NP: Chapter 17 Intracranial and extracranial tumors in adults Flashcards

1
Q

hoeveel mannen krijgen kanker in hun leven

A

50%

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2
Q

hoeveel vrouwen krijgen kanker in hun leven

A

38%

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3
Q

less than … of all malignant tumors in adults are primary brain tumors

A

2%

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4
Q

which brain tumors are more common: primary or secondary

A

secondary tumors are more common

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5
Q

waar komen de meeste metastasen vandaan

A

long
borst
melanoma

bij elkaar 75%

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6
Q

hoeveel van primary brain tumors zijn glioma

A

(van glial cells)

= 50%

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7
Q

hoe kunnen cognitive impairments door een tumor ontstaan

A

tumor zelf
treatment
epilepsy door tumor
psychological status of the patient

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8
Q

main cognition symptoms of a tumor

A

epileptic seizures
loss of motor/sensory function
increased intracranial pressure
cognitive impairments

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9
Q

slow growing tumors symptom:

A

epileptic seizures

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10
Q

fast growing tumors symptoms:

A

increased intracranial pressure, loss of neurological function, mild cognitive impairment

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11
Q

glioma in welke hemisfeer leidt tot meer cognitive impairments

A

left hemisphere

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12
Q

wat voor neurosurgery

A

decrease intracranial pressure.
however, surgery itself can lead to brain damage. dus daarom misschien awake resection, during which the cognitive functions can be assessed

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13
Q

radiotherapy can also decline cogn. functioning

A

oke

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14
Q

low-grade glioma

A

kan heel lang overleven, zonder symptomen. maar… lowgrade wordt uiteindelijk meestal high grade

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15
Q

radiotherapy and cognitive glioma…

A

studie liet zien dat alle mensen die radiotherapie hadden gehad als treatment, jaren daarna nog cognitive declines hadden vergeleken met mensen die dit niet hadden gekregen.

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16
Q

waarom lastig te bepalen wat het effect van radiotherapie op high grade glioma is?

A

omdat alle patienten met radiotherapie en chemo worden getreat dus geen controle

17
Q

wat is de main treatment in patients with non-glial brain metastases

A

radiotherapy

18
Q

wat is nog meer een risico voor cognitive decline

A

anti-epileptic drug use en chemotherapy (want disrupts the blood brain barriere)

19
Q

waarom kan chemo negatieve effecten hebben

A

omdat het ook gezonde cellen aanvalt

20
Q

hoeveel % van de chemotherapy patienten hebben cognitive decline

A

40-50%

21
Q

waardoor cognitive impairment in breast cancer patients

A

door chemo: in frontal subcortical brain networks. chemo affects both gray and white matter

22
Q

hoeveel psychologische complaints van kanker patienten

A

20-30%

23
Q

welk symptoom komt ook vaak voor bij kanker

A

fatigue