OCN 1 Flashcards
EGFR
Epidermal Growth Factor Receptor
-Mutations common in NSCLC
-especially adenocarcinomas
Tumor Lysis Syndrome
Caused by rapid cell death
- releases intracellular ions and metabolites
-HyPERkalemia
-HyPERphosphatemia
-HyPOcalcemia
-Acute Uric Acid Nephropathy
Mature Lymphocytes
CLL
Functionally incompetent but morphologically mature lymphocytes found in peripheral blood
Overexpression of RANK and PTHrP (Parathyroid hormone related peptide)
Osteolytic activity
Endothelin-I
Overexpression of endothelin-I by tumor cells promotes osteoblastic activity
-deposits new bone matrix
-leads to bone pain
-specifically in bone mets in prostate cancer
CD20 (associated with…)
Lymphoma
HER2/neu (associated with…)
Breast Cancer
Mesothelioma risk factors
-Asbestos exposure
-Smoking
Highest Global Incidence Rate
Breast Cancer
(Lung Ca 2nd)
Most significant preventable risk factor worldwide
Tobacco use
-associated with lung, throat, stomach, bladder ca etc…
Largest Melanoma risk factor
UV exposure
-sunlight and tanning beds
Dietary change to reduce risk of Colorectal CA
Increased fiber intake
Purpose of a Cancer Registry
Monitor disease patterns and survival rates
Geographical area with highest incidence of gastric cancers
East Asia
-link to high H.Pylori prevalence
Major risk factor for liver cancer
Chronic Hepatitis B and C infections
-chronic inflammation and eventual liver cirrhosis can progress to cancer
Consistently linked to increased overall cancer risk
Physical Inactivity
Leading cause of lung cancer in non smokers
Radon gas
-natural but radioactive gas
-can accumulate in homes built on radon emitting soil
MEN1 Gene Mutations
Multiple Endocrine Neoplasia Type 1
-Hereditary condition
-Predisposes to tumors in multiple endocrine glands
-MEN1 gene encodes the protein menin
BRCA1 (associated with…)
Mutations linked to HBOC (Hereditary Breast and Ovarian Cancer Syndrome)
TP53 (associated with…)
Li-Fraumeni Syndrome
Breast Cancer
KRAS (associated with…)
Colorectal Cancers
BRCA2 (associated with…)
Breast and pancreatic cancers
Prostate cancer in men
Lynch Syndrome (associated with…)
Colorectal Cancer and endometrial cancer
-AKA hereditary nonpolyposis colorectal cancer (HNPCC)
PALB2 (associated with…)
Breast Cancer
-partner and localizer or BRCA2
von Hippel-Lindau disease (associated with…)
Renal Cell Carcinoma
-heriditary cancer syndrome associated with mutations in VHL gene
RB1 (associated with…)
Retinoblastoma
APC (associated with…)
Familial Adenomatous Polyposis (FAP)
-disorder causing hundreds of thousands of polyps in the colon and rectum
-potentially leading to colorectal cancer
CDH1 (associated with…)
Hereditary diffuse gastric cancer
Proto-Oncogenes when mutated
Become Oncogenes- promoting cell proliferation
Enzyme primarily responsible for repair of DNA double strand breaks
BRCA1
Epigenetics
Changes in gene expression related to environmental factors
Mutations caused by cigarette smoke
Missense mutations
Tumor Suppressor Genes
Prevent uncontrolled cell growth
Repair mismatched DNA
Induce apoptosis
ex p53 gene
DNA Adducts
Complexes formed between DNA and cancer causing chemicals
Can lead to cancer
Tobacco smoke forms DNA Adducts
Breast Cancer Screening Guidelines
Biennial mammograms starting at 50
Primary prostate cancer Screening Tool
PSA (Prostate Specific Antigen)
Cervical Cancer Screening Guideline
Pap every 3 years
OR
Co-testing PAP and HPV test every 5 years
Annual Fecal Immunochemical Test (FIT)
Detects hidden blood in stool- possible sign of colorectal CA
High compliance
High Risk melanoma patients screening guidelines
Annual Full Body skin exam by derm
High Risk Thyroid CA Screening
Thyroid Ultrasound
-Calcitonin and TSH levels can provide information but are not primary screening tools
HPV linked to…
Cervical CA
Best tx for hormone positive receptor breast CA
Adjuvant hormone therapy
Strategy to reduce colorectal CA risk
Increase dietary fiber
-Aids in digestion therefore reducing time potential carcinogens are in contact with bowel cells
Consuming tomato products (high in lycopene)
Reduce risk of prostate CA
-Controversial but studied
Reduce risk of endometrial CA
Maintain a healthy weight
-excess body fat leads to increased estrogen levels which is associated with endometrial CA
Early sign of Colorectal CA
Change in bowel habits
Prostate CA screening
PSA levels
-start at 40 for men with a family history
HRT in post menopausal women
Increase risk of breast CA
Common initial symptom of testicular CA
Painless lump in testicle
Best imaging for brain tumors
MRI
Best diagnostic tool for pancreatic CA
ERCP
-best assesses the ducts of pancreas
M1 in Ovarian CA
Poor prognosis
-focus on palliative care
Ovarian CA tumor marker
CA 125
Colorectal CA tumor marker
CEA
Breast CA tumor marker
CA 15-3
Hepatocellular tumor marker
AFP (Alpha-fetoprotein)
Testicular CA tumor marker
hCG (human Chorionic Gonadotropin)
Pancreatic CA tumor marker
CA19-9
Lung CA tumor marker
NSE (Neuron- Specific enolase)
Germ Cell tumor marker
hCG (human Chorionic Gonadotropin)
Melanoma tumor marker
S100