Neoplasia Flashcards
BRC-ABL
CML, ALL
GOF in tryosine kinase
bcl-2
Follicular and undifferentiated lymphomas
GOF in anti-apoptotic molecule
BRAF
Melanoma
GOF in serine/threonine kinase
c-kit
GIST
GOF in cytokine receptor for stem cell factor
c-myc
Burkitt lymphoma
GOF in transcription factor
HER2/neu (c-erbB2)
Breast, ovarian, gastric carcinomas
GOF in tyrosine kinase
L-myc
Lung tumor
GOF in transcription factor
N-myc
Neuroblastoma
GOF in transcription factor
ras
Colon, lung and pancreatic cancer
GOF in GTPase
ret
MEN 2A and 2B
GOF in tyrosine kinase
APC
Colorectal cancer (FAP) (LOF)
BRCA1 and BRCA2
Breast and Ovarian
LOF in DNA Repair protein
CPD4/SMAD4
Pancreatic cancer (DPC= deleted in pancreatic cancer)
DCC
Colon Cancer (DCC= deleted in colon cancer)
MEN1
MEN type 1
LOF
NF1
Neurofibromatosis type 1
LOF in RAS GTPase activating protein (neurofibromin)
NF2
Neurofibromatosis type 2
LOF in Merlin (schwannomin) protein
p16
Melanoma
LOF in cyclin-dependent kinase inhibitor 2A
p53
Most cancer (Li-Fraumeni syndrome) (LOF in TF for p21 to prevent block of G1 to S)
PTEN
Breast, prostate, endometrial cancer
LOF
Rb
Retinoblastoma, osteosarcoma
LOF in inhibitor of E2F (can’t block G1 to S)
TSC1
Tuberous sclerosis
LOF in hamartin protein
TSC2
Tuberous sclerosis
LOF of Tuberin protein
VHL
von Hippel-Lindau disease
LOF in HIF1a
WT1 and WT2
Wilms Tumor (nephroblastoma)
What is alkaline phosphate a marker for?
- Mets to bone and liver
- Paget disease of bone
- Seminoma (placental ALP)
What is alpha-fetoprotein a marker for?
- HCC
- Hepatoblastoma
- Yolk sac (endodermal sinus) tumor
- Testicular cancer
- Mixed germ cell tumor (secreted with beta-hCG)
What is beta-hCG a marker for?
- Hydatidiform moles and Choriocarcinomas (gestational trophoblastic disease)
- Testicular cancer
- Pregnancy
What is CA-15-3/CA-27-29 a marker for?
Breast cancer
What is CA-19-9 a marker for?
Pancreatic adenocarcinoma
What is CA-125 a marker for?
Ovarian cancer
What is calcitonin a marker for?
Medullary thyroid carcinoma
What is CEA (carcinoembryonic antigen) a marker for?
- Nonspecific for 70% colorectal and pancreatic cancers
- Also produced by gastric, breast and medullary thyroid carcinomas
What is PSA a marker for?
- Used to follow prostate adenocarcinoma
- Can be elevated in BPH and prostatitis
What is S-100 a marker for?
-Neural crest origin (melanomas, neural tumors, schwannomas, Langerhans cell histiocytosis)
What is TRAP (tartrate-resistant acid phsophatase) a marker for?
-Hairy cell leukemia (B-cell neoplasm)
EBV associated cancer.
Burkitt lymphoma
Hodgkin lymphoma
Nasopharyngeal carcinoma
CNS lymphoma
HBV/HCV associated cancer.
HCC
HHV-8 associated cancer.
- Kaposi sarcoma
- Body cavity fluid B-cell lymphoma
HPV (16, 18) associated cancer.
- Cervical and penile/anal carcinoma
- Head & Neck or throat cancer
H. pylori associated cancer
- Gastric adenocarcinoma
- MALT lymphoma
HTLV-1 associated cancer.
-Adult T-cell leukemia/lymphoma
Liver fluke (Clonorchis sinensis) associated cancer.
Cholangiocarinoma
Schistosoma haematobium associated cancer.
Bladder cancer (squamous cell)
Aspergillus aflatoxins associated cancer
HCC
Alkylating agent associated cancer
Leukemia/lymphoma
Aromatic amines (benzidine, 2-naphthylamine) associated cancer
Transitional cell bladder carcinoma
Arsenic associated cancer
- Angiosarcoma (liver)
- Lung cancer
- Squamous cell skin cancer
Asbestos associated cancer
Bronchogenic carcinoma –> mesothelioma
Carbon tetrachloride associated cancer
Centrilobular necrosis; fatty chancer
Cigarette smoke associated cancer
- Transitional cell carcinoma of bladder
- Squamous cell carcinoma/adenocarcinoma of esophagus
- RCC
- Squamous cell carcinoma of larynx
- Squamous/Small cell carcinoma of lung
- Pancreatic adenocarcinoma
Ethanol associated cancer
HCC
Ionizing radiation associated cancer
Papillary thyroid carcinoma
Nitrosamines (smoked foods) associated cancer
Gastric cancer
Radon associated cancer
Lung cancer (2nd leading cause after cigarettes)
Vinyl chloride associated cancer
Angiosarcoma of liver
Cancer with hypercalcemia from increased calcitriol
- Hodgkin lymphoma
- some non-Hodgkin lymphomas
Cancer with Cushing syndrome fro increased ACTH
Small cell lung cancer
Cancer with SIADH
- Small cell lung carcinoma
- Intracranial neoplasms
Cancer with Lambert-Eaton myasthenic syndrome (due to Ab against pre-synaptic Ca2+ channels at NMJ)
Small cell lung carcinoma
Cancers with polycythemia
- RCC
- Hemangioblastoma
- HCC
- Leiomyoma
- Pheochromocytoma
Cancers with Hypercalcemia from PTHrP release
- Squamous cell lung cancer
- RCC
- Breast cancer
Cancers with pasmmoma bodies
- Papillary carcinoma of thyroid
- Serous papillary cystadenocarcinoma of ovary
- Meningioma
- Malignant mesothelioma
Carcinomas that spread hematogenously
- RCC (renal vein)
- HCC (hepatic vein)
- Follicular carcinoma of thyroid
- Choriocarcinoma
Brain mets usually from what places?
Lung> breast > GU
Liver mets usually from what places?
Colon» stomach > pancreas
Bone mets usually from what places?
Prostate, breast > lung > thyroid
Blastic bone mets from where?
PROSTATE
breast is lytic and blastic
Acanthosis nigricans associated cancer
Visceral (stomach) malignancy
Actinic keratosis associated cancer
Squamous cell carcinoma (skin)
Dermatomyositis associated cancer
Lun cancer
Myasthenia gravis associated cancer
Thymoma
Tuberous sclerosis associated cancer
Giant cell astrocytoma
Renal angiomyolipoma
Cardiac rhabdomyoma