Clinical Consequences of Neoplasia Flashcards

1
Q

Name the 3 mechanisms of neoplastic disease

A
  1. Paraneoplastic syndromes
  2. Local tumour impact
  3. Further tumour impact
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2
Q

What are paraneoplastic syndromes?

A

Indirect symptoms that occur away from the site of the tumour

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3
Q

Why are paraneoplastic syndromes important for cancer diagnosis and treatment (3)?

A
  1. Assist with diagnosis
  2. Effective cancer treatment may include dealing with the effects of the paraneoplastic syndrome
  3. Severity of paraneoplastic syndrome may reflex tumour burden
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4
Q

Name a systemic paraneoplastic syndrome

A

Anorexia/cachexia

Fever

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5
Q

Name at least one endocrine paraneoplastic syndrome

A
Hypercalcaemia 
Hypoglycaemia
Hyperestrogenism
Cushing's disease
Thyrotoxicosis
And many more!
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6
Q

Name a skeletal paraneoplastic syndrome

A

Myelofibrosis

Hypertrophic osteoarthropathy

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7
Q

Name at least one vascular/haematopoietic paraneoplastic syndrome

A
Leukocytosis/penia
Thrombocytosis/penia
Anemia
Eosinophilia
Erythrocytosis
Disseminated intravascular coagulation
Hyperviscosity syndrome
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8
Q

Name a neurologic paraneoplastic syndrome

A

Peripheral neuropathy

Myasthenia gravis

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9
Q

Name a cutaneous paraneoplastic syndrome

A

Alopecia

Nodular dermatofibrosis

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10
Q

Hyperadrenocorticism in dogs (canine Cushing’s) is usually associated with what type of tumour?

A

Adrenal or pituitary adenomas

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11
Q

Hyperthyroidism in cats is commonly associated with what type of tumour?

A

Adenomas

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12
Q

What type of tumour is humoral hypercalcaemia of malignancy in dogs associated with?

A

Anal sac carcinoma (90%)

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13
Q

Monoclonal gammopathies are often associated with multiple ______

A

Monoclonal gammopathies are often associated with multiple myelomas

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14
Q

Myasthenia gravis, immune-mediated myositis and dermatitis are often observed with what type of tumour?

A

Thymoma

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15
Q

Why do some tumours become easily damaged and expose?

A
Faulty desmosomes
Necrotic cells (no blood supply)
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16
Q

Name the 5 localised tumour impacts

A
  1. Haemorrhage
  2. Ulceration
  3. Blood vessel damage
  4. Invasion
  5. Impingement
17
Q

What are the 3 impacts of impingement of a localised tumour on local structures?

A
  1. Compression
  2. Neurological
  3. Interference with motion/movement
18
Q

A localised tumour can cause vascular blockage by ______ compression

A

A localised tumour can cause vascular blockage by external compression

19
Q

A localised tumour can cause vascular blockage via 2 mechanisms. What are they?

A
  1. External compression

2. Thromboembolism

20
Q

What is an infarction?

A

Tissue death (necrosis) due to inadequate blood supply to the affected area.

21
Q

What are the 2 lymphatic impacts associated with tumour growth?

A
  1. Localised oedema secondary to lymphatic obstruction

2. Lymph node enlargement

22
Q

What is lymphadenomegaly?

A

Lymph node enlargement

23
Q

What is the difference between lymphadenomegaly and lymphadenopathy?

A
Lymphadenomegaly = local enlargement of lymph nodes
Lymphadenopathy = systemic inflammation
24
Q

What 3 processes can lead to anaemia due to the presence of a tumour?

A
  1. Chronic haemorrhage
  2. Cachexia
  3. Bone marrow suppression/replacement
25
Q

What 3 things contribute to cardiorespiratory compromise due to cancer?

A
  1. Haemorrhage
  2. Direct impact on heart/vessels
  3. Metastases to the lungs
26
Q

A loss of function of the liver can be cause by cancer. Why does this happen (3)?

A
  1. Jaundice
  2. Coagulopathy
  3. Hypoproteinuria
27
Q

Tumours can cause a loss of function to the CNS which in turn can lead to blindness and seizure. True/False?

A

True

28
Q

A loss of renal function due to the presence of a tumour causes azotaemia and anaemia. True/False?

A

True

29
Q

Pain is not an impact caused by tumours. True/False?

A

False - tumour invades nerves

30
Q

Name the 4 routes of metastasis

A
  1. Haematogenous
  2. Lymphatic spread
  3. Transcoelomic
  4. Bronchi and biliary systems
31
Q

Lymphatic spread is the route of metastasis of most sarcomas. True/False?

A

False - route of most carcinomas is lymphatic spread

32
Q

What is the route of metastasis of most sarcomas?

A

Haematogenous route

33
Q

Name 4 secondary infections and inflammation associated with cancer

A
  1. Epithelial ulceration
  2. Immunosuppressive effects
  3. Hormonal
  4. Tumour necrosis