Management Of Childhood Cancer Flashcards
What are the main treatment modalities used in treating childrens cancer?
- Chemotherapy
- Radiotherapy
- Surgery
- Biological approaches
What biological approaches may be used in the treatment of childhood cancers?
- Molecularly targeted agents
- Immunotherapy
What may chemotherapy be used for in childhood cancer?
- Primary curative therapy
- To control metastatic disease before definitive treatment
- As adjuvant treatment
Give a type of childhood cancer in which chemotherapy may be used as a primary curative treatment?
Acute lymphoblastic leukaemia
What is it called when chemotherapy is used to control primary and metastatic disease before definitive local treatment?
Neo-adjuvant
When might chemotherapy be used as an adjuvant treatment?
- Deal with residual disease
- Eliminate presumed micro-metastases
What must chemotherapeutic agents do in order to be effective?
Either block cellular replication or induce cellular death (apoptosis)
What is cell replication dependent on?
The complete function of the cell cycle
What is the cell cycle divided into?
Four active phases and a resting face
What are the active phases of the cell cycle?
- G1
- S
- G2
- M
What is the resting phase of the cell cycle known as?
G0
What happens in G1?
This is a ‘gap phase’ during which there is synthesis of the components required for DNA synthesis
What % of time of the active cell cycle is spent in G1?
40%
What follows G1 phase?
S phase
What happens in the S phase of the cell cycle?
DNA synthesis