17. Breast cancer Flashcards

1
Q

which muscle separates the breasts from the ribs

A

pec major

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2
Q

which breast cancer origin is 85%?

A

ductal

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3
Q

how many BC pt are oestrogen receptor positive?

A

60-70%

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4
Q

which patients are candidates for endocrine therapy?

A

oestrogen receptor +ve

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5
Q

3 main types of oestrogen?

A

oestradiol
oestrone
oestriol

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6
Q

when is oestradiol secreted?

A

after puberty

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7
Q

when is oestrone secretted?

A

after menopause

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8
Q

when is oestiol secreted?

A

pregnancy

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9
Q

what can supraphysiological oestrogen levels cause?

A

kill ER +ve cells

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10
Q

what cancer can be caused by high oestrogen levels?

A

uterine

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11
Q

3 postmenopausal changes which occur due to a lack of oestrogen?

A
  1. dec bone mass
  2. insulin reisstance
  3. high CVD risk
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12
Q

4 advantages of oestrogen replacement therapy as a treatment for menopause?

A
  1. increases HDL
  2. lowers LDL
  3. strengthens bone
  4. reduces menopausal sxs
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13
Q

classical receptor

A

ER-alpha

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14
Q

new receptor

A

ER-beta

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15
Q

where is the classical receptor found

A

Ch6

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16
Q

where is the new receptor found

A

Ch14

17
Q

2 examples of SERMS drugs

A

tamoxifen and raloxifine

18
Q

who is tamoxifen used for?

A

ER+ve women

19
Q

effect of tamoxifen on breast tissue

A
  1. binds to receptor
  2. causes conformational change in protien
  3. reduces cancer cell growth and differentiation
20
Q

effect of tamoxifen on endometrium

A
  1. binds to receptor

2. activates oestrogen regulated genes

21
Q

how do aromatase inhibitors work?

A

inhibit conversion of DHEA to oestrogen

22
Q

action of type 1 aromatase inhibitor

A

forms permanent and deactivating bond with enzyme

23
Q

action of type 2 aromatase inhibitor

A

reversible competition with the enzyme

24
Q

what do phytooestrogens attach to?

A

ERb