DLM Flashcards

1
Q

Incisional biopsy

A

Removal of tumor tissue for diagnosis & staging. Good when don’t want to / can’t take out entire suspicious mass

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2
Q

Excisional biopsy

A

Surgical removal of all known tumor mass for diagnosis & staging

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3
Q

Endoscopic biopsy

A

Guided biopsy with endoscope- for internal structures- colon, throat.

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4
Q

Fine needle aspiration

A

Least invasive- collection of tissue aspirated through syringe. May not get enough tissue for diagnosis and staging

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5
Q

Core needle biopsy

A

Core of tissue removed for staging/ diagnosis. Less invasive than biopsy and get more tissue sample than fine needle.

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6
Q

Exfoliative cytology

A

Collection of shed surface cells- inside mouth for oral cancer- for analysis. Only works on surface cancers with high cell turnover

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7
Q

Frozen section

A

Section of tissue removed to determine if benign or malignant- good to determine if entire margin has been cleared.

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8
Q

Tumor markers- serum

A

Found in blood, urine & CSF. Antibodies detect antigens

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9
Q

Tumor markers- tissue

A

Cellular products from tumor tissue.

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10
Q

Alpha-Fetoprotien

A

Serum antigen- increased in hepatocellular carcinoma.

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11
Q

Antigens

A

Typically found in fetal development. Found in CA due to regression into fetal like cells- manufacture antigen proteins

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12
Q

Enzymes

A

Proteins level that catalyze rate of reactions increased in malignancy

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13
Q

Hormones

A

Larger than normal amounts of hormone produced or hormonal production by tissues that do not typically produce it- associated with endocrine and reproductive CA

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14
Q

Oncogenes

A

Activation in mature cells triggers tumor growth- normally only found in fetal development

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15
Q

Tissue receptors

A

Surface proteins on tumor cells that bind hormones and growth factors. Block hormone or growth factor and block tumor

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16
Q

Bence Jones

A

Urine antigen- detect and monitor multiple myeloma. Not all with MM have positive test

17
Q

Beta-Hcg

A

Serum hormone- glycoprotein used to monitor therapy/ recurrence in uterus and overies

18
Q

BRCA 1/2

A

Serum Oncogene- mutation indicates susceptibility to breast, ovarian and prostate cancer- autosomal dominant

19
Q

Cancer Antigen 19-9

A

Antigen- hepatobiliary & pancreatic cancer. Used in dx, therapy and surveillance in pancreatic and hepatobiliary cancer

20
Q

Cancer Antigen-125

A

Antigen- ovarian cancer. Fall is good prognostic indicator. Monitor recurrence. Not good screening but sensitive and specific for ovarian CA

21
Q

Carcinoembryonic Antigen

A

Antigen- determine extent of disease, prognosis and therapy for GI CA. Found in smokers

22
Q

Prostate specific antigen

A

Antigen- Good for detection when associated with rectal exam. Not for screening- Indicates recurrence, response to therapy.