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DR:SAMEER A. SOFTA MBBCH, MD, FRCSC

DR:SAMEER A. SOFTA MBBCH, MD, FRCSC. ASSISTANT PROFESSOR FACULTY OF MEDICINE UM ALQURA UNIVERSITY MAKKAH. GASTRO INTESTINAL MALIGNANCY. ESOPHAGEAL CANCER. PRESENTATION: DYSPHAGIA 85% REGURGITATION 25% WT LOSS 60% HOARSENESS 5% PAIN 25% COUGH 3%

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DR:SAMEER A. SOFTA MBBCH, MD, FRCSC

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  1. DR:SAMEER A. SOFTAMBBCH, MD, FRCSC ASSISTANT PROFESSOR FACULTY OF MEDICINE UM ALQURA UNIVERSITY MAKKAH

  2. GASTRO INTESTINAL MALIGNANCY

  3. ESOPHAGEAL CANCER PRESENTATION: DYSPHAGIA 85% REGURGITATION 25% WT LOSS 60% HOARSENESS 5% PAIN 25% COUGH 3% PATHOLOGY: SQUAMUS ADENOCARCINOMA PREDISPOSING FACTORS: BARRETTS ESOPHAGUS CAUSTIC INJURY LEUKOPLAKIA SCLERODERMA ACHALASIA STRICTURE PLUMMER-VINSON SYNDROME TYLOSIS

  4. ESOPHAGEAL CANCER INVESTIGATION: UGI EGD LARYNGOSCOPY CT SCAN EUS STAGING: STAGE I STAGE II STAGE III STAGE IV 1-2 YEARS SURVIVAL 6% & 0.3% RESPECTIVELY TREATMENT: CURATIVE V/S PALLIATIVE CHEMOTHERAPY RADITHERAPY

  5. GASTRIC CANCER PRESENTATION: PREDISPOSING CONDITIONS: DIET ( NITRATE,NITRITE & PICKLED FOODS) ENVIRONMENTAL (SMOKE ,DUST ,CIGARRETE & ALCOHOL) CHRONIC GASTRITIS (ATROPHIC,G ULCER, ACHLOROHYDRIA, PRENICIOUS ANAEMIA, PRIOR G RESECTION) GENITIC FACTOR BLD GB A INVESTIGATION: EGD UGI EUS CT SCAN

  6. GASTRIC CANCER PATHOLOGY: ADENOCARCINOMA SHAPE POLYPOID (SUPERFICIAL) V/S ULCERATING (SCIRRHOUS) TYPE INTESTINAL V/S DIFUSE TYPE SITE DISTAL V/S PROXIMAL LESION size LN INVOLVEMENT TREATMENT: CURE V/S PALLIATION

  7. DUEDENAL & SMALL BOWEL CANCER PESENTATION: INVESTIGATION: TREATMENT:

  8. PANCREATIC CANCER PRESENTATION: • COURVOISIERS LAW PREDISPOSING CONDITION: CHRONIC PANCREATITIS CIGARRETE SMOKING INVESTIGATION: LFT`S & S AMYLASE US CT SCAN ERCP PERC CT GUIDED BIOPSY !!!!????

  9. PANCREATIC CANCER COMPLICATION VIT K DEF (PT ) ASCENDING CHOLANGITIS SEVERE PAIN TREATMENT: CURE: WHIPPLE PROCEDURE PALLIATION: SURGICAL BY-PASS STENT PIC TAIL CATHETER CEALIAC BLOCK

  10. LIVER CANCER PRESENTATION: PREDISPOSING CONDITION: HEPATITIS B & C ALCOHOLIC L.CIRRHOSIS AFLATOXINS METABOLIC HEMOCHROMATOSIS TYROSINEMIA PATHOLOGY: HCC FIBROLAMILARY TYPE ADENOMATOUS HYPERPLASIA METS: LOCALLY: LN, DIAPHRAM DISTANT: LUNG, BONE, ADRENAL, & BRAIN

  11. LIVER CANCER INVESTIGATION: BLOOD TEST LFT`S AFP RADIOLOGY US CT SCAN CT PORTOGRAPHY LIPOIDAL CT SCAN CT/US GUIDED BX TREATMENT: CURATIVE: MULTIMODAL PALLIATIVE: ??

  12. GALL BLABDDDER & CBD CANCER PRESENTATION: PREDISPOSING CONDITION: GB PORCELAIN GB GALL STONE CBD UC. SCLEROSING CHOLANGITIS PARASITIC INFESTATION CHOLYDOCHAL CYST

  13. GALL BLABDDDER & CBD CANCER INVESTIGATION: BLOOD TEST LFT`S S, CEA ASCITIC FLUID TAB RADIOLOGY US CT SCAN ERCP TREATMENT: CURE: PALLIATION:

  14. COLO-RECTAL CANCER PRESENTATION: PREDISPOSING CONDITION: ADENOMATOUS POLYP F/H CA COLON AGE UC CHRON`S COLITIS PREVIOS COLON CA IRRADIATION FAMILIAL POLYPOSIS HAMARTOMATOUS POLYP!!!!?

  15. COLO-RECTAL CANCER INVESTIGATION: GUAIAC TEST CBC LYTES C. SCOPE BE. CT SCAN US !? S. CEA LEVEL !? TREATMENT:

  16. ANAL CANCER PRESENTATION: PREDISPOSING CONDITION: CONDYLOMA CHRONIC ANAL FISSURE CHRONIC ANAL FISTULA INVESTIGATION: US CT SCAN (PELVIS) TREATMENT: SURGERY V/S MEDICAL (RADIATION 5000 cGY & CHEMOTHERAPY,5FU & MITOMICIN-C)

  17. ?

  18. THANK YOU.

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