Pancreatic
What is ductal adenocarcinoma?
Liver cancer is most associated with this tumor marker.
What is alpha fetoprotein (AFP)?
This is the continent with relatively higher rates of gallbladder cancer.
South America
Extrahepatic cholangiocarcinoma are also known as this.
What is Klatskin tumor?
A tumor in the endocrine portion of the pancreas is causing repeated hypoglycemia. This is the likely etiology.
What is an insulinoma?
Gerry is diagnosed with pancreatic cancer after workup for painless obstructive jaundice. Where is the most likely anatomic location of the tumor?
What is head of the pancreas?
Jerome has cirrhosis that has been stable for years. Abruptly, Jerome's cirrhosis becomes uncompensated due to a tumor in the right lobe of his liver. These are 2 (of 3 given) symptoms that should alert the clinician to a sudden change to uncompensated cirrhosis.
What are worsening ascites, encephalopathy, jaundice? (need two)
Merle was incidentally found to have gallbladder cancer after he had this procedure for presumed cholelithiasis.
What is cholecystectomy?
This type of cholangiocarcinoma has a worse prognosis.
What is intrahepatic?
Definitive treatment for glucagonoma.
What is surgical resection?
These are the cancer screening recommendations for the general population.
What is a trick question?... screening of general population is not recommended.
A patient is being followed with serial ultrasounds of his cirrhosis for potential development of HCC. His recent ultrasound report is inconclusive. This is the next step.
What is obtaining a contrast CT or contrast MRI?
Harry is diagnosed with GBC after finding that his common hepatic duct was compressed by an impacted gallstone in the gallbladder neck. This is the name of this presentation.
What is Mirizzi syndrome?
These are congenital conditions that involve dilation of bile ducts, increasing the risk of cholangiocarcinoma.
What are choledochal cysts?
A patient is undergoing a fasting gastrin test. The patient should be advised to avoid these two things for at least 1 week prior to the test to get a more accurate result.
What are PPIs and H2 blockers?
This is an adjunct imaging test that can be used in patients with a high index of suspicion for biliary obstruction, though it does not have any therapeutic value.
What is a magnetic resonance cholangiopancreatography (MRCP)?
Stella was recently diagnosed with HCC of the right lobe. Child-pugh is category B. Based on this information, this is the preferred management.
These are 3 of the 5 suspicious imaging findings for gallbladder cancer.
What are intraluminal masses, mural thickening, calcifications/porcelain gallbladder, fixed mass, polyp?
Esther is recently diagnosed with cholangiocarcinoma after she developed painless obstructive jaundice. This diagnostic and therapeutic procedure likely discovered the tumor.
What is endoscopic retrograde cholangiopancreatography (ERCP)?
Liver metastases typically appear this way on imaging.
What are multiple bilateral nodules of varying sizes?
Tori is a 65 year old female with epigastric pain and 15# weight loss, worsening over last 6 months. An ultrasound is ordered, showing this concerning finding for pancreatic tumor.
What is a focal hypoechoic hypovascular solid mass with irregular margins?
Shirley was recently diagnosed with liver cancer. She's complaining of back pain. Evaluation of metastases has yet to be performed. These should be ordered for evaluation of mets.
What is a chest CT, contrast CT of abdomen/pelvis, and Technetium-99m (aka bone scan)?
After an ERCP diagnosed Indigo with gallbladder cancer, she was referred for surgical resection which involves removing the gallbladder as well as this.
What is partial liver margin?
Cholangiocarcinoma arises from this specific tissue.
What is biliary tract epithelium?
A patient with VIPoma develops Verner-Morrison syndrome. These are the 3 associated features.
What are watery diarrhea, hypokalemia, achlorhydria?