Oncology 1 Flashcards
Cancer progesses from early stage to late stage. TRUE OR FALSE?
TRUE
Metastasis is usually late stage and is difficult ot treat with poorer outcome. TRUE OR FALSE?
TRUE
Define these terms:
Tumour, begnin, metastasis,inavsion, malignant, disease staging, tumour grade, cytotoxic and cytostatic
- Tumour - is an abnormal growth
- Begnin - non- invasive
- metastasis - it can migrate to different part of the body
- Invasion - migration into the local tissue through surrounding membrane
- malignant - an invasive cancerous growth
- Disease stage - assessing of how far the tumour has spread
- tumour grade - degree of differentiation of cells in the tumour
- cytotoxic - something that kills cells
- cytostatic - something that inhibits cell proliferation
Dysplasia is the altered organisation of cell and hyperplasia is the increased number of cells in the tissue. TRUE OR FALSE?
TRUE
what are the 5 different types of cancer therapy available?
- Chemotherapy
- Hormone therapy
- Targeted/biological therapy
- Radiation
- Palliative care
Chemotherapy is a toxin (poision), it depends upon the fact that the cancer cells are proliferatig at a faster rate than others. it targets cell division processes. TRUE OR FALSE?
TRUE
What are the issues with chemotherapy?
- Drugs may start to target other cells that also proliferate at a fast rate
- Leads to horrible side effects such as hair loss
what are the issues with hormone therapy?
- The cells can become hormone independent
What are the key issues with targeted therapy?
- Costs
- patient resistance
- efficacy
You should not give live vaccines to patients receing chemotherapy. TRUE OR FALSE?
TRUE
What are the ADRs of chemotherapy?
- Attacks other fast growing cells
- GI mucosa
- Bone marrow (myelosuppression)
- teratogenic
- Hair follicles
How do alkylating agents work (chemotherapy)?
- They alkylate especially in the nucleophilic sites
- they form cross-linkages
- mutations can occur due to incorrect base pairing
- If this occurs in a cancer cell, it can lead to cell death of cancer cell
Give an example of an alkylating agent drug?
Cyclophosphamine - prodrug activated by p450
- has a fairly long half life
Alkylating agents tend to have short half lives. TRUE OR FALSE?
TRUE
what is cylophosphominde indicated for?
- Breast cancer
- Leukemia
What does topoisomerase do?
- regulates the DNA supercoiling
Give an example of cytotoxic antibiotics?
- Anthracyclins
camptothecins (cytotoxic antibiotic) prevent topoisomrase 1 from repairing the break. true or false?
true
etoposide prevents topoisomerase 2 from repairing the break. true or false?
true