personalised medicine: cancer Flashcards
give me three factoids about NON-MELANOMA skin cancer
1)more common with increasing age 2)BCCs are the most common skin cancer in palefaces 3)SCCs are the 2nd most
BCC SCC?
Basal and squamous cell carcinomas
The US and non-melanoma cancer?
skin cancer most common form of cancer in US, more peeps have had skin cancer in last 31 years than ALL OTHER CANCERS
does NMSC metastasize?
nein
nmsc mortality?
low
nmsc in transplant patients?
increased incidence, more aggressive
how often is nmsc screened for?
annually
What is targeted surveillance:the predictive index?
generates a predictive index score that identifies high risk patients
What does latitude have to do with clinical risk factors?
UV - the incidence of NMSC is much higher in RTR in hot countries than in those from temperate climates
What does 4 UV exposures have to do with risk?
outdoor occupation, sunbathing, cumulative sun exposure, holidays abroad
what adds to clinical risk factors host response wise?
male, skin type 1, blue/green eyes, red/blonde hair
UV induced damage and clinical risk facotors?
premalignant lesions - keratoacanthoma bad - burning in childhood bad
What two chemical exposures increase cancer risk?
smoking and arsenic
4 genetic factors linked to cancer risk
1)melanisation 2)immune modulation 3)cell cycle control 4)UV induced oxidative stress
What is the predictive index?
it combines risk factors to predict risk, using stepwise logistic regression to obtain the best set of predictors for developing NMSC withing x years - generated an index that ids high risk patients