Shared Flashcard Set

Details

ICM- Hematology and Oncology
Introduction to Oncology (T Pierce)
17
Medical
Professional
12/09/2009

Additional Medical Flashcards

 


 

Cards

Term
Control of blood production or cell growth
Definition
  • enromous reserve capacity
  • tight quantitative control
  • tight qualitative control
Term
Describe the characteristics of cancer cells
Definition
  • grow independently without regulation (GF, hormones)
  • grow in disorganized fashion
  • do not undergo programmed cell death
  • can create their own blood supply
Term
Genetic mutation that facilitate transformation to cancer
Definition
  • oncogenes
  • defective tumor suppressor genes
  • interference with apoptosis
Term
c-myc function
Definition
proto-oncogene that drives cell from G0 phase to S1
Term
tumor suppressor gene mutations and their role in cancer development. give an example
Definition
  • specific mutations that allow neoplastic transformation
  • p53 gene mutation associated with multiple cancers
  • most common cause of hereditary cancers
Term
Role of genetic mutation of BRCA1,2
Definition
  • tumor supressor genes that increas susceptibility to cancer (allow for other genetic defects)
  • 80% of all hereditary breast cancers (but only a fraction of all breast cancers)
  • BRCA1- chromosome 17q
    • 85% cancer risk by age 70
    • ovarian cancer risk of 15%
  • BRCA2- chromosome 13q
    • associated with female and male breast CA (85% lifetime risk)
    • more frequent in Iceland
    • also associated with prostate, ovarian, and panceratic cancer
Term
phenotype characteristics of cancer
Definition
  • loss of differentiation
  • uncontrolled growth
  • loss of contact inhibition in vitro
  • invasive capacity
  • reduced apoptosis
  • induction of angiogenesis
Term
Hereditary syndromes for which genetic testing available. What is the px measure?
Definition
  • BRCA1,2- prophylactic mastectomy
  • BRCA1 (ovarian CA)- prophylactic oophorectomy, oral contraception
  • APC (colon CA)- prophylactic colectomy
  • familial adenomatous polyposis- NSAIDS
Term
Potential etiologies of transformation to cancer
Definition
  • chemicals
  • immunosuppression
  • infectious cause
  • diet
    • nitrates
    • high fat diets
  • age (increase risk of cancer with increase age)
Term
Cancer etiology: different chemicals
Definition
  • tobacco
  • benzene
  • radiation
  • alcohol
  • asbestos
  • alkylating agents
  • hormones (estrogen)
Term
Cancer etiology: immunosuppresion causes
Definition
  • inherited disorder
  • autoimmune disease
  • transplants of:
    • bone marrow
    • kidney
    • liver
    • pancreas
Term
Cancer etiology: infectious causes
Definition
  • HIV
  • EBV
  • hep B
  • HPV
Term
cancer tx methods
Definition
  • prevention
  • adjuvant therapy
  • tx of advanced or metastatic disease
Term
primary cancer prevention
Definition
  • avoidance of causative agent
    • cigarrete smoke
    • use of sunscreen
  • chemoprevention (ex: Tamoxifen)
  • vaccine against HPV
Term
secondary cancer prevention
Definition
  • screening tests to find early disease
    • mammography
    • pap smear
    • screening colonoscopy
  • test must make a difference in mortality tx of earlier stage disease
Term
cancer tx approaches
Definition
  • surgery
  • chemotx
  • radiation
  • hormonal therapy
  • targeted thearpy
    • rituxamab
    • imatinib
    • trastuzumab
Term
Stages of cancer: importance, what based on
Definition
  • prognostic importance
  • defines therapy
  • based on surgical findings and imaging studies
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