Oncology in general Flashcards
What does Cytotoxins target?
Fast-dividing cells
Mab?
Monoclonal antibodies
Zu?
Human + mouse
u?
Human
xi?
chimeric
tu?
anti-tumor
lim/l/li?
Acts on lymphocytes
Which organs are affected in systemic tx (cytotoxins)?
Fastly replenishing organs:
- mucosa
- BM
- Blood
- Skin
When would anemia show after chemo?
100 days
When would neutropenia show after chemo?
7-10 days
When would thrombocytopenia show after chemo?
2-3 weeks
Most common causes of BONE metastasis?
LUNG
PROSTATE
BREAST
When could we do liver transplant?
ONLY if primary tumor in liver, NOT possible in metastatic disease!
Classical tx in colorectal ca?
FOLFOX
FOLFIRI
What is FOLFOX?
Oxaliplatin + 5 FU + Leucovorine
What is FOLFIRI?
Oxaliplatin + 5 FU + Irinotecan
When do we use FOLFIRI?
If resistant to FOLFOX
Which grades of side effects of a drug is ACCEPTED?
Grades 1 - 3 ( mild, moderate, severe)
Cervical screening?
women from 25 years, every 3rd year
Breast screening?
WOmen from 50 yearss
Colorectal screening?
All from 50 year, every 10th year. FOBT every2nd year
What is translational medicine?
Benchside + bedside + community –> promote enhancement in prevention, diagnosis and treatment
In which animal is clinical trials done?
ONLY HUMANS!!!
Phase 1 of clinical trials?
SAFETY and DOSE of new drug in small group of people
Phase 2 of clinical trials?
Efficacy, how well does it work for given disease?
Phase 3 of clinical trials?
Compare new and standard treatment, is it better?
Phase 4 of clinical trials?
Report lon-term/ rare side effects
How long time does progression from normal to cancer tissue take?
5-20 years
What is tumor suppressor genes?
Loss of function mutation
What is proto-oncogenes?
Gain of function mutations
Indications for breast ca genetic tests?
BRCA1 and BRCA2 mutations in family
Early breast ca in family
Management if BRCA1 and 2 mutations in family?
Preventive mastectomy and tamoxifen prophylaxis if breast cancer.
Preventive ovariectomy and oral hormonal contraceptives if ovarian cancer
Management if FAP and ACP mutation in family?
Preventive colectomy
Annual colonoscopy/sigmoidoscopy
Explain stage I of cancer?
Limited to organ, negative lymph nodes. 90% survival
Explain stage II of cancer?
Cancer invades organ and lymph nodes. 50% survival
Stage III of cancer?
locoregional advanced cancer. 20% survival
Stage IV of cancer?
Metastatic cancer. 5% survival