Neoplasia 3: Paraneoplastic Syndromes Flashcards

1
Q

Paraneoplastic Syndromes

A

Tumor secretes excess of SOME substance that goes and affects another organ

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2
Q

Endocrinopathies: Cushing Syndrome

A

Substance: ACTH or ACTH-like substance

Small-cell carcinoma of lung
Pancreatic carcinoma
Neural tumors

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3
Q

Endocrinopathies: SIADH

A

Substance: ADH or ANP

Small-cell carcinoma of lung 
Intracranial neoplasms (Rathke's pouch, diabetes insipidus)
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4
Q

Endocrinopathies: Hypercalcemia (4)

A

Substance: PTH-related protein (PTHRP), TGF-alpha, TNF, or IL-1

Squamous cell carcinoma of lung
Breast carcinoma
Renal carcinoma
Adult T-cell leukemia/lymphoma

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5
Q

Endocrinopathies: Polycythemia (3)

A

Substance: Erythropoietin

Renal carcinoma
Cerebellar hemiangioblastoma
Hepatocellular carcinoma

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6
Q

Nerve and Muscle Syndromes: Myasthenia

A

Immunologic

Bronchogenic carcinoma
Thymic neoplasma

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7
Q

Nerve and Muscle Syndromes: Disorders of CNS and PNS

A

Breast carcinoma

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8
Q

Dermatologic Disorders: Acanthosis Nigricans

A

Immunologic: secretion of EGF

Gastric carcinoma
Lung carcinoma
Uterine carcinoma

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9
Q

Dermatologic Disorders: Dermatomyositis

A

Immunologic

Bronchogenic carcinoma
Breast carcinoma

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10
Q

Hypertrophic osteoarthropathy and clubbing of fingers

A

Bronchogenic carcinoma

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11
Q

Venous Thrombosis (Trousseau phenomenon)

A

Substance: Tumor products (mucins that activate clotting)

Pancreatic carcinoma

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12
Q

Disseminated Intravascular Coagulation (DIC)

A

Affects multiple organs, widespread

Substance: tumor products that activate clotting

Acute Promyelocytic Leukemia (15,17, RAR-alpha)
Prostatic carcinoma

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13
Q

Red Cell Aplasia

A

Substance: Unknown

Thymic neoplasms (secrete autoantibodies against own RBC PRECURSORS only)

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14
Q

Nephrotic Syndrome

A

Tumor antigens, immune complexes

Various cancers

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