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General Surgical Fellowship Examination Revision Course. Case 1. How would you consent this patient?. How would you consent this patient? Discuss the pre-operative staging and management of this patient. How would you consent this patient?
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How would you consent this patient? • Discuss the pre-operative staging and management of this patient
How would you consent this patient? • Discuss the pre-operative staging and management of this patient • Discuss long course vs. short course pre-operative chemo-radiotherapy
How would you consent this patient? • Discuss the pre-operative staging and management of this patient • Discuss long course vs. short course pre-operative chemo-radiotherapy • How will you follow this patient?
Describe the genetics of FAP • What other organ systems can be involved?
Describe the genetics of FAP • What other organ systems can be involved? • How would you manage this patient?
Describe the genetics of FAP • What other organ systems can be involved? • How would you manage this patient? • This male patient is 17 years old – would you take the rectum now or not?
Describe the genetics of FAP • What other organ systems can be involved? • How would you manage this patient? • This male patient is 17 years old – do you resect the rectum now or not? • How would you follow this patient?
What are the modified Bethesda criteria? • Describe the genetic abnormality involved?
What are the modified Bethesda criteria? • Describe the genetic abnormality involved? • How would you follow patients with a family history of HNPCC?
What are the modified Bethesda criteria? • Describe the genetic abnormality involved? • How would you follow patients with a family history of HNPCC? • Right sided colon cancer is detected on surveillance colonoscopy – how would you manage this patient?
How would you manage this patient? • Describe the series of genetic changes that are needed for colon cancer to develop