Cancer Staging Flashcards

1
Q

How cancer develops

A

cells grow and divide abnormally

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2
Q

tumor

A

extra cells that form an aggregate or mass

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3
Q

benign tumor

A

non-cancerous tumor that does not spread or threaten the life of the patient, tend to be easily removed

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4
Q

malignant

A

cancerous tumor

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5
Q

characteristics of a malignant tumor

A

abnormal cells that divide without control or order
invade and destroy surrounding tissue
large irregular nuclei, disorganized tissue, and a poorly defined boundary

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6
Q

process of metastasis

A

when malignant cells break off from the original tumor and travel through the blood stream or lymphatics to form new tumors in other areas of the body

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7
Q

some causes of cancer

A

changes in the genes that control growth and death of cells
tobacco, diet, UV radiation, carcinogens
HPV, Hep B, Hep C, HIV

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8
Q

how to reduce risk of cancer

A

don’t use tobacco
eat fruits, vegetables, and whole grains
avoid sun exposure

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9
Q

cancer screening procedures

A

sigmoidoscopy, pap test, mammograph

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10
Q

possible symptoms of cancer

A
thickenings or lumps
change in a mole or wart
change in bowel or bladder
difficulty swallowing
weight changes
unusual bleeding
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11
Q

purpose and advantage of a tissue biopsy

A

to determine whether cancerous cells are present

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12
Q

ways to deal with diagnosed cancer

A

surgery, radiation therapy, chemotherapy, hormone therapy, biological/immuno therapy

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13
Q

process of radiation

A

external or internal, the tumor is exposed to either high energy rays or radioactive substances

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14
Q

chemotherapy

A

use of drugs to kill cancer cells

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15
Q

purpose of hormone therapy

A

prevents hormonally dependent cancers from obtaining the hormones they need to grow

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16
Q

biological therapy

A

uses the body’s immune system to fight cancer directly or indirectly

17
Q

examples of biological therapy

A

monoclonal antibodies
interferon
interlukin-2
colony-stimulating factors

18
Q

how is tumor grade determined?

A

suspected malignancy is biopsied, pathologist determines the grade based on morphology

size and shape of the nucleus
volume of nucleus to cytoplasm ratio
relative number of dividing cells (mitotic index)
organization of the tissue
boundary of the tumor
how well differentiated the cells appear compared to normal cells

19
Q

what is the purpose of tumor grading?

A

to classify cancer based on how abnormal the cells look and determine how quickly the tumor is likely to grow and spread

20
Q

what are the 4 tumor grades?

A

Grade I, II, II, IV

21
Q

why tumor grade is important to a patent’s prognosis (future)

A

lower grades usually have a better prognosis because they are less aggressive

22
Q

prognosis

A

the likely outcome or course of a disease, whether the cancer is liekly to recur

23
Q

staging

A

the extent or severity of a cancer

24
Q

elements of staging

A
location of the primary tumor
size and number of tumors
lymph node involvement
cell type and tumor grade (how closely the cells resemble normal tissue)
presence or absence of metastasis
25
common system used to stage cancer
the TNM system
26
what do T, N, and M stand for?
T is extent of the tumor N is the extent of spread to the lymph nodes M is the presence of metastasis number following the letter indicates size and extent of each characteristic
27
categories of cancer
In situ Regional Distant Unknown
28
tests and procedures to stage a cancer
``` depends on the type of cancer physical exam imaging studies: X-rays, CT, MRI, PET Lab tests: blood, urine, tissue Pathology reports Surgical reports ```
29
what is included on a pathology report?
size of the tumor growth of the tumor into other tissues and organs the type of cancer cells grade of the tumor
30
Distant
has spread from the primary site to distant organs or distant lymph nodes
31
Unknown
cases in which there is not enough information to indicate a stage