brain tumours Flashcards

Information on brain cancer.

1
Q

which cells do neuroepithelial tumours resemble?

A

glial cells

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2
Q

from what do paraneoaxial tumours arise?

A

covering of brain and surrounding structures

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3
Q

risk factors for brain tumours

A

genetic

more common in children

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4
Q

what are 85-90% of primary brain tumours?

A

astrocytomas

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5
Q

how do astrocytomas develop?

A

IDH1 glucose metabolic mutation

catastrophic genetic mutation

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6
Q

what are 5% of primary brain tumours?

A

oligodendrocytomas

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7
Q

from which cancers do secondary brain tumours commonly come?

A
lung (39%)
breast
melanoma
renal 
GI
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8
Q

progression of astrocytoma

A

pilocytic astrocytoma (good prognosis)
premalignant
anaplastic astrocytoma
glioblastoma multiforme

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9
Q

characteristics of raised ICP headache

A

headache is worse in morning
relieved by vomiting
leaning forwards makes headache worse
fixed dilated pupil

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10
Q

symptoms of brain tumour

A

headache
seizures
progressive neurological deficit

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11
Q

what is a medulloblastoma?

A

primitive small blue cell tumour of cerebellum
more common in children
better prognosis with beta-catenin

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12
Q

complications of brain tumour surgery

A

nerve damage

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13
Q

when are oligodendrogliomas most common?

A

in 4th and 5th decade

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14
Q

MRI WHO performance status for brain tumours

A
  1. capable of light work
  2. self catering up to >50% of day
  3. limited self-care
  4. bed bound
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15
Q

what can be seen on scans with oligodendrogliomas?

A

calcification

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16
Q

treatment of astrocytoma

A

debunking surgery
radiotherapy
chemotherapy + dexamethasone

17
Q

what can be done to make glioblastomas more vulnerable to chemo?

A

epigenetic methylation of MGMT promotor region

18
Q

characteristics of brain mets

A

multiple

oedema