Cancer Flashcards
Aflatoxin (produced by aspergillus) causes?
Hepatocellular carcinoma
Aniline dyes causes?
Bladder TCC
Asbestos causes?
Mesothelioma and bronchial carcinoma
Nitrosamines causes?
Oesophageal and gastric cancer
Vinyl chloride causes?
Hepatic angiosarcomae
SEs cyclophosphamide
Haemorrhagic cystitis
Myelosuppression
TCC
SEs bleomycin
Lung fibrosis
SEs anthracyclines, e.g. doxorubicin
Cardiomyopathy
SEs methotrexate
Myelosupression
Mucositis
Liver fibrosis
Lung fibrosis
SEs 5-FU
Myelosuppression
Mucositis
Dermatitis
SEs 6-mercaptopurine
Myelosuppression
SEs cytarabine
Myelosuppression
Ataxia
SEs vincristine
Peripheral neuropathy
Paralytic ileus
SEs vinblastine
Myelosuppression
SEs docetaxel
Neutropenia
SEs irinotecan
Myelosuppresion
SEs cisplatin
Nephrotoxicity
Ototoxicity
Peripheral neuropathy
Hypomagnesaemia
SEs hydroxyurea
Myelosuppresion
Inheritance Li-Fraumeni syndrome
Autosomal dominant
Problem in Li-Fraumeni syndrome
Germline mutations to p53 tumour suppressor gene → high incidence of malignancies, particularly sarcomas and leukaemias
BRCA associations
Breast cancer
Ovarian cancer
Prostate cancer (BRCA2)
Inheritance Lynch syndrome
Autosomal dominant
Cancers in Lynch syndrome
Colon
Endometrial
Amsterdam criteria (high risk of Lynch syndrome)
3+ family mebers with colorectal cancer (one 1st degree)
2 successive affected generations
1 or more colon cancers diagnosed under 50
FAP excluded
Inheritance Gardners syndrome
Autosomal dominant
Features Gardners syndrome
Multiple colonic polyps
Skull osteoma
Thyroid cancer
Epidermoid cyst
Investigation suspected MSCC
Whole spine MRI within 24 hours
Treatment MSCC
High dose oral dex
Urgent onc assessment for consideration of radiotherapy or surgery
CA125 marker for
Ovarian cancer
CA 19-9 marker for
Pancreatic cancer
CA 15-3 marker for
Breast cancer
AFP marker for
Hepatocellular carcinoma
Teratoma
CEA marker for
Colorectal cancer
S-100 marker for
Melanoma
Schwannomas
Bombesin marker for
SCLC
Gastric cancer
Neuroblastoma