoma

    Parathyroid adenoma

    MENIII

    Medullary carcinoma of thyroid

    PheochromocytomaNeuroma/Ganglioneuroma

    Rule of 10 for Pheos

    10% Bilateral

    10% Metastatic

    10% Malignant

    10% Familial

    10% Seen in children

    MC Tomor of posterior mediasteinum

    Neuroma

    MC cancer of posterior mediasteinum

    Neuroblastoma

    Neuroblastoma & Pheochromocytom

    Come from Ganglia Increase catecholamine release Paroxysmal HTN, HA, Palpitation,

    Diophoresis

    Urine test for Pheo & Neuroblastoma

    VMA, Metanephrines, HVA

    What drug can be used to test for Ph

    Alpha blocker Phentolamine

    Drug used totreat Pheochromocytom

    Phenoxybenzamine

  • 7/28/2019 Oncology i

    2/7

    -

    Most specific scan for Pheo

    MBGA

    MC presentation for Neuroblastoma

    Abdominal mass in child

    Clue for Pheochromocytoma

    aroxysmal HTN, HA, diaphoresis

    Define Hypsarythmia

    Dancing eye due to Neuroblastoma

    Define Opsoclonos

    Dancing feet due to Neuroblastoma

    Give the most common

    Tumor of the Thymus Thymoma

    Tumor of the Thyroid Follicular Adeno

    Cancer of the Thyroid Papillary Carcino

    Cancer of para-follicular cellsMCT

    Tumor of Parathyroid Gland Adenoma

    Tumor posterior mediastinum Neuroblas

    What tumor is found with all

    utomimmune disease

    Thymoma

    What autoimmune disease does not have

    thymonma?

    Graves

    Automimmune dz with highest incidence

    f Thymoma?

    Myesthenia Gravis

    1 risk factor for papillary carcinoma of

    he thyroid

    revious radiation to neck

    MC mass of the thyroid

    Cyst - Thyroglossal cyst

    Thyroglossal cyst

    Midline

    Moves up and down with swallowing

    Rx: FNA diagnostic and curative

    W/U a solid thyroid mass

    Thyroid scan cold or hot

    Cold

    previous radioation lobectomyno radiotionBxMalignantLobecto

    Which is malignant hot or cold nodule

    Cold is malignant. A Hot is still making

    hyroid hormone.

    mmature vs- Mature Teratoma

    MatureMature structuresmmature Immature structures

    MC teratoma cancer

    Squamous Cell carcinoma

    What is the most common cause of

    hypercalcemia in adults?

    Parathyroid Adenoma

    From what is the superior and Inferior

    parathyroid glands derived?

    Superior 4th brachial pouch

    Inferior 3rd brachial pouch

    Middle Mediasteinum (Give the MC)

    Pleural Cancer - Mesothelioma

    Endocardiumal tumor - Myxoma

    Epicardial tumor - Rhabdomyoma

    Ca of the Epicardium - Rhabdomyosarcoma

    Cancer of the lung - Metastasis

    Lung mass in children - Hamartoma

    Lung mass in Adults - Granuloma

    Intrathoracic cancer SQCC of trachea

    Primary lung Ca Bronchogenic Adeno

    #1 Risk for lung cancer - smoking

    Bronchoalveolar Ca risk - Pneumoconiosis

    In what part of the lung can you find a

    SQCC? Bronchogenic Adenocarcinoma?

    Small cell carcinoma? Bronchialveolar

    SQCC Central

    BA Peripheral (Terminal Bronchioles)

    Small Cell Central

    Bronchoalveolar Peripheral

    4 Hormones produced by small cell

    carcinoma of the lung

    ACTHADH

    PTH

    TSH

    3 Risk factors for Lung cancer

    Smoking

    Radon Exposure

    2nd

    hand smokePneumoconiosis

    What affect does smoking have on the

    risk of lung cancer in combination with a

    pneumoconiosis?

    It has a synergistic effect. It increases the

    risk of cancer.

    Clue for Bissinosis

    Cotton Industry worker

    MC location for a carcinoid tumor

    Pancreas

    Ileum

    What is the only indication for surgery

    for a lung cancer?

    V/Q mismatch

    Which Pneumoconisis does not

    predispose to lung cancer?

    Anthracosis (Coleminers lng)

    MC Risk for Asbestosis

    Shipyard worker

    Break Mechanic

    Insulation worker

    Pipe fitters

    MC Risk for Silicosis

    SandblasterGlass blower

    MC Risk for Beryliosis

    Radio/TV industry worker

    Clues for Myxoma

    Diastolic Plop

    Woman passes our and comes back in 5

    Most common location for Myxoma

    Left Atria

    Why are most sarcomas seen in < 3yo

    Cells are still rapidly dividing

    MC pericardial tumor

    Fibroma

    List 3 neuro-cutaneous syndromes

    Neurofibromatosis

    Tuberous Sclerosis

    Sturg Weber

    3 clues for neuro-cutaneous syndrom

    MR

    Seizures

    Cerebral Calcifications

    Clues for Neurofibromatosis

    Caf au le spots

    Neuromas

    Fibromas

    Describe are caf au le spots?

    Hyperpigmented macules

    Criteria Caf au le spots

    Greater than 3 spots

    At least 1.5 cm in diameter

    NF I vs- NF II

    NF I chr 17

    NF II chr 22

    Clues for Tuberous Sclerosis

    Ashen-Leaf Spots

    Risk of Tubors

    Risk of Rhabdomyoma

    Risk of Rhabdomyosarcoma

    Risk of Renal Cell Carcinoma

  • 7/28/2019 Oncology i

    3/7

    -

    Describe Ashen-Leaf Spots

    Hypopigmented macules

    Clues for Sturg-Webber

    ortwine stain in V1

    Angiomas of Retina and CNS

    MC tumor of entire GI

    Leiomyoma

    MC cancer of entire GI

    Adenocarcinoma

    MC cancer of esophagus

    Top SQCC

    Lower 1/3 Adenocarcinoma (Barrets)

    MC presentation of esphoageal cancer

    Odynophagia (Painful swallowing)

    Name for mets from stomach to ovaries

    Krukenburg

    Clues for stomach cnacer

    Leather water bottle appearance

    Linitis Plastica

    ignet Ring Cells

    MC presentation for Stomach Cancer

    Early Satiety

    MC cancer of ileum

    Lymphosarcoma (Lymphoma)

    MC presentation of Lymphoma of the

    leum

    mall bowel obstruction

    Bilious vomiting

    Treatment for obstruction

    NPO

    NG suction

    Abdominal X-ray

    MC presentation for cecal cancer

    Chronic Bleeding

    Microcytic hypochromic Anemia

    Risk factors for Colon cancer

    Low fiber diet

    High fat diet

    olyps

    Characteristict of Puetz Jegar

    olyposis

    Hyperpigmented mucosa

    Breast cancer

    Ovarian cancer

    Lymphatic cancer

    Familial Polyposis

    Autosomal Dominant

    00% Occurance

    Gardners Syndrome

    Familial PolyposisSebacious Adenomas

    Osteomas

    Clues for Turcots Syndrome

    Familial Polyposis

    Primary Brain tumors

    MC pancreatic:Mass Cyst

    Tumor Adenoma

    Cancer Adenocarcinoma

    Given the following clues, give the related

    tumor of the pancreas.

    InsulinGluC-Peptide Insulinoma

    InsulinGluC-Peptide baby

    Nessidos Blastosis

    Low Insulin High Glucose glucagonoma

    Bad constipation Somatostainoma

    Watery diarrhea VIPoma

    Flushing, diarrhea, and itching Carcinoid

    High insulin and low C-Pepetide?

    Exogenous injection of Insulin

    What is the 1st and 2nd most common

    locations for carcinoid tumors?

    MC location is the Pancreas

    2nd

    MC site is the ileum

    What can you test for in the urine of

    someone with a carcinoid tumor?

    5HIAA

    Clues for carcinoidFlushing

    Wheezing

    Diarrhea

    MEN syndrome is Pancreatic Ademona?

    MEN I

    MC presentation of pancreatic

    adenocarcinoma?

    Painless jaundice b.c. cancer obstructs the

    biliary duct

    MC location of pancreaticAdenocarcinoma?

    The head of the pancreas

    What is another presentation of

    pancreatic adenocarcinoma

    Trusseu Sign (Migratory Thrombophlebitis)

    Because pancreatic adenocarcinoma is very

    mucinous and forms clots.

    Complication of pancreatic cancer?

    Erosion into the peritoneum.

    What is courvoisier's sign?

    Palpable, non-tender gallbladder in a

    jaundiced patient.

    In the gallbladder what is the most

    common:

    Tumor - Leiomyoma

    Cancer - Adenocarcinoma

    What is a risk factor for cancer of the

    gallbladder?Chronic gall stones.

    In the overies, what is the most comm

    Mass Benign follicular Cyst

    Tumor Serous Cysadenoma

    Cancer Serous Cystadenocarcinoma

    Which marker is associated with Sero

    Cystadenocarcinoma?

    CA-125

    What effect do OCP's have on cancer

    the ovaries?

    Decrease risk

    Name the mass/tumor/cancer of the

    ovaries:

    Psuedomyxoma peritonii - Mucinous

    Cystadenocarcinoma

    Acites/pleural effusion Ovarian fibr

    Menstrual bleeding Granulosa ce

    Virilization/hirsutism Sertoli-Leidi

    Cell Produces AFP Yolk sac tum

    Hair/teeth/bone/glands Teratoma

    What is Meig's syndrome?

    Ovarian fibroma in association with pleeffusion and ascites.

    What causes Meigs syndrome?

    Ovarian fibroma is highly osmotically

    active and it pulls fluid out of the lung

    causing pleural effusion and into the

    peritoneum causing ascites.

    What is the name for a teratoma that

    produces T4 and T3?

    Struma Ovarii

    MC kidney mass? Tumor? Cancer inchild? Cancer in an Adult?

    Cyst

    Adenoma

    Wilm's tumor (Nephroblastoma)Renal Cell Carcinoma

    Most common abdominal mass in

    children?

    Neuroblastoma

  • 7/28/2019 Oncology i

    4/7

    -

    Most common flank mass in children?

    Wilms Tumor of the kidney

    What is the most common presentation

    or Wilms ?

    1 Abdominal Mass

    2 Painless Hematuria

    What is the most common renal cancer in

    n adult?

    Renal Cell Carcinoma

    Most common presentation for Renal

    Cell Carcinoma?

    ainless Hematuria

    lank Mass

    Part of the kidney that both Wilms and

    RCC occur?

    n the Upper pole of the kidney

    What is unique about them?

    They are very vascular because the produce

    ngiogenin.

    To what organ do Wilms and RCC

    metastasize?

    Lung

    What are Wilms and RCC mets to the

    ung called?

    Cannonball mets

    What is the recurrence in the opposite

    kidney?

    0%

    What are the two classical symptoms for

    wilm's tumr?Aniridia (Orphan Anne Eyes) no eyes color

    Hemi-hypertrophy

    hormones produced by Renal Cell

    Carcinoma?

    Erythropoietin

    TH

    SH/LH

    What cancers produce PTH?

    mall cell carcinoma of the lung

    quamous carcinoma of the lung

    Renal Cell carcinomaarathyroid Adenoma

    Risk factors for cholilithiasis?

    at

    emale

    orty

    ertile

    What is murphy's sign? What does it

    ignify?

    Cessation of breathing on deep palpation of

    the gallbladder. Probably Cholecystitis

    What is charcot triad for Cholangitis?

    Jaunduce, Fever, Biliary colic

    What is the gray turner sign? What is

    the cullen's sign? What do they signify?

    Gray turner's sign is bleeding into flankcausing bluish discoloration in the

    flank.

    Cullen's sign is bleeding into theperitoneum causing bluish dicolorationof periumbilical area?

    Acute Pancreatitis.MC uterine tumor?

    Leiomyoma

    Describe a Leimyoma

    Focal thikening of the uterus differentiates

    Describe Adenomyosis

    Concentric enlargement of the uterus

    MC presentation for leiomyoma

    Heavy menstrual bleeding (Menorrhagia)

    MC type of leiomyoma

    Submucosal

    What type of leiomyoma causes painful?

    Subsurosal

    MC common uterine cancer? #1risk?

    Adenocarcinoma

    Unopposed estrogen

    MC cervical mass? MC Cancer? MC

    presentation of cervical cancer?

    Wart Squamus cell carcinoma Post - coital bleedingWhat are the two types of cervical warts?

    Which is most common? What causes

    each?

    Condyloma Lata & Acuminatum MC Condyloma Acuminatum Acuminatum HPV 16, 18 Lata SyphilisDescribe Condyloma Lata

    Fleshy wart growing like mushrooms on

    side of tree.

    Describe Condyloma Acuminatum

    Verucus

    When do you start a papsmear?

    Age 16 yo or earlier if sexually active.

    What is the most common cause of lo

    grade findings of pap smear?

    Infection

    What is the most common cause of hi

    grade finding on pap smear?

    Cancer

    How do you work up Low grade find

    on PAP Smear?

    You culture and treat for Gonorrhea and

    Chlamydia and see back in two to threeweeks. If persistent, then culposcopy.

    positive, cone biopsy or LEEP to see th

    depth of invasion.

    How do you work up high grade find

    on PAP Smear?

    Start with culposcopy then Cone of LEE

    If malignant, then hysterectomy.

    How does culposcopy work?

    Stain with Acetic acid. If malignant wi

    light up.

    Most common vaginal mass? Cancer

    Squamous cell cancer in upper half o

    vagina?

    Wart then Batholin Cyst Squamous Cell carcinoma,

    Rhabdomyosarcoma, Clear cell

    carcinoma.

    Uterine cancer coming down becauthere are no squamous cells in the

    upper half of the vagina.

    What is another name for

    Rhabdomyosarcoma of the vagina?Sarcoma Batyroides

    What is the most common risk factor

    clear cell carcinoma?

    DES exposure in the mother.

    What are the three parts of bone? W

    is the predominant cell type in each ?

    Epiphysis - Chondroblast

    Metaphysis - Oseoblast

    Diaphysis - Osteoblast

    What is the most common type ofepiphyseal bone tuomor? Cancer?

    Tumor - Chobdoblastoma

    Cancer - Chondrosarcoma

    What other cancer occurs in the

    epiphysis?

    Giant cell tumor - Moth eaten

    Describe Giant cell cancer of the

    epiphysis?

    Moth Eaten

  • 7/28/2019 Oncology i

    5/7

    -

    MC tumor of the metaphysis?

    Osteoma

    MC metaphyseal cancer in an adults?

    Osteosarcoma

    X-ray of an osteosarcoma will show?

    tarburst pattern

    Codman's triangle

    MC metaphyseal ancer in a child?Ewing's Sarcoma

    MC tumor of the diaphysis? Cancer?

    Osteoma

    Osteoid Osteoma

    How is an Osteoid Ostoma described?

    ainful at night, Large hole in the bone

    What cancer give multiple osteolytic

    esions of the bone?

    Multiple Myeloma

    What are group gets Multiple Myeloma?

    What will you see in the serum?

    Older adult.gG with mostly kappa light chains

    Most common skin mass?

    kin tags and hemangioma

    MC skin Cancer? How is it described?

    Basal Cell carcinoma - Raise papule with

    entral dimple

    MC cancer associated with sun

    xposure? From what does it develop?How is it described?

    quamous cell carcinoma

    Actinic Keratosis - flat papule

    Which skin cancer has the worst

    rognosis?

    Melanona

    Portwine stain in V1 distribution and

    ngioma of the retina?

    turgen webber syndrome

    What are the ABCD of skin cancer?A - Area (Larger BAD)

    B - Borders (More irregular bad)

    C - Color (Darker bad)

    D - Dept (deeper bad)

    Why is melanoma so malignant?

    t Produces a lot of digestive enzymes so it

    ats through your skin.

    What SPF is needed for protection from

    sun? What effect does UVA and UVB

    rays have on skin?

    SPF 15 UVA - Aging UVB - BurningWhat percentage sun rays does a SPF of

    15 block?

    Blocks 94% of sun rays

    What are the two uses of cancer antigensafter surgery?

    Check for Recurrance

    Check for Metastasis

    Cancer Antigens/Markers

    CA-125 Ovarian

    PSA Prostate

    Phili Chr. CML

    TRAP Hairy Cell Leukemia

    Auer Rods AML

    S-100 Melanoma

    CEA Colon Cancer

    AFP Liver/Yolk sac cancer

    Beta-HCG Choriocarcinoma

    C-myc Burkett's Lymphoma

    L-myc Small cell carcinomaN-myc Neuroblastoma

    Bcl-2 Burkett's/Follicular

    CA-19 Pancreatic Cancer

    P-53/BRCA Breast/Ovarian cancer

    What is the most common prostate

    tumor? Cancer? Where does each start?

    BPH - centralAdenocarcinoma - Periphery

    What are the symptoms of BPH?Post urinary dribbling

    Weak Urinary Stream

    Hesitency

    How do you treat BPH?

    #1- Alpha blockers Terazosin,

    Doxazosin

    #2 - 5-alpha reductase INH - Blocks

    teststerone production Finesteride

    #3 - DHT receptor Blockers - Blocks

    testosterone production Flutamide,

    Cyproterone

    Alpha blockers used to treat BPH

    Terazosin, Doxazosin

    5-alpha reductase INH used to treat BPH

    Finesteride

    DHT receptor Blockers treat BPH

    Flutamide, Cyproterone

    What two drugs accidentally blocks

    alpha 1 reeptors?

    Keoconazole and Spironolactone

    What is the number one side effect af

    prostatectomy?

    Impotence because of damage of the

    pudendal nerve.

    What is the management for prostati

    adencarcinoma?

    Prostatectomy followed by either

    intralesional implantation of radioation

    outside radiation, or hormonal therapy.

    What is the generic staging for prosta

    cancer?

    Stage I - limited to tissue

    Stage II - Penetrate outside the capsule

    Stage III - Local invasion

    Stage IV Metastesis

    Name 6 tumors/cancers of the breast

    Intraductal Carcinoma

    Lobular carcinoma

    Intraductal Papilloma

    Inflammatory Carcinoma

    Comedocarcinoma

    Cystosarcoma Phylloides

    MC breast mass? Tumor < age 25?

    Tumor > age 25? Cancer? Which ar

    estrogen dependent and which are

    progesterone dependant?

    Mass Cyst

    Tumor < 25 Fibroadenoma

    Tumor > 25 Fibrocystic Breast dis

    Cancer Intraductal PapillomaFibroadenoma Estrogen

    Intraductal Papilloma Estrogen

    Fibrocystic Breast disease Progester

    At what stage of the menstrual cycle

    would you expect a fibroadenoma to

    enlarge? Cyst from fibrocystic breas

    disease?

    Two weeks after menstrual cycle.

    Two weeks before menstrual cycle

    What causes Peu dOrange in the bre

    Cancer infiltrates the lymphatic channe

    and pulls on the radial fibers of the brea

    How do you work up a breast mass?Soft breast mass

    Sonogram to prove it is cystic

    If fluid, FNA

    Firm Breast mass

    Mammogram (micro-calcification)

    Lumpectomy and send to pathology

    If benign - close and finishIf malignant - wide resection noda

    dissection, and estrogen receptor assay.

    positive, treat with Tomoxafin or roloxa

  • 7/28/2019 Oncology i

    6/7

    -

    How do Tamoxafin and roloxafin work?

    The Block estrogen at the pituitary and

    reast and are Pro-estrogen at liver andone. Tamoxifen is proestrogen at the

    terus promoting uterine cancer.

    Current recommendations for

    mammograms?

    35-40 baseline breast exam by doctor

    40-50 Annually by doctor & monthly

    by patient50 Mammograms Annually

    If family history, 5 years before family

    member had breast cancer.

    What is paget's disease?

    ntraductal carcinoma with an ulcer/rash

    round the nipple.

    Risk factors for breast cancer?

    Breast

    emale

    Age

    Unopposed estrogen

    revious cancer

    Cancer in the contra-lateral breast

    amily History

    Most common testicular mass in a baby?

    Hydorcoele

    Testicular mass in older children and

    dults?

    Hematoma

    Testicular mass in Older male?

    Vericocoele and Spermatocoele

    MC testicular cancer? In whom do they

    ccur?

    eminoma/Choriocarcinoma/Yolk sac

    Occurs in Young men

    Name the testicular mass

    Transillumincates - Hydrocoele

    Bag of worms - Vericocoele

    irm mass - Seminoama

    Teeth, hair, skin - seminoma

    HCG - Choriocarcimoma

    AFT Yolk Sac tumor

    Most common GI Tumor/Mass/Cancer

    GI Tumor Leiomyoma

    Cancer of the esophagus SQCC

    Ca of lower esophagus Adenocarcinoma

    Cancer of the stomach Adenocarcinoma

    Cancer of Sm. Intestine Adenocarcinoma

    Cancer of the ileum Lymphoma

    Tumor/Cancer of the appendixCarcinoidLiver mass Cyst

    Tumor of the Liver Adenoma

    Cancer of the Liver Hepatoma

    Pancreatic mass Cyst

    Pancreatic tumor Adenoma

    Pancreatic cancer Adenocarcinoma

    Most common Genitourinary Tract/skin

    1. Ovarian Mass, Tumor, Cancer2. Uterine Tumor, Cancer3. Cervical Mass, Cancer4. Vaginal Mass, Cancer5. Prostatic Tumor, Cancer6. Testicular tumor in a baby,

    Child/Adult, Older Male7. Testicular Cancer8. Skin Mass9. Skin Cancer10. Skin cancer associated with sun

    exposure

    1. Cyst, Serous Cystadenoma,Cystadenocarcinoma

    2. Leomyoma, Adenocarcinoma3. Wart, Squamous cell carcinoma4. (Wart, Bartilin Cyst), Squamous Cell

    Carcinoma

    5. Adenoma (BPH), Prostatic carcinoma6. Hydrocele, Hamartoma, (Vericocele,

    Spermatocele)

    7. Seminoma8. Skin tags and hemangioma9. Basal Cell Carcinoma10. Squamous Cell carcinomaGive the most common

    1. Kidney Mass2. Renal Tumor3. Renal cancer in children4. Flank mass in children5. Abdominal mass in children6. Renal cancer in adults7. Tumor of the bone8. Cancer of the bone9. Breast mass10. Tumor > age 25, < age 2511. Breast cancer1. Cyst2. Adenoma3. Wilms (Nephroblastoma)4. Wilms Tumor5. Neuroblastoma6. Renal cell carcinoma7. Chondroma/Chondroblastoma8. Chondrosarcoma9. Cyst10. Firoadenoma, Fibrocystic disease11. Intraductal carcinoma of the breastName the mass/tumor/cancer

    Kidney Mass Cyst

    Renal Tumor AdenomaRenal cancer in children Wilms

    Flank mass in children Wilms

    Abd mass in children Neuroblastoma

    Renal cancer in adults Renal cell

    Cancer of the bone Chondrosarc

    Breast mass Cyst

    Tumor > age 25 FiroadenomTumor < age 25 Fibrocystic d

    Breast cancer Intraductal C

    Name the tumor/cancer/mass

    1. Tumor of optic nerve in children2. Brain tumor with whirly pattern3. Brain cancer with strange cells4. Tumor in children in Posterior foss5. Pasty Goop/Motor Oil6. Hydrocephalus7. Bi-temporal hemi-anopsia8. Precocious Puberty9. Associated with autoimmune disea10. Presents as a cold nodule11. 1 risk is previous radiation of the n1. Glioma2. Schwannoma, Oligodendroglioma3. Glioblastoma Multiforme4. Meduloblastoma5.

    Craniopharyngioma6. Ependynoma

    7. Nonfunctional pituitary adenoma,8. Pineloma9. Thymoma10. Follicular Adenoma of the thyroid11. Papillary carcinoma of thyroidName the mass/cancer/tumor

    Rarest Lung cancer - Large Cellcarcinoma

    Most common presentation is painljaundice - Pancreatic cancer

    Single hole in bone, painful overniosteoid osteoma

    Tumor of diaphysis in children, onskinning, flask shaped - Ewing sarc

    Papillary with central dimpling on - basal cell carcinoma of skin

    Precursor is actinic keratosis

    Squamous Cell carcinoma

    Skin cancer with worst prognosis

    Melanoma

    Clue for Intraductal carcinoma of br

    Associated with Paget's disease of breaBleeding from nipple

    Singular dimple in breast

    Estrogen Dependant

    Lobular carcinoma of the breast

    Cells in single file

    Clues for Inflammatory carcinoma o

    breast

    Lots of dimpling

  • 7/28/2019 Oncology i

    7/7

    -

    nfiltrating lymph channels

    eu' deronge

    Clue for Intraductal carcinoma of breast

    Associated with Paget's disease of breast

    Bleeding from nipple

    ingular dimple in breast

    Estrogen Dependant

    Clues for Comedocarcinoma

    Multiple focal areas of necrosis

    Cystosarcoma phylloides

    Rhabdomyosarcoma of the breast

    Grows like a fungus

    What disease has Multiple A-V

    Malformations (AVM) in brain

    Von Hipple Landow

    What disease has Multiple A-V

    Malformations (AVM) in the lung

    Osler-Webber-Randu