Oncology Flashcards
Smooth muscle cancer
Leiomyosarcoma
Skeletal muscle cancer
Rhabdomyosarcoma
Vessel cancer
ANGII sarcoma
TNM staging
T - tumour size
N - how many nodes
M - has it spread
NX cancer staging
Regional nodes cannot be assessed
N0 cancer staging
No regional lymph node mets
N1 cancer staging
Regional lymph node metastasis
Sarcomas (CT malignancies) often metastasize to
The lungs
LDH increase is suspicious for which cancer
Lymphoma
Hcg and AFP increase is suspicious for
Germ cell line origin malignancy
Reed sternberg cells
Classical Hodgkin lymphoma
Treatment of Hodgkin lymphoma (ABVD)
Doxorubicin, bleomycin, vinblastine, dacarbazine
DDx anterior mediastinal mass
Thymoma, thyroid, teratoma, lymphoma
CT scan radiation dose
8-12mSv
Anemia of chronic disease develops due to long term elevations in
Serum inflammatory cytokines
EGFR mutation manifests as
Adenocarcinoma of the lung
HER2 amplification manifests as
Breast and gastric cancers
RAS point mutations commonly manifest as
Metastatic colorectal cancer
BCR ABL translocation commonly manifests as
CML, ALL
BRAF point translocation commonly manifests as
Melanomas
JAK2 translocation often causes
Myeloproliferative disorders
MYC gene affected manifests as
Burritts lymphoma
Famililal adenomatous polYposis gene affected
APC
Li Fraumeni syndrome gene
P53
Rb and P53 are examples of
Tumour suppressors
H pylori can cause what types of cancer
Gastric adenocarcinoma and MALT
ECOG scale ranges from
Asymptomatic to dead
ECOG of 3+ indicates
Usually systemic therapy wont be beneficial in metastatic cases
TACE in cancer treatment stands for
Transarterial chemoembolization
Mechanism behind most chemotherapy drugs
Inhibit mitosis, or induce DNA damage
Cyclophosphamide acts as what type of agent
Alkylating
Cisplatin acts as what type of agent
Intercalating
Etoposide acts as what kind of agent
Topoisomerase inhibiter
Doxorubicin and Epirubicin are what kind of drug
Anthracyclins in chemo
Methotrexate is a
Anti-folate, antimetabolite
Risk of cyclophosphamide and etoposide
Secondary malignancy
Risk of cisplatin
Nephrotoxic, ototoxic, neurotoxic
Risk of bleomycin
Pulmonary toxicity
Risk of methotrexate
Folic acid deficiency, hepatotoxicity
Tamoxifen is a
SERM
Treat neutropenia fever with
PIP TAZO (pseudomonas, candida, aspergillosis)
Neutropenia enterocolitis is a mucosal injury caused by
Chemotherapy
Hypersensitivity reactions can occur hours after administration of which two drugs used in oncology?
Paclitaxel, carboplatin
What types of cancers are more common in people with Down’s syndrome
ALL and AML
ALL blood smear shows
Blasts
Auer rods are characteristic of
AML
BCR ABL Philadelphia chromosome is seen in
CML
Reed sternberg cell characteristic of
Hodgkin lymphoma
Starry sky appearance to smear is seen in
Burritts lymphoma
Osteosarcoma and Ewing’s sarcoma present as
Pain and swelling in the bones of the appendicular skeleton
Treating spinal cord compression in oncology patients
Dexamethasone
Risk reducing surgery for BRCA
Mastectomy, salpingooophorectomy
Risk reducing surgery for FAP
colectomy
Risk reducing surgery for CDH1
Gastrectomy
Risk reducing surgery for HNPCC
Colectomy, hysterectomy
Risk reducing surgery for MEN2
Thyroidectomy
Most common adult leukemia
Acute myeloid leukemia
Cancer that can cause mediastinal mass, pancytopenia, and elevated LDH
Hodgkin lymphoma
Monoclonal proteins on electrophoresis is associated with what condition?
Multiple myeloma
Hyperplastic polyps located in the rectosigmoid colon have a prognosis that is
Completely benign
Adenomatous polyps prognosis
Dysplastic and can evolve into colon cancer
Sessile serrated polyps prognosis
Malignant potential
Women with PCOS are at increased risk of what malignancy?
Endometrial hyperplasia and cancer due to unopposed estrogen stimulation