Shared Flashcard Set

Details

Oncology Final
Cannon
121
Veterinary Medicine
Graduate
03/09/2015

Additional Veterinary Medicine Flashcards

 


 

Cards

Term
Canine intransal tumors are more commonly (sarcomas/carcinomas)
Definition
Carcinoma
Term
Even though not specific for cancer- what clinical sign may make you pretty suspicious of a nasal tumor?
Definition
Epistaxis
Term
What are you worried about hitting on accident when sampling a nasal tumor
Definition
brains!
Term
At the time of dx, nasal tumors (are/are not) likely to have distant mets
Definition
Not
Term
Standard of care for nasal tumors
Definition
Radiation therapy
Term
What characteristic of a nasal tumor would make you NOT want to use definitive radiation?
Definition
If it involves the cribiform plate
Term
Most common feline nasal tumor
Definition
LSA
Term
three paraneoplastic "syndromes" of primary lung tumors
Definition
HO
Fever
Leukocytosis
Term
Adenocarcinoma/SCC is a more aggressive primary lung tumor
Definition
SCC
Term
How is a thymoma designated as benign or malignant?
Definition
invasion of surrounding tissues
Term
When aspirating a thymoma you'll get a lot of these cells______which are not the neoplastic cells
Definition
small lymphocytes
Term
Rabbit presents with bilateral exophthalmus
Definition
Thymoma
Term
This paraneoplastic syndrome is seen in upto 40% of thymoma patients
Definition
Myasthenia gravis
Term
Thyroid masses are almost always (carcinoma/adenoma)s
Definition
Carcinoma
Term
Most common presentation of a ferret with insulinoma
Definition
Lethargy
Term
The 2/3 2/3 rule states that about ___% of all splenic masses are HSA
Definition
50
Term
____% of dogs presenting with non traumatic hematoma have HSA. It increases another 10% if they are also ____
Definition
60
anemic
Term
The most common secondary tumor in the CNS is____
Definition
HSA
Term
____ % of cats with spontaneous hemoabdomen have HSA
Definition
30
Term
Most common site for dermal HSA in cats
Definition
head
Term
Two staging tests for hSA
Definition
Chest xray
Abd U/S
Term
Reason for sometimes elevated ALT with HSA dogs
Definition
hypoperfusion
Term
which two _penias are common with HSA
Definition
Anemia
Thrombocytopenia
Term
Which of the following is more correct?
If see a mass in right atrium you should check spleen
If see a mass in the spleen you should check in RA
Definition
If see a mass in RA- check for one in spleen!
Term
T/F LN involvemet i svery common with HSA
Definition
False
Term
T/F Pulmonary mets are common with HSA
Definition
True
Term
What's an "herbal" remedy that might help woth HSA?
Definition
Turkey tail mushroom
Term
Most chemo protocols for HSA include _______.
Definition
Doxurubicin
Term
This cancer has a metronomic type chemo option
Definition
HSA
Term
Prognosis splenic HSA in months:
Splenectomy only
Splenecomy + Doxo
Definition
1-3
4-6
Term
Most common presentation for canine HSA
Definition
Acute hemoabdomen
Term
Herbicide/Insecticide exposure increases risk for TCC
Definition
Both
Term
What chemo treatment for other cancers is known to increase risk for TCC
Definition
Metronomic Cyclophosphamide
Term
Poster child (or dog) for TCC
Definition
Fat Female Scotty
Term
Middle aged dog with their first UTI...think about_____ and perform a _____
Definition
TCC
U/S
Term
Specifically what kind of herbicides increase TCC risk?
Definition
Phenoxy
Term
Why might a TCC dog present with lameness
Definition
Bony mets
Term
Which kind of bladder mass do you never FNA?
Definition
Apical tumor that looks surgical
Term
When should a bladder tumor antigen (BTA) test be performed?
Definition
In predisposed breeds for screening
Term
MST for TCC on piroxicam alone
Definition
6 months
Term
What chemo agent is most commonly added to piroxicam for TCC with a MST of maybe upto a year
Definition
Mitoxantrone
Term
Which tends to be the more agressive prostatic carcinoma- TCC or adenocarcinoma
Definition
Adenocarcinoma
Term
What % of prostatic carcinomas have mets at dx
Definition
80
Term
Prostatic carcinomas seem to have similar MST as TCC for piroxicam alone or with chemo. However, what's the MST if do nothing?
Definition
less than one month
Term
This round cell tumor may spontaneously regress - but prob wont if there over 6 months
Definition
TVT
Term
Tx with this chemo agent may actually cure TVT
Definition
Vincristine
Term
Need to monitor pts on piroxicam b/c it can cause:
Definition
renal papillary necrosis
Term
Cats with renal tumors most likely___________and commonly have concurrent disease here________.
Definition
LSA
CNS
Term
tx for renal carcinoma in dogs
whats resulting MST?
Definition
nephrectomy
16 months
Term
Before you biopsy a suspected nasal tumor what other diagnostics should you perform
Definition
Blood work + coag
Blood pressure
CT
Term
Why is it better to do a CT before flushing for a suspected nasal tumor
Definition
see if intact cribiform plate- dont flush if compromised!
Term
Mets at diagnosis for nasal tumors common/uncommon
Definition
UNcommon
Term
Standard of care for nasal tumor
second choise?
Definition
Definitive Radiation
Palliative Radition
Term
If Radiation not an option for nasal tumor- what chemo can you try?
Definition
Doxorubicin/Carboplatin
Term
Definitive RT for nasal cancer gives a MST of _____ months average and with no tx _____ months
Definition
12 ( 1 year)
2
Term
Most common feline nasal tumor
Definition
LSA
Term
MST _____ months for nasal LSA in cat with radiation therapy and ____ perecent develop systemic LSA
Definition
18 ( 1.5 yrs)
15
Term
Even tho primary lung tumors are rare- when they do occur more likely to be _____
Definition
Adenocarcinoma
Term
Range of clinical signs with primary lung tumor
Definition
nothing at all- to really really bad
Term
Two weird paraneoplastic syndromes of primary lung tumors in dogs
Definition
Hypertrophic osteopathy
Leukocytosis
Term
Dx of lung tumor- take chest xray obvi but then what else is really helpful?
Definition
U/S guided FNA
Term
Tx choice promary lung tumor
Definition
Surgery- lung lobectomy
Term
prog lung tumors better when less than _____ cm
is adenocarcinoma or scc better prog?
Definition
5
Adenocarcinoma better
Term
With histo grad of lung tumors what the survival difference bet a well differeintatied versus poorly deiff grade?
Definition
2.5 moths to 23 months (10x!)
Term
When staging a primary lung tumor you look at size, LN involvement and the presence of ______
Definition
Effusion
Term
What kind of neoplasia is a thymoma
Definition
Epithelial
Term
How do you dtermine malignancy of a thymoma?
Definition
Invasion of surrounding tissues
Term
This tumor is often cystic
Definition
Thymoma
Term
Bilateral exophthalmus in rabbit
Definition
Thymoma
Term
Name for sydrome that causes edema of face and limbs from a thymoma
Definition
Caval Syndrome
Term
CLassic paraneoplastic syndrome of thymoma
Definition
Myasthenia gravis
Term
Cats can get a paraneoplastic Exfoliative dermatitis
Definition
Thymoma
Term
________ can be comfused ofr a Mediastinal lymphoma especially since it can also cause lymphocytosis and hypercalcemia
Definition
Thymoma
Term
Tx of choice for thymoma
Definition
Surgery- median sternotomy
Term
MST for thymmoma with surgery
w/o surgery
Definition
2 years
2 months
Term
A high % of _____ cells in the thymoma on biopsy is a good prg indicator
Definition
Lymphocytes
Term
Top 3 ddx for oral tumor in dog
Definition
Melanoma
SCC
FSA
Term
Top 3 ddx oral tumor cat
Definition
SCC
FSA
OSA
Term
Most comm on oral tumor in cats by far
Definition
SCC
Term
Lump in neck is a common presentation for ___ SCC in the dog
Definition
Tonsilar
Term
Best way to dx an oral tumor
Definition
Incisional biopsy
Term
What must you remember to do when you biopsy
Definition
describe the location
Term
With oral yumors do you want to do it from iside or outside oral cavity
Definition
Inside
Term
What may you see in chem panel for feline oral SCC?
Definition
Hypercalcemia
Term
Why is a feeding generally NOT recommended for palliative care for an oral tumorq
Definition
May be hard to assess quality of life
Term
Canine oral SCC generally have low risk for mets except for these two forms
Definition
Tonsil
Tongue
Term
Surgery for an oral mass with best outcome ( if possible)
Definition
Mandibulectomy
Term
If you can do surgery and radition therapy for canine oral SCC whats the MST?
Definition
3 years
Term
ON presenation what % tonsilar SCC have visiable lung mets- how about % with micro mets?
Definition
10-20
90
Term
Mutations of ____ associated iwth ____ households may predispose cats to feline oral SCC
Definition
p53
Smoking
Term
best possible scenario for a feline oral SCC
Definition
small on mandible
Term
MST for feline oral SCC
Definition
3 months
Term
What % of tonsilar SCC patients are alive at year 1
Definition
10
Term
This percent of oral melanomas are malignant
Definition
85
Term
A dog can present with _____ syndrome from a thyroid tumor if becomes really invasive
Definition
Horner's
Term
Why should you NOT do an incisional biopsy on a thyroid tumor?
Definition
hemorrhage!!
Term
A thyroid tumor with these three characteristics is a good candidate for surgery
Definition
Freely moveable
Non invasive
No mets
Term
MST for thyroid tumor with definitive rt or iodine
Definition
2-3 years
Term
cats with hyperthyroid usually have
Definition
not a carcinoma
Term
not really a chemo protocol for insulinoma but if there were it would include this:
Definition
Streptozcin
Term
With stage one insulinoma nd surgery what is the MST?
Definition
2 years
Term
Intermittent anxiety wekaness collapse with concurrent hypertension
Definition
Phaeochromocytoma
Term
Mortality risk (%) of adrenalectomy
Definition
10-20
Term
Salivary gland tumors rare but when in cats more likely to be this breed
Definition
Siamese
Term
Esophageal tumors really uncommon but when they exist most likely to be a _____ or assoc with ____
Definition
SCC
Spirocerca
Term
Gastric tumors in dog most likely:
in cats:
Definition
Adenocarcinoma
Lypmphoma
Term
Dx for a gastric tumor
Definition
biopsy
Term
Most common SI tumor in both dogs and cats is _____ followed by______
Definition
LSA
Adenocarcinoma
Term
Intestinal tumor with a paraneoplastic hypercalcemia
Definition
Leiomyosarcoma
Term
Both _____ and MCT's have ckit mutations
Definition
GIST
Term
About half of non LSA GI tumors with met to where?
Definition
Lymphnodes
Term
While the most common met site for non lymphoma gi tumors in dogs and cats is lymphnodes, the second most common site is different

Dogs:
Cats:
Definition
Liver
Carcinomatosis
Term
This perianal tumor will likely regress with castration because it is hormone driven
Definition
Adenoma
Term
AGASACAs are usually uni/bi - lateral
Definition
Unilateral
Term
main cimplication with surgical removal of AGASACA
Definition
fecal incontinence
Term
Main side effect of radiation for an AGASACA
Definition
colitis
Term
____ is the most common liver tumor in dogs and second in cats
Definition
Hepatocellular carcinoma
Term
MST for massive hepatocellular carcinoma with surgery
Definition
> 5yrs
Term
Three types of HCC and which is best prog ( it's also the most common)
Definition
Massive**
Nodular
Diffuse
Term
Most common liver tumor in cats
Definition
Biliary cystadenoma
Term
Weird paraneoplastic syndrome of exocrine pancreas neoplasia in cats
Definition
Alopecia with shiny skin
Supporting users have an ad free experience!