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WorksheetsTreatment Modality for Colorectal Cancer
Total questions: 12
Worksheet time: 24mins
A 55 year old man is found to have isolated liver metastases at the time of primary surgery for colon cancer. What will be the most appropriate treatment for him?
The liver metastases should be resected synchronously with colon cancer resection
Liver biopsy should be obtained without liver resection
Liver resection can be done after primary tumour resection
Surgery for colon cancer should be abandoned as the cancer is now inoperable
The following is accurate regarding the treatment of colorectal cancer.
Surgical resection is recommended for all patients with stage IV disease
Adjuvant chemotherapy is standard for patients with stage II disease
Chemotherapy rather than surgery has been the standard management for patients with metastatic colorectal cancer
Radiation therapy is standard for all patients with stage III disease
Part of the peri-operative management of a patient with low rectal cancer would include
prophylactic antibiotics
albumin infusion
prophylaxis against deep vein thrombosis
stoma counselling
The standard surgical operation for low rectal cancer is
Hartmann’s procedure
abdominoperineal resection
total mesorectal excision
transverse colostomy
In patients with Stage III colon cancer
a referral should be made to an oncologist
adjuvant radiotherapy is indicated
PET scans can be used for routine follow-up
CEA may be useful in monitoring the patients’ progress
In locally advanced rectal cancer
a defunctioning ileostomy is the best option for treatment
referral to a palliative care physician is appropriate
3rd line chemotherapy is indicated
concurrent chemotherapy and radiotherapy is useful for down staging the tumour
Features associated with poor prognosis in colorectal cancer include
adenocarcinoma cell type
rectal bleeding at presentation
presence of involved lymph nodes
lymphocytic response to tumour
5 Fluorouracil based chemotherapy
is indicated for all patients with Duke's B tumours
in combination with capecitabine improves survival to around 18 months in metastatic disease
is likely to impair quality of life when used in the metastatic setting
improves 5 year survival rates for patients with Duke's C tumours by approximately 7%
Which of the following is a feature of colorectal cancer?
In Duke's A disease >90% patients are cured by surgery alone
Distant metastases are present in less than 5% of patients at presentation
Chemotherapy has no effect on survival
In Duke's C disease, patient can be cure via surgery
Bevacizumab
is a monoclonal antibody that targets vascular endothelial growth factor (VEGF)
is a monoclonal antibody that targets epidermal growth factor receptor (EGFR)
has no proven survival benefit in the metastatic setting
is standard treatment for metastatic colorectal cancer
Regarding metastases from colorectal cancer and symptomatic management of them
liver metastases are a rare feature
hyperproteinaemia is common
liver capsular pain usually responds well to non-steroidal anti-inflammatory drugs
cerebral metastases are common
Acute bowel obstruction in advanced colorectal cancer
is usually managed by surgery
is usually caused by obstruction at a single site in the bowel
should be treated with regular oral anti-emetics, analgesics and anti-spasmodics
should be treated with anti-emetics, analgesics and anti-spasmodics
