Cancer Flashcards
Modifiable Risk Factors forPreventing Cancer
smoking, excessive body weight, lack of physical activity, unhealthy eating habits, alcohol consumption, and excessive exposure to the sun
Two types of genes that can be affected by mutation are
1) Proto-oncogenes
2) Tumour suppressor genes
Pathogenesis of Cancer Metastasis
- primary tumor
- proliferation/angiogenises
- invasion/detachment
- embolism/circulation
- treansport
- arrest in organs
- adherance to vessel wall
- extravassation
- establishment of a microenvironment
- proliferation/angiogensis
- metastasis
Tumours can be classified by
Anatomical site Histological analysis --Grading severity Extent of disease --Staging
Four grades of abnormal cells
Grade I
Cells differ slightly from normal cells and are well differentiated.
Grade II
Cells are more abnormal and moderately differentiated.
Grade III
Cells are very abnormal and poorly differentiated.
Grade IV
Cells are immature and primitive and undifferentiated.
Cell of origin is difficult to determine.
Clinical staging classifications
0: Cancer in situ I: Tumour limited to tissue of origin; localized tumour growth II: Limited local spread III: Extensive local and regional spread IV: Metastasis
COLLABORATIVE CARE
- The goal of cancer treatment is cure, control, or palliation.
- The goals of cure, control, and palliation are achieved through the use of four treatment modalities: surgery, radiation therapy, chemotherapy, and biological therapy.
The 4 Rs
- Repair of cellular damage,
- Redistribution of cells in the cell cycle
- Repopulation with normal cells
- Reoxygenation of hypoxic tumor area.
Radiation effects
• Fatigue, anorexia,
bone marrow suppression,
skin reactions – erythema, dry reactions, alopecia
oral oropharyngeal and esophageal reactions
• Pulmonary effects
• GI effects
• Reproductive effects
Etiology of cancer
- Exposure to Carcinogens
- Genetic Predisposition
- Altered Immunity