Onc Flashcards
Ph Chromosome =
CML
also Bcr-Abl mutation
Which med treats CML?
Gleevec
Decreases risk for crisis de la blasts
African americans and pacific islanders are at higher risk for which blood dz?
MM
Monoclonal protein, roleaux formation =
MM
Most common adult leukemia?
CLL
affects B lymphocytes
smudge cells =
CLL
Which blood dz is hydroxyurea and asa used to tx?
PV
Cisplatin causes?
Renal tox
Which med causes ruby red urine?
Adriamycin
Which drug treats B-cell NHL
Rituximab
Cardiotoxic
Ipilimubab causes?
Endocrine failure
No cortisol
Cytoxan (cyclophosphamide) causes?
Hemorrhagic cystitis
Vincristine causes?
Peripheral Neuropathy
Does DCIS affect one or 2 breasts?
Always one
Infiltrating ductal carcinoma
Most common type of invasive BCA
Which therapy is used for ER/PR tumors?
Tamoxifen
What is used for HER2 BCA?
Trastazumab
Doxyrubicin causes?
Cardiac complications
Bleomycin causes?
Pulmonary fibrosis
What is a SE of tamoxifen
blood clots
Which ovarian CA occurs in younger women?
Germ Cell
What is the most common ovarian CA in older women?
Epithelial
Tests for ovarian CA
CA-125 and HE4
BRCA genes are associated with which cancers?
Breast and Ovarian
Is radiation used for ovarian CA?
No
Most common GYN CA in the US?
Endometrial
Type 1 Adenocarcinoma
Estrogen sensitive Endometrial CA
Good prognosis
Most common
Progestin
If added to hormone replacement therapy, lowers risk of endometrial CA.
HNPCC
Hereditary non-polyposis Colorectal cancer
Lynch syndrome
Runs in families
Squamous cell cervical CA
Most common type
What causes cervical CA?
HPV 16, 18, 45
Which blood dz usually causes leukostasis?
AML
Breast and lung cancer can release which hormone?
PTHrP
Hypercalcemia ensues
Small cell lung cancer secretes?
SIADH
Hypotension
JVD
Muffled heart sounds
Becks triad of cardiac tamponade
A smoker with hyponatremia
SIADH from SCLC
What kind of bone lesions does breast CA make?
Lytic bone lesions
Ewing lesions are lytic or blastic?
lytic then blastic
Benign lesions of skeletal long bones. Knee and shoulder are common. Most common skeletal neoplasms.
Osteochondroma
What type of bone lesions does prostate CA make?
Osteoblastic
Most common primary bone tumor?
MM
Which sites met to bone?
Breast Prostate Lung Kidney Thyroid
Most common bone malignancy in kids
Osteosarcoma
Long bones
Males in 2nd decade
Lytic lesion of the pelvis or long bones with onion skin and blue cells?
Ewing sarcoma
Axial skeleton tumors in adults that are slow growing and metastasize to lungs?
Chondrosarcoma
Also have stippled calcification
AFP detects?
Liver and germ cell CA
Beta hCG detects?
Choriocarcinoma and Testicular CA
CA 19.9
Pancreatic, bile duct, gall bladder, gastric CA
CA 125
Ovarian CA
CEA
Colorectal and Breast CA
Calcitonin
Medullary thyroid CA
Reed sternberg cell =?
Hodgkin Lymphoma
Sunburst pattern, codman’s triangle
Osteosarcoma