How to Treat Cancer Flashcards

1
Q

What are oncologists?

A

People that treat cancer without surgery.

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2
Q

What can clinical oncologists do?

A

Radiotherapy, brachytherapy and systemic anti-cancer therapy.

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3
Q

What is adjuvant therapy?

A

Anti-cancer therapy after surgery aimed at reducing risk of recurrence.

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4
Q

What is neo-adjuvant therapy?

A

Anti-cancer therapy before surgery to shrink a tumour before removal.

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5
Q

What are the 4 treatment endpoints?

A
  1. Overall survival.
  2. Disease free survival (asymptomatic).
  3. Progression free survival (not getting worse).
  4. Local control (time without recurrence or progression at a specific tumour site).
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6
Q

What is brachytherapy?

A

Taking a radioactive material and planting it into the cancer.

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7
Q

What are the 3 types of systemic anti-cancer therapy?

A

Cytotoxic chemo, targeted therapy, immunotherapy.

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8
Q

What are general symptoms of chemotherapy toxicity?

A

Malaise, fatigue, lethargy, alopecia.

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9
Q

What are GI symptoms of chemotherapy toxicity?

A

Diarrhoea, nausea, mucositis (mouth ulcers), altered taste.

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10
Q

What are haematological symptoms of chemotherapy toxicity?

A

Neutropenia, thrombocytopenia, anaemia.

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11
Q

What sort of DNA damage does radiotherapy cause?

A

Double strand breaks (hard to repair).

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12
Q

What are the units of radiotherapy?

A

Grays (Gy).

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13
Q

What is radiosensitising chemotherapy?

A

Chemotherapy that improved the effectiveness of radiotherapy.

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14
Q

What type of therapy does squamous cell carcinoma respond better to than adenocarcinoma?

A

Radiotherapy.

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15
Q

What is the day 31 target?

A

Decision to treat to first treatment within 31 days.

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16
Q

What is the side effect of radiotherapy of cervical cancer?

A

Infertility.

17
Q

In cervical cancer, when are you likely to see a complete response?

A

6 months (on MRI).