Cancer stuff Flashcards
Neoplasm
new tissue= tumor either benign or malignant
Cancer
uncontrolled growth of cells that dont belong
Malignant suffix
cell of origin
Benign suffix
oma
Gil-
nerve
Lelomy-
muscle
Chondro-
cartilage
Carcinoma (m)
epithelial
Adenocarcinoma
glandular or ductal
sarcoma
bone connective muscle
terato
germ
melanoma
epithelial
neuroblastoma
adrenal glands or spinal cord
Carcinoma in situ
abnormal growth in epithelial cells, sit up top and either become aggressive or go away
anaplasia
no form or differentiation (crowd out neighbors)
angiogenesis
new blood vessels
biomarkers
hormones that help to stage or diagnose
oncogene
mutant~regulate cell growth
Proto-oncogene
protein products of the gene regulate cycle (turn on growth)
tumor suppressor
supress proliferation, called antioncogenes
viruses=cancer
hpv, epstein bar (EBV), kaposis sarcocoma (KSV), human t cell leukemia lymphoma (HTLV) Helobactor pylori (H pylori)
what infection response = cancer
chronic inflammation
metastasis
spreads out far
stages of cancer 4
restricted to origin
Locally invasive
spread to lymph
spread to distant sites
Parneoplastic syndrome
symptoms due to hormones or immune response that were brought on bc of the tumor
Common clinical manifestation
pain fatigue cachexia anemia >9 treated by eyrythropoeitin; leukopenia and thrombovytopenia treated w hematopoietic growth factors
cachexia
anorexia bc of cancer even e good caloric intake
leukopenia
low wbc
Thrombocytopenia
low plattelet
neutrophil count ANC
determines neutropenia and infection risk
leukocytosis
lot of wbc
Bracytherapy
implanted seed of radiation
radiation
damage cancers dna
surgery
remove, biopsy, or just to relieve pain nd pressure
cytokines
released by wbc to regulate immune response, interferons and interleukins r fake
immune modulators
suppressz or stimulate immune function (T, B cells) use w organ transplants for ex , cyclosporine
angiogenesis inhibitors
block cytokines which stimulate angiogenesis , thalidomide
monoclonal antibodies
targeted antibodies that suppress one cell subtype or receptor site, specific
Premedicate before antibiotics to ,,,
so to prevent allergic reaction
adjuvant chemotherapy
chemo + radiation/surgery to reduce metastais or tumor size
if extravasation of vesicant,
stop infusion, aspirate what you can , apply compress, antidote, elevate extremity rest 48 hr, sterile dressing, photo for baseline
advantages of intraathecal/ventricular
more consistent drug levels in csf, bypasses bloodbrfain barrier
intraarterial advantage
delivers increased dose to tumor w low systemic effects
adverse effects
rapidly dividing cells are targeted, myelospuppresion (anemia, leukopenia, thrombocytopenia) GI disturbance n.v, cutaneous changes, hair skin nails
nonspecific are more toxic bc
they attack everything during whole cell cycle
effects of catecholamines on brfain
more bloodflow and glucose metabolsim
effects of catecholamines on cv system
increased force of contraction and rate, peripheral vasoconstriciton
effects of catecholmines on lungs
bronchodilagion
effects of catecholamines on liver
more glucosze produc tion nd glycogenolysis
where does cortisol come from
adrenal cortex crust, gluconeogenesis, antiiflamatory, immunosuppresive, ^blood glucose, v protein synthesis, fat in face/trunk, Ca excretion, decrease osteoblast, immune effects
B endorphins
alter pain perception, modulate response to blood loss, released w lot of stress or blood loss
neuropeptide
sympathetic transmitter in response to stressz, vasoactive, growth factor, atherosclerosis and tissue remodelin g
adrenergic
(nor)epinephrine FIGHT FLIGHT
Cholinerfgic
acetylcholine FEED BREED
ach
parasymp
norephinephrine
sympathetic
epinephrine
catecholmine by adrenal gland secreted w sympathetic response MAINNN
alpha1
blood vessels, agonist = fight
apla 2
cns, agonist inhibits norepinephrone
BEta1
heart agonist=fight
beta 2
lung and coronoary arteries, agonist- dilation of arterioles nd lungs, glycogenolysis, relax uterus
adgrenergic agonist that are catecholmines
(nor)epinephine, isoproterenol, dopamine, dobutamine
adgrenergic agonist that are NOTT catecholmines
phenylephrine, clonidine
3 characteristics of catecholamines
short half life, npo, not cross bloodbrain barrier CANT TREAT BRAIN
epinephrine+ beta 1
beta2
alpha 1
high heart rate
vasodilation in skeletal muscles
overrides beta 2 by causing vasoconstriction
if epi extravasation
infiltrate w phentolamine
phenylephrine used w colds bc
vasoconstriction= no congestion
dopamine administered w iv pump bc
v potent vesicant
nicotine pregnancy category
d
indirect cholinergic agonists inhibit
acetylcholinesterase from removing ach but direct cholinergic dont