ngaybinhyen
Forum Guru
Topics: 23
Posts: 657
|
1. Most common cancers among men and women?
2. Most common cause of cancer death among men and women?
3. What cancers screening tests available? starting at what age?
|
| DrAlex_76
Forum Guru
Topics: 120
Posts: 410
|
MEN : 1 Lung 2 Prostate 3.Colon
Women 1.Cervical 2. Ovarian 3. breast
Death in men same order
Death in women 1.Ovarian 2. Breast 3.Cervical
can be wrong some how.
|
| DrAlex_76
Forum Guru
Topics: 120
Posts: 410
|
other sources
PLC/ BLC - Male/female
Prostate , lung , colon /Breast ,Lung, Colon
orderly 1-2-3 for incidence and 2-1-3 for Death
I think this one is trustable!
|
| ngaybinhyen
Forum Guru
Topics: 23
Posts: 657
|
well done, mate
This is for you
A 40-year-old woman presents to the physician for a health maintenance examination. She has not visited her physician for the past several years. She does not take any medications and has no allergies, denies alcohol or tobacco use. and works as a librarian. She is single and has never been sexually active. Her family history is significant for both colon and ovarian cancer in first-degree relatives. Her temperature is 98.6°F (37°C). pulse is 78/min. bp is 120/68 mm Hg. and respirations are 18/min. Examination is unremarkable. Which one of the following screening tests is recommended for this patient?
OA.CA-125 level
O B. Colonoscopy
O C. Fecal occult blood testing
O D. Lipid panel
O E. Mammography
O F. Ovarian ultrasound
|
| vanshita
Forum Guru
Topics: 31
Posts: 933
|
C
|
| DrAlex_76
Forum Guru
Topics: 120
Posts: 410
|
Best screening test for colon cancer is annual FOB though the specificity is not that good.
Colonscopy is too early for her, if FOB pos then we go for scope.
As far as I knew, CA 125 is not the screening test for Ovarian , better off being follow-up test. Best screening test for Ovarian cancer is bimanual exam. ( love this test ...dude)
|
| ngaybinhyen
Forum Guru
Topics: 23
Posts: 657
|
available screening tests are for
- colon
- breast
- cervix
as my guess was for colonoscopy (1st relative colon cancer) and mammography (starting 40yr). Let me know what you think
|
| ngaybinhyen
Forum Guru
Topics: 23
Posts: 657
|
DrAlex, take a look at this explanation from Kaplan QB
Ovarian cancer screening:
• Should be done in postmenopausal women and those at increased risk (family history. BRCA1 mutation, dermatomyositis. HNPCC)
• Screening should include CA-125 assessment followed by transvaginal ultrasound if CA-125 is elevated to greater than 35 U/mL
Anybody any idea?
|
| DrAlex_76
Forum Guru
Topics: 120
Posts: 410
|
So can u kind enough to pose the answer ? lol ...
|
| ngaybinhyen
Forum Guru
Topics: 23
Posts: 657
|
B or E?
They say it's E.
I just don't know why not B?
|
| DrAlex_76
Forum Guru
Topics: 120
Posts: 410
|
because of her single and never had sex along side with age ----> Breast screening is the number one.
Can't screen colon cancer at age 40 even the pt has family history by colonscopy. 1st always FOB then sigmoidoscopy.
|
| ngaybinhyen
Forum Guru
Topics: 23
Posts: 657
|
hey, bro
with FH/o colon cancer --> pick colonoscopy if it is one of the options, correct?
|
| ngaybinhyen
Forum Guru
Topics: 23
Posts: 657
|
Take a look at Kaplan LN '08
In the patient with no significant family history of colon cancer, screening should begin at the age of 50. The choices are annual fecal occult blood testing, sigmoidoscopy every 5 years, and barium enema. The preferred screening modality for colon cancer is colonoscopy every 10 years.
Patients who have a single first-degree relative with colorectal cancer diagnosed before the age of 60, or who have multiple first-degree relatives with colon cancer at any age, should undergo colonoscopy starting either at the age of 40 or at an age that is 10 years younger than the age at which the youngest affected relative was diagnosed, whichever age occurs earlier. In this group of high-risk patients, colonoscopy should be repeated every 5 years.
|
| DrAlex_76
Forum Guru
Topics: 120
Posts: 410
|
awesome ...
|
| nightflight1945
banned
Topics: 32
Posts: 920
|
B. Colonoscopy
I will go for it.
for mamography although recommended from 40 , but in most publications it has shown that only patients above 50 y will benefit from annual mamo
but for colonoscopy , taking into account her family Hx , it is the best next step.
Fecal Ob is not sensitive enough for Dx of colon cancer .It is only 50-60% sensitive
|
| ngaybinhyen
Forum Guru
Topics: 23
Posts: 657
|
Take a look at Kaplan LN 2008 (my earlier post), nightflight
The answer is Mammography
|
| nightflight1945
banned
Topics: 32
Posts: 920
|
I'm not convinced!
Her family history is significant for both colon and ovarian cancer in first-degree relatives.
|
| ngaybinhyen
Forum Guru
Topics: 23
Posts: 657
|
I was not, either, man
The new LN has made it clear as you consider high risk for colon cancer when
1. 1st degree relative < 60 when diagnosed
2. multiple
It's not my answer
|
| elidoc
Forum Newbie
Topics: 1
Posts: 6
|
E. mammography !
|
|
| |
| | | | | | | | | | | | | | | | | | | |
