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GIHEP Surgery - CRC (i) (Risk factors (family hx (HNPCC 5%, FAP 1%,…
GIHEP Surgery - CRC (i)
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Risk factors
family hx
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Peutz-Jeghers Syndrome (PJS) - AD, develop of benign harmartomatous polyps in GIT + hyperpigmented macules on lips + oral mucosa (melanosis)
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Macroscopic types
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fungating polypoid tumour: growing towards lumen, hence not penetrating wall (best prognosis)
Annular constricting tumour: penetrating into while (increases the T stage - not size) - can cause obstruction + perforation
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Signs
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cachexia (temporalis, zygoma)
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