Oncology Flashcards
What is the posttreatment surveillance for ovarian cancer?
Periodic history and physical exam
MKSAP 20
Regular monitoring is essential to detect recurrence early.
What are the treatments for symptomatic hypercalcemia of malignancy?
IV normal saline, calcitonin, bisphosphate (e.g., zoledronic acid) or denosumab
MKSAP 20
These treatments help lower calcium levels in the blood.
Which cancer is associated with chest wall radiation?
Breast cancer
MKSAP 20
Radiation therapy to the chest wall can lead to secondary malignancies.
What is the role of PET in colorectal cancer management?
None
MKSAP 20
PET scans are not used for routine management of colorectal cancer.
What are the indications for breast conservation therapy in invasive breast cancer?
Cancers 5 cm or smaller, without skin involvement, and with clear margins after excision
MKSAP 20
These criteria help determine eligibility for conserving breast tissue.
What does a positive p16 stain indicate in oropharynx cancer?
HPV positive
MKSAP 20
This indicates an association with human papillomavirus.
What is the management for advanced-stage large B-cell lymphomas?
Rituximab plus cyclophosphamide, doxorubicin, vincristine, and prednisone (R-CHOP)
MKSAP 20
This chemotherapy regimen is standard for treating this type of lymphoma.
What is the prevention method for BRCA-variant ovarian cancer?
Bilateral salpingo-oophorectomy
MKSAP 20
This surgical procedure significantly reduces the risk of ovarian cancer.
What is the second most common cause of death in patients with malignancy?
Venous thromboembolism
MKSAP 20
Cancer patients are at a higher risk for blood clots.
What reduces fracture risk in men with castrate-resistant metastatic prostate cancer?
Bisphosphonates or denosumab
MKSAP 20
These medications help maintain bone density.
What is the likely primary of isolated axillary lymph-node adenocarcinoma in a woman?
Stage II breast cancer
MKSAP 20
Breast cancer often presents with axillary lymph node involvement.
What are the toxicities associated with trastuzumab?
Infusion reactions and reversible cardiomyopathy
MKSAP 20
Monitoring is necessary due to cardiac risks.
What is the initial management for nonfunctional metastatic neuroendocrine tumors?
Observation and serial imaging
MKSAP 20
This approach is used when tumors are asymptomatic.
What testing is required for all patients with metastatic NSCLC to guide therapy?
PD-L1 expression
MKSAP 20
This test helps determine the suitability for immunotherapy.
What is the treatment for metastatic NSCLC in the absence of driver mutations?
Platinum-based chemotherapy and immunotherapy
MKSAP 20
This combination is standard treatment for such cases.
What is the treatment for high-risk prostate cancer?
Combined radiation and GnRH therapy
MKSAP 20
This approach enhances treatment effectiveness.
What is the initial therapy for locally advanced premenopausal breast cancer?
Neoadjuvant chemotherapy
MKSAP 20
This therapy is administered before surgery to shrink tumors.
What is the treatment for nonresectable early-stage lung cancer?
Radiation therapy
MKSAP 20
This is used when surgery is not an option.
What is the management of lymphedema after axillary dissection?
Physical therapy
MKSAP 20
This treatment helps manage swelling and improve function.
What tumor markers are used to assess poorly differentiated CUP with mediastinal adenopathy?
α-fetoprotein and β-HCG
MKSAP 20
These markers can indicate specific types of cancer.
True or False: Current immunotherapies are effective for mismatch repair-proficient colorectal cancers.
False
MKSAP 20
These cancers do not respond well to current immunotherapy options.
What breast cancer hormone therapy is associated with musculoskeletal syndrome?
Aromatase inhibitors (letrozole, anastrozole)
MKSAP 20
These medications can cause joint pain and stiffness.
What is the cervical cancer screening recommendation after hysterectomy for benign disease?
None
MKSAP 20
Women who have had a hysterectomy for non-cancerous reasons do not need screening.
What therapy is recommended following the resection of high-risk gastrointestinal stromal tumors?
Imatinib (tyrosine kinase inhibitor)
MKSAP 20
This medication targets specific cancer cell signaling pathways.