cancer 4 and 5 Flashcards

1
Q

what are the main methods of cancer therapy

A

surgery
radio or chemotherapy
targeted therapy

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2
Q

what is targeted therapy and some examples of successful ones

A

drugs which block specific proteins known to be causing cancer
tamoxifen, for breast cancer, its a serm
vemurafenib for braf melanoma
trastuzumab for her2 positive breast cancer

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3
Q

what types of cancer is surgery ineffective on

A

rapidly spreading or diffuse cancers such as melanoma

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4
Q

what are two methods for immune therapy for cancer

A

removing cytotoxic t lymphocytes and modifying them to recognise cancer

using drugs to block cell cell interaction between cancer and immune cells that allows the immune cells to target cancer

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5
Q

what is chronic myeloid leukaemia and what do almost all cases have in common

A

cancer of the white blood cells, a compound chromosome called Philadephia chromosome

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6
Q

which translocations contribute to cml

A

translocation of chr 22 to chr 9 as they sit next to each other in the chromosome

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7
Q

what does the Philadelphia chromosome produce

A

a new fusion protein and a gene called brc abl

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8
Q

what is targeted in chronic myloid leukaemia and what is the drug called

A

imatinib and the abl tyrosine kinase is disabled

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9
Q

what are the two cml cancer drugs

A

imatinib and nilotinib

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10
Q

why is imatinib not used as much for cml and what is it used for

A

its not a perfectly selective inhibitor and can inhibit normal able and pdgf and kit r
is used in gastrointestinal tumours which use kitr
and pdgf driven melanoma

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11
Q

what is alk inhibitors used for in cancer treatment

A

used to inhibit alk positive lung cancers

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12
Q

what is the 5 year survival rates for breast and lung cancer

A

breast: 87
lung 10

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13
Q

what are the inherited genetic breast cancer risk factors

A

5-10 % are through inherited genes such as:
brca1 and brca2 dna repair
tp53
pten: regulates cell growth

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14
Q

what are the breast cancer risk factors

A

genetics, age, gender, family history

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15
Q

what are the classifications of breast cancers

A

hormone recepter positive(ER+ and PR+)
her2 positive
triple negative

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16
Q

what methods are crucial in immunohistochemistry

A

slicing and staining

17
Q

what are the issues with biopsy and what might be a solution

A

using blood samples as dna is in blood and theres a little cancer dna in blood

18
Q

which types of breast cancer have the best and worst surviveablility

A

er+ ve and positive are the best
pr- is second best
triple negative is bad

19
Q

what percentage of lung carcinoma is caused by smoking

A

86%

20
Q

what are the types of lung cancer

A

small cell
large cell
adenocarcinoma
squamous cell