Cancer Overview March 28, 2025 (1) Flashcards

1
Q

Define cancer

A

Cancer is characterized by the presence of abnormally proliferating cells that have the capacity to infiltrate normal tissues and destroy them.

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2
Q

What are the leading causes of death in 112 countries as of 2020?

A

Cancer is the first or second leading cause of death.

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3
Q

List the most commonly diagnosed cancers according to the GLOBOCAN 2022 Report

A
  • Lung cancer
  • Breast cancer
  • Colorectal cancer
  • Prostate cancer
  • Stomach cancer
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4
Q

What is the most common cancer-related death according to the GLOBOCAN 2022 Report?

A
  • Lung cancer
  • Colorectal cancer
  • Liver cancer
  • Breast cancer
  • Stomach cancer
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5
Q

What are tumorigenic mutations?

A

Tumorigenic mutations disrupt the cell cycle integrity of normal cells and generate cancer cells.

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6
Q

What types of mutations can lead to cancer?

A
  • Mutations in checkpoint genes/tumor suppressor genes
  • Errors in DNA replication
  • Errors in mitosis
  • Exposure to carcinogens
  • Chronic infections
  • Metabolic stress
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7
Q

List examples of cancer-driving mutations.

A
  • Tumor suppressor/checkpoint genes: p53, PTEN, Rb1
  • Proto-oncogenes: c-Myc, Ras
  • DNA repair genes: BRCA1, ATM
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8
Q

What are the hallmarks of cancer?

A

Cancer cells acquire several additional mutations over time that provide them with a survival advantage.

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9
Q

What is the tumor microenvironment composed of?

A

Tumors are comprised of both cancer cells and stromal cells, including fibroblasts, pericytes, endothelial cells, and immune cells.

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10
Q

What role do peripheral nerves play in tumor growth?

A

Peripheral nerves infiltrate tumors and release hormones like norepinephrine that promote tumor growth.

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11
Q

What are some major complications associated with cancer?

A
  • Host tissue damage
  • Damages to multiple organs
  • Cardiac tamponade
  • Intracranial pressure
  • Malignant pleural effusion
  • Spinal cord compression
  • Hypercalcemia
  • Disseminated intravascular coagulation
  • Pain
  • Compromised immunity
  • Septic shock
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12
Q

What are the components of cancer diagnosis?

A
  • Clinical diagnosis
  • Histopathology
  • Diagnostic imaging
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13
Q

What does the TNM staging system stand for?

A
  • T: the size and nature of the tumor
  • N: lymph node presence of tumor
  • M: Metastasis
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14
Q

What types of systemic cancer treatments exist?

A
  • Cytotoxic chemotherapy
  • Targeted therapies
  • Hormone therapy
  • Molecular targeted therapy
  • Immunotherapy
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15
Q

What are the types of cancer chemotherapy?

A
  • Cytotoxic agents (kill cells)
  • Targeted anticancer agents (inhibit proliferation/survival of cancer cells)
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16
Q

List some cancer treatment-related complications.

A
  • Loss of blood cells
  • Alopecia
  • Gastric ulceration and mucositis
  • Neuropathic pain
  • Chemotherapy induced nausea and vomiting
  • Development of secondary tumors
17
Q

What are the experimental models used for cancer research?

A
  • Cell culture models in vitro
  • Subcutaneous tumor model
  • Orthotopic tumor model
  • Spontaneous tumor models
  • PDX model
18
Q

True or False: Cancer cells can release neurotrophic factors that encourage nerve growth.

19
Q

Fill in the blank: The most common cancer-related death occurs due to _______.

A

[Lung cancer]

20
Q

What is the role of norepinephrine in cancer?

A

Norepinephrine activates receptors on endothelial cells, promoting tumor angiogenesis (new blood vessel formation).

21
Q

What are the methods of injecting patient tumors into immunocompromised animals?

A

Subcutaneously or orthotopically

These methods are used to study tumor growth in a controlled environment.

22
Q

What imaging technique is used to visualize prostate tumor growth?

A

Bioluminescence imaging of luciferase tagged cancer cells

This technique allows for real-time monitoring of tumor progression.

23
Q

How do cancer cells disseminate from their primary site?

A

Through vascular (hematogenic) and lymphatic routes

This process is crucial for the spread of cancer to secondary sites.

24
Q

What is the term for the spread of cancer cells through lymphatic routes?

A

Lymphatic spread

This mechanism is one of the pathways for metastasis.

25
What is the term for the spread of cancer cells through vascular routes?
Hematogenic spread ## Footnote This involves the cancer cells entering the bloodstream and traveling to distant sites.
26
What cellular process allows cancer cells to acquire invasive and metastatic properties?
Epithelial Mesenchymal Transition (EMT) ## Footnote EMT is a critical step in the progression of cancer.
27
What do metastatic cells undergo to settle at the secondary tumor site?
Mesenchymal Epithelial Transition (MET) ## Footnote MET allows the cells to revert to an epithelial phenotype after migration.
28
What are the cellular changes in cancer cells undergoing EMT?
Loss of cytokeratin, epithelial cell adhesion, and epithelial gene expression; Gain of fibroblast-like shape, motility, invasiveness, and mesenchymal gene expression ## Footnote These changes facilitate the invasive characteristics of cancer cells.
29
Which signaling factors promote EMT in cancer cells?
EGF, TGFβ, and Wnt signaling ## Footnote These factors are released by stromal cells and play a significant role in tumor progression.
30
True or False: The primary tumors have a metastatic tropism.
True ## Footnote This means that primary tumors have a tendency to spread to specific secondary sites.
31
Who authored 'The Biology of Cancer'?
Robert A. Weinberg ## Footnote This book is a key reference in cancer biology.
32
Fill in the blank: Cancer cells gain motility and invasiveness through _______.
Epithelial Mesenchymal Transition (EMT) ## Footnote EMT is fundamental for cancer metastasis.