Cancer II Flashcards

1
Q

Skin cancer risk factors

A
  • exposure to UV radiation
  • fair skin
  • moles
  • tanning beds
  • fam hx
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2
Q

Basal cell carcinoma characteristics (what cells does it affect)

A

m. c skin cancer
- Slow growing neoplasm of the non keratinized cells of stratum basal
- superficial, red, painless growths that are shiny w dimple inside

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3
Q

Squamous cell carcinoma characteristics

A
  • cancer of the superficial layers of the epidermis

- firm, red pimple/nodulae often w ulcers/crusting

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4
Q

are basal cell carcinoma and squamous cell carcinoma cancers malignant

A

normally non metastasizing malignant neoplasms

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5
Q

What type of cancer is melonona

A

malignant neoplasm of melanocytes

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6
Q

What are tx for melonoma

A
  • surgery

- BRAF inhibitors

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7
Q

What is the ABCDE rule

A
asymetry
border
color (blue.white)
Diameter
Evolving
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8
Q

2 main types of lung cancers

A
  1. Small cell carcinoma- heavy smokers, less common, more aggressive/fatal
  2. Non small cell cancer carcinoma-mc,
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9
Q

S/S of lung cancer

A

chronic cough, hemoptysis, shortness of breath, wheezing, fatigue

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10
Q

What are colorectal polyps + age

A

benign protrusions of colonic granular epithelium (rarely are malignant)

+50

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11
Q

What type of cancer is colorectal cancer

A

98% of colorectal cancers are adenocarcinomas

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12
Q

Risk factors and S/S of colorectal cancer

A

risk- 50+, fam hx, polyps, obesity, alcohol

S/S- persistent changes in bowel habits, persistent abdominal discomfort, feeling like bowel doesn’t empty completely

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13
Q

Screening and dx of colorectal cancers

A

screening- Focal occult blood test every 2 years (age 50+)

Dx- colonoscopy, blood tests

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14
Q

What type of cancer are pancreatic cancers

A

Adenocarcinomas

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15
Q

s/s and prognosis of pancreatic cancer

A
  • sympotoms appear at later stages
  • jaundice, pain in upper abdomen, fatty light colored stool, weight loss, anorexia etc

Poor prog- 5ysr is 5%

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16
Q

what oncogene is associated w 90% of pancreatic cancer cases

A

K ras oncogene

17
Q

Difference bw hodgkins and non hodgkins lymphoma

A

Hodgkins lymphoma- 15%, B cell cancers that feature reed sternberg cells

non Hodgkins- 85% of lymphomas, increases w age, B cells, t cells or NK cells, less favourable prog

18
Q

Who is leukaemia mc in

A

Mc cancer in children <12yold

19
Q

What are the types of leukemia and mc types in children/adults (4)

A
  1. Acute lymphocytic leukaemia- mc children
  2. Acute myelogenous leukaemia
  3. Chronic lymphocytic leukemia- mc in adult
  4. Chromic myelogenous leukemia
20
Q

What is the philadelphia chromosome and what does it do

A

Translocation of chromosomes 9 and 22 resulting in oncogene causing unregulated cell proliferation in chronic myelogenous leukemia

21
Q

Where are the mutations that cause most breast cancers

A

BRCA1 and BRCA2

22
Q

How does HER2 impact breast cancer

A

becomes over expressed and is structurally similar to EGFR thus becomes an aggressive cancer

23
Q

What medication can block signalling in hormone receptor positive cancers

A

estrogen/progesterone receptor modulators such as tamoxifen

24
Q

What are most renal cancers and mc pop

A

Renal cell carcinoma in adults >55

25
Risk factors of prostate cancer and type and prevention
age >65, cig smoking, fam hx, genetics, obesity digital rectal exam over 50 every year or PSA test
26
What ages are CNS neoplasms mc in and wheere
young children and in those over 40 -metastasis into CNS mc than primary CNS cancer
27
Remisson vs partial remission vs complete remission
remission- decrease/disapearence > 1 month partial- cancer still present but smaller/less symptoms Complete- No signs of cancer > 5 years
28
what are tumour associated antigens
Found on cancer cells but also on normal cells (self antigens)
29
What are tutor specific antigens and what targets them
Only found on tumour cells, anti cancer t cell responses against tumor specific antigens and tutor associated antigens
30
How do cancer cells protect against CTL attack
Down regulate MHCI but this leaves them suceptibe to NK cell attack
31
how do cancers evade immune response (6)
1. decreased surface antigens 2. Downregulate MHCI 3. Secrete immunosuppressive factors (IL 10, IDO) 4. Secrete angiogenic factors (VEGF, TGFB) 5. Sectrete collagen and fibrin to make immunologically privileged site 6. overexposes inhibitory checkpoint molecules bu center cells causing t cell exhaustion
32
What are inhibitory checkpoint molecules and what do they normally do
Block antigen specific immune responses (negatively regulate T cell activation)- w/ cancer more likely to express inhibitory checkpoint molecules and inhibit t cells
33
Example of inhibitory checkpoint molecule
PD L1 (cancer drug keytruda targets it)
34
What does Ritiximad target
Targets CD20 on B cells w/ cancer and induces apoptosis, CDC, ADCC etc
35
What are CAR T cells and example of what they target
engendered cells in lab to seek and destroy cancer cells | -can target CD19 on b cells
36
What is an oncolytic virus
virus that preferentially infects and kills cancer cells