General Oncology Flashcards
What are the top 5 most common causes of cancer in the UK
- Breast
- Lung
- Colorectal
- Prostate
- Bladder
What are the top 5 most common causes of cancer death in the UK
- Lung
- Colorectal
- Breast
- Prostate
- Pancreas
What are the most common causes of bone metastases
Prostate
Breast
Lung
Where are the most likely areas to find bone mets
Spine
Pelvis
Ribs
Skull
Long bones
What cancer is associated with aflatoxin (aspergillus)
Liver - HCC
What cancer is associated with aniline dyes
Bladder (transitional cell carcinoma)
What cancer is associated with asbestos
Mesothelioma and bronchial carcinoma
What cancer is associated with nitrosamines
Oesophageal and gastric cancer
What cancer is associated with vinyl chloride
Hepatic angiosarcoma
What are the side effects of cyclophosphamide
haemorrhagic cystitis: incidence reduced by the use of hydration and mesna
myelosuppression
transitional cell carcinoma
Side effects of common chemotherapy agents
Bleomycin: lung fibrosis
Cyclophosphamide: haemorrhagic cystitis, myelosuppression, transitional cell carcinoma
Cisplatin/ciclosporin: ototoxic, nephrotoxic
Methrotrexate: myelosuppression, pulmonary fibrosis, liver fibrosis, mucositis
5-FU: myelosuppression, mucositis, dermatitis
6-MP: myelosuppression
Vincristine: peripheral neuropathy
Doxorubicin: cardiomyopathy
Docetaxel: neutropenia
What are the features of Li-Fraumeni syndrome
AutDOM
Mutations to p53 tumour suppressor
Sarcoma and leukaemia
*Individual develops sarcoma under 45 years
*First degree relative diagnosed with any cancer below age 45 years and another family member develops malignancy under 45 years or sarcoma at any age
Features of BRCA1/2 mutations
60% breast cancer risk
Ovarian cancer
Prostate cancer
What are the features of lynch syndrome
AutDOM
colonic cancer and endometrial cancer
Identify those at high risk using the Amsterdam criteria
What are the features of Gardners syndrome
AutDOM familial colorectal polyposis
Colonic polyps
Skull osteoma
Thyroid cancer
Epidermoid cysts
Desmoid tumours