Paraneoplastic syndromes Flashcards

1
Q

What causes fever?

A

IL-1

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2
Q

What hormone is responsible for hypokalemia and hyperglycemia in cancer patients?

A

ectopic ACTH - cushings

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3
Q

What can cause hypercalcemia in cancer patients?

A
  • metastatic disease of bone

- PTH mimic molecule by epithelial tumors

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4
Q

What tumors are notorious for causing a patient to have hypocalcemia?

A
  • lung, breast, prostate
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5
Q

What tumor produces anti-Hu antibodies?

A

small cell lung cancer

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6
Q

What are some symptoms that anti-hu antibodies cause?

A
  1. sensory neuropathies
  2. limbic encephalitis - seizures, memory deficit
  3. autonomic neuropathies - loss of vasc tone
  4. vision loss - loss of retinal photoreceptor
  5. motor neuron disease
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7
Q

What cancers are associated with anti-leucine zipper protein yo? what happens as a result?

A
  • =breast cancer and hodkins lymphoma

- progressive cerebellar degeneration

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8
Q

What tumor is associated with opsoclonus myoclonus, or nonvoluntary spasms of ocular muscles?

A

neuroblastoma in children

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9
Q

What is a common paraneoplastic syndrome associated with thymomas?

A

neuromuscular junction disorders

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10
Q

What is eaton lambert syndrome?

A
  • associated with small cell lung cancer

- symptoms are like myasthenia gravis but are overcome with exercise

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11
Q

What is subacute motor neuropathy?

A

slow developing LMN weakness

-VERY strongly associated with cancer - lymphoma

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12
Q

What tumors are notorious for causing iron deficient anemias?

A

colorectal - because they cause bleeding into GI

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13
Q

What tumors cause autoimmune hemolytic anemia?

A

B cell neoplasms

solid tumors in old people

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14
Q

What is the most common cause of venous thrombosis or trousseau syndrome?

A

carcinoma of the pancreas

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15
Q

Which cancers cause DIC?

A
  • adenocarcinoma

- APL

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16
Q

What is acanthosis nigricans?

A
  • hyperkeratosis and pigmentation
  • 50% of patients that present have cancer
  • usually GI carcinomas - stomach
17
Q

What is sweet syndrome?

A
  • elevated neutrophils, acute fever, painful red plaques

- usually hematopoietic cancers

18
Q

Does amyloidosis imply a good or bad prognosis?

A

bad

19
Q

What is carcinoid syndrome?

A
  • flushing, wheezing, diarrhea, colic
  • caused by release of serotonin, bradykinin, histamine from neuroendocrine granules
  • most commonly from submucosal tumors of intestines