Chap 19 - Oncology Textbook Flashcards
Benign
- slow growing
- encapsulated and noninvasive
- well-differentiated
- do not spread
Malignant
- rapidly multiplying
- invasive and infiltrative
- anaplastic and undifferentiated
- metastatic
cystic
Forming large open spaces filled with fluid. (ovarian)
fungating
Mushrooming pattern of growth in which tumor cells pile one on top of another and project from a tissue surface. (colon)
inflammatory
Having the features of inflammation—that is, redness, swelling, and heat. (breast)
medullary
Large, soft, fleshy tumors. (thyroid and breast)
necrotic
containing dead tissue; loss of blood supply
polypoid
Growths that form projections extending outward from a base. (colon)
ulcerating
Characterized by an open, exposed surface resulting from the death of overlying tissue. (stomach, breast, colon, skin)
verruous
Resembling a wart-like growth. (gum)
alveolar
Tumor cells form patterns resembling small sacs (muscle, bone, fat, cartilage)
carcinoma in situ
Referring to localized tumor cells that have not invaded adjacent structures.
diffuse
Spreading evenly throughout the affected tissue.
dysplastic
Containing abnormal-appearing cells that are not clearly cancerous.
epidermoid
Resembling squamous epithelial cells (thin, plate-like)
follicular
Forming small glandular sacs.
papillary
Forming small, finger-like or nipple-like projections of cells
pleomorphic
Composed of a variety of types of cells.
scirrhous
Densely packed (scirrhous means hard) tumors, due to dense bands of fibrous tissue. (breast, stomach)
undifferentiated
Lacking microscopic structures typical of normal mature cells.
cauterization
burning tissue to destroy it
core needle biopsy
small sample from center
cryosurgery
freezing
en bloc resection
resection of a large block of tumor and tissue (breast)
excisional biopsy
Removal and biopsy
exenteration
removal of the tumor, its organ of origin, and all surrounding tissue in the body space.
fine needle aspiration
fluid removal from lesion
fulguration
Destruction of tissue by electric sparks generated by a high-frequency current.
incisional biopsy
incision into a lesion or a specific part of a lesion
brachytherapy
Implantation of small, sealed containers or seeds of radioactive material directly into the tumor (interstitial therapy); or in a cavity of the tumor (intracavitary therapy, as in endometrial cancer).
electron beams
Low-energy beams for treatment of skin or surface tumors.
external beam irradiation (teletherapy)
Radiation therapy applied to a tumor from a distant source (linear accelerator).
fields
Dimensions of the size of radiation area used to treat a tumor from a specific angle.
fractionation
A method of dividing radiation into small, repeated doses rather than fewer large doses. Fractionation allows larger total doses to be given while causing less damage to normal tissue.
gray (Gy)
Unit of absorbed radiation dose.
linear accelerator
increases the velocity of subatomic particles
photon therapy
smallest unit of radiation therapy using x-rays or gamma rays. A linear accelerator produces photon beams to treat tumors.
proton therapy
uses protons, less damaging to other tissues
radiocurable tumor
Tumor that can be completely eradicated by radiation therapy. Usually, this is a localized tumor with no evidence of metastasis.
Lymphomas, Hodgkin disease, and seminomas of the testes are examples
radioresistant tumor
Tumor that requires large doses of radiation to produce death of the cells.
Melanoma and renal carcinoma are the most radioresistant.
radiosensitive tumor
Tumor in which irradiation can cause the death of cells without serious damage to surrounding tissue (morbidity).
Tumors of hematopoietic (blood-forming) and lymphatic origins are radiosensitive.
radiosensitizers
drugs that make cells more sensitive to radiation
simulation
Study prior to radiation therapy using CT scan and/or MRI to map treatment. Simulation is required for all patients undergoing RT.
stereotactic radiosurgery
Single large dose of radiation (Gamma Knife surgery) delivered from several different angles under stereotactic (highly precise) guidance to destroy a vascular abnormality (arteriovenous malformation, which is a tangle of blood vessels in the brain) or to treat small intracranial tumors
Alopecia
baldness
Fibrosis
increase in connective tissue in normal tissues
Infertility
inability to contribute to conception of a child
Mucositis
inflammation and ulceration of mucous membranes
Myelosuppression
bone marrow depression
Nausea and vomiting
as reaction to radiation therapy to the brain (vomiting center is located in the brainstem) or gastrointestinal tract (loss of epithelial lining tissue) Pneumonitis (inflammation of the lungs)
Secondary tumors
new types of tumors, originating at a site separate from the primary tumor
Xerostomia
dryness of the mouth
Alkylating agents
directly damage DNA to prevent the cancer cell from reproducing
Antibiotics
anti-tumor antibiotics that interfere with enzymes involved in DNA replication
Antimetabolites
are a class of drugs that interfere with DNA and RNA growth by substituting for the normal building blocks of RNA and DNA
Antimitotics
Mitotic inhibitors are often plant alkaloids and other compounds derived from natural products. They can stop mitosis or inhibit enzymes from making proteins needed for cell reproduction.
Hormonal agents
Drugs in this category are sex hormones, or hormone-like drugs, that change the action or production of female or male hormones
adjuvant therapy
Assisting primary treatment. Drugs are given early in the course of treatment, along with surgery or radiation to attack deposits of cancer cells that may be too small to be detected by diagnostic techniques.
alkylating agents
Synthetic chemicals containing alkyl groups that attack DNA, causing strand breaks.
anaplasia
Loss of differentiation of cells
angiogenesis
Process of forming new blood vessels
antibiotics
Chemical substances, produced by bacteria or primitive plants. They inhibit the growth of cells
antimetabolites
Chemicals that prevent cell division; inhibit formation of substances needed to make DNA
antimitotics
Drugs that block mitosis (cell division)
apoptosis
Programmed cell death
benign tumor
Noncancerous growth (neoplasm).
biological response modifiers
Produced by normal cells; directly block tumor growth or stimulate immune system to fight cancer
biological therapy
Use of the body’s own defenses to destroy tumor cells.
brachytherapy
Use of radiation placed directly on or within the cancer
carcinogens
Agents that cause cancer
carcinoma
Cancerous tumor made up of cells of epithelial origin. (90%)
cellular oncogenes
Pieces of DNA that, when activated by mutations or by dislocation, can cause a normal cell to become malignant.
chemotherapy
Treatment with drugs
combination chemotherapy
Use of several chemotherapeutic agents together for the treatment of tumors.
dedifferentiation
Loss of differentiation of cells
deoxyribonucleic acid (DNA)
Genetic material within the nucleus of a cell; controls cell division and protein synthesis.
differentiating agents
Drugs that promote tumor cells to differentiate, stop growing, and die.
differentiation
Specialization of cells.
electron beams
Low-energy beams of radiation for treatment of skin or surface tumors.
encapsulated
Surrounded by a capsule; benign tumors are encapsulated.
external beam irradiation
Applying radiation to a tumor from a source outside the body.
fields
Dimensions of the area of the body undergoing irradiation.