Oncology Flashcards
What is the target of trastuzumab?
Her-2/neu, a human epidermal growth factor receptor tyrosine kinase
What is the target of cetuximab?
EGFR
What is the target of imatinib?
c-kit, a stem cell growth factor receptor, implicated in GISTs
What is the target of ipilimumab?
anti-CTLA-4 to promote growth and function of T cells, mostly for melanoma
What is the target of nivolumab?
anti-PDL-1, removes checkpoint inhibition to allow T cells to function
What is the target of pembrolizumab?
anti-PD-1 receptor to remove checkpoint inhbition
Cisplatin’s main side effects are?
ototoxicity and nephrotoxicity
Bleomycin’s main side effect is?
pulmonary fibrosis
Doxorubicin’s main side effect is?
cardiotoxicity
Vincristine’s main side effect is?
peripheral neuropathy
Cyclophosphamide’s main side effect is?
hemorrhagic cystitis
What genes are involved in Lynch syndrome?
MSH2, MLH1, MSH6, and PMS2 (mismatch repair genes)
Lynch syndrome increases the risk of what cancers?
colon and endometrial mostly
What is APC?
a tumor suppressor gene that regulates intra-cytoplasmic pool of beta-catenin
What is Turcot syndrome?
a variant of Lynch syndrome or FAP that is associated with a brain tumor
What is Li Fraumeni syndrome?
a heritable cancer syndrome secondary to TP53 defect (a tumor suppressor gene)
What is TP53?
a tumor suppressor gene associated with Li Fraumeni syndrome
What is STK11?
a tumor suppressor gene associated with Putz-Jueger disease
What are the screening recommendations for patients with BRCA mutations?
- females: breast MRI annually starting at 25
- males: annual breast exams
What is CDH1?
a tumor suppressor gene associated with E-cadherin and hereditary diffuse gastric cancer
What phase of cell division is most vulnerable to radiation treatment?
M phase
What tumors are associated with the following tumor markers:
- CEA
- CA 19-9
- CA 125
- AFP
- LDH
- PSA
- Alk P
- Her-2
- Chromogranin
- colon
- hepatobiliary and pancreatic
- ovarian
- HCC and non-seminoma testicular
- melanoma and testicular cancer
- prostate
- prostate
- breast
- carcinoid