ovarian cancer Flashcards

1
Q

ovarian cancer mortality

A

high (most people present late stage due to nonspecific presentation)

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2
Q

BRCA pattern of inheritance

A

autosomal dominant

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3
Q

ovarian cancer and chemosensitivity

A

extremely chemosensitive, so some people can be cured if caught early

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4
Q

ovarian cancer and relapse

A

very high, advanced stage frequently recur

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5
Q

what is homologous recombination?

A

primary mechanism of double strand DNA break repair

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6
Q

Prognosticators in ovarian cancer

A

homologous recombination deficiency

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7
Q

first line mgmt of ovarian cancer

A

some combination of chemo + surgery

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8
Q

PARP inhibitor effect on PFS

A

dramatic, huge survival benefit, so all these patients should get BRCA testing

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9
Q

VEGF mechanism

A

angiogenesis

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10
Q

meaning of term “Platinum-refractory”

A

disease progression during first line platinum treatment

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11
Q

PLD stands for

A

pegylated liposomal doxorubicin

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12
Q

immunotherapy and ovarian cancer in general

A

very disappointing

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13
Q

Most common grade 3/4 AE of olaparib

A

anemia

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14
Q

most common SE’s of olaparib

A

nausea, fatigue, vomiting

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15
Q

Most common grade 3/4 AE of rucaparib

A

thrombocytopenia/liver toxicity

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16
Q

PARP inhibitor cost and tolerance

A

hugely expensive + relatively well tolerated

17
Q

game changer class of drugs in ovarian cancer

A

PARP inhibitors

18
Q

tumor markers and relevance

A

can be important but nonspecific

19
Q

front line for advanced ovarian cancer

A

IV carbo/taxol q21 days

20
Q

next step after palpation of an adnexal mass

A

Paracentesis with cytology (high yield in ovarian cancer)

21
Q

Indication for BRCA testing in ovarian cancer

A

All women with ovarian cancer need BRCA testing, regardless of age of onset, family history, or ancestry

22
Q

Surveillance

A

routine imaging not recommended after initial treatment