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Hemat/Onc EXAM 1
Hemat/Onc EXAM 1 - Hecht Onc
13
Pharmacology
Graduate
01/12/2012

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Cards

Term
spread of cancer
Definition
always maintains the characteristics of where it started

spreads by direct invasion into surrounding tissues

spreads through lymphatic system

spreads through the blood

the LUNGS, LIVER, AND BONES are the most common sites of distant metastases
Term
AJCC (TNM) Staging
Definition
breaks tumor into 3 components:
T (Tumor)
N (lymph Nodes)
M (distant Metastases)

overall stage is determined by a combination of the various combinations of the individual components

0 = carcinoma in situ

I = small tumor (T1 or T2, N0, M0)

II = larger tumor (T3 or T4, N0, M0)

III = lymph node involvement (Tany, N1-3, M0)

IV = distant metastasis (Tany, Nany, M1)
Term
colon cancer staging
Definition
I = T1-2, N0, M0
II = T3-4, N0, M0
III = Tany, N1-2, M0
IV = Tany, Nany, M1
Term
known medications to prevent cancer
Definition
tamoxifen (breast cancer)

raloxefene (breast cancer)

aspirin and NSAIDs (colorectal cancer)

HPV vaccine (cervical, anal, head/neck cancer)
Term
cancer screening
Definition
biggest questions for screening are:
does it impact survival?
is it cost effective?

American Cancer Society recommends:
prostate cancer
breast cancer
colorectal cancer
cervical cancer
Term
treatment terminology: intent
Definition
curative: goal is to totally eliminate any cancer

palliation: goal is to improve symptoms and prolong life
Term
treatment terminology: response
Definition
complete response: no signs of any remaining tumor after completion of therapy = remission

partial response: tumor has decreased in size, but some cancer remains (at least 50% decrease)

stable disease: tumor decreased minimally (<50% decrease) or not at all, no increase in tumor size

no response: tumor has grown despite therapy = refractory
Term
important surgery concepts
Definition
complete resection = no visible remaining tumor

partial resection = some tumor remains after surgery

margins = area around the visible tumor (looks normal, but do not know for sure until pathologic evaluation)
Term
radiation types
Definition
external beam radiation (EBRT): use linear accelerator to produce high energy X-rays or gamma rays; outside source of radiation which is directed at the patient; most common form of radiation

internal radiation (brachytherapy)
systemic radiation (radio pharmaceuticals)
energy comes from breakdown of radioactive isotopes
Term
origin and immunogenicity: mu
Definition
human

very low immunogenicity
Term
origin and immunogenicity: zu
Definition
humanized

low immunogenicity
Term
origin and immunogenicity: xi
Definition
chimeric

high immunogenicity
Term
origin and immunogenicity: mo
Definition
mouse

very high immunogenicity
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