Oncology Flashcards
Molecule leading to cachexia by increased catabolism and insulin resistance
TNF
Testing for all newly diagnosed colon cancers
Mismatch repair, Microsatellite instability
Risk factor for hepatic angiosarcoma
Vinyl chloride
Management of carcinoid tumors
Surgical excision
Management of metastatic carcinoid
Surgical debulking, IR embolization, somatostatin analogs (lanreotide), chemo
Medullary thyroid cancer in young patient with family hx; screening
Screen for MEN IIA/IIIB
Colorectal cancer starting on EGFR; tumor marker and treatment
KRAS testing for wild type, cetuximab
Positive PET mediastinum for melanoma; next step
Mediastinal exploration/bx due to 10-20% false positive rate
Most common location somatostatinomas
Head of pancreas
Prognostic factors for GIST
Tumor size and mitotic rate (less than 2cm and <5 low risk)
Alkylating agents (Oxaliplatin and Carboplatin); MOA
Directly damage DNA
Taxol (paclitaxel); MOA
Microtubule stabilization
Irinotecan, doxorubicin, etoposide; MOA
Topoisomerase inhibitors
Chlorambucil, cyclophosphamide, streptozocin; MOA
DNA alkylation
Vincristine, vinblastine; MOA
arrest cell in metaphase, disrupt mitotic spindle