9.4 - Moleculaire diagnostiek en therapeutische consequenties bij longkanker Flashcards

1
Q

waarom classificeren we LK’s?

A

voor verschillende prognose en behandeling

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2
Q

grootste oorzaak LK niet-rokers

A

EGFR mutatie

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3
Q

grootste oorzaak LK roker

A

KRAS mutatie

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4
Q

niet-kleincellig carcinomen

A

plaveiselcelcarcinoom
adenocarcinoom
grootcellig carcinoom

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5
Q

kleincellig carcinomen

A

zeldzaam

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6
Q

plaveiselcel carcinoom

A
40-45% van NSCLC
centraal
>4 cm
M>V
sterke relatie met roken
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7
Q

plaveiselcel carcinoom, histologie

A
  • vaak necrotisch
  • verhoorning
  • desmosomen
  • geen buis
  • geen slijm
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8
Q

adenocarcinoom

A
40% van NSCLC
perifeer
V>M
jonger
EGFR/KRAS mutatie
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9
Q

adenocarcinoom, histologie

A

?

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10
Q

grootcellig carcinoom

A

10% van NSCLC
overal in long
relatie met roken

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11
Q

grootcellig carcinoom, histologie

A

grote cellen
vergrofd chromatine
nucleoli duidelijk
scherpe celgrenzen

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12
Q

kleincellig carcinoom

A

15-20% van LK
centraal
relatie met roken
erg agressief

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13
Q

kleincellig carcinoom, histologie

A

kleine/middelgrote cellen
egaal vergrofd chromatine
geen nucleoli

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