Radiotherapy

Question 1

Why can non-ionising photons not be used for the treatment of cancer?

Answer 1

As they do not cause genetic damage

Question 2

What does Sievert take into account that greys does not?

Answer 2

Biological effect in human tissue

Question 3

What is a grey equivalent to?

Answer 3

1 J/Kg

Question 4

What does greys not tell you?

Answer 4

The type of X ray used

Question 5

What are used for radiation?

Answer 5

Xrays
Protons
Heavy ions

Question 6

What has to be done for brachytherapy?

Answer 6

An applicator needs to be put in a hole near the tumour

Question 7

Once have had prostate seeds, what needs to be done?

Answer 7

No close contact to others for approx. 6 weeks

Question 8

What can heavy ions treat?

Answer 8

Any tumour anywhere in the body

Question 9

What is adjuvant therapy?

Answer 9

Therapy after surgery

Question 10

What is neoadjuvant therapy?

Answer 10

Therapy before the surgery

Question 11

What is every woman having breast conservation surgery offered alongside it?

Answer 11

Radiotherapy

Question 12

Which of radiotherapy vs chemotherapy has a higher risk of S/Es?

Answer 12

Radiotherapy

Question 13

What needs to be settled before radiotherapy? Why?

Answer 13

Bone metastases

As RT would make the symptoms worse

Question 14

Brain metastases prognosis with treatment

Answer 14

6 weeks

Question 15

Brain metastases prognosis without treatment

Answer 15

3 weeks

Question 16

What is stereotactic radiotherapy for and what is it an alternative to?

Answer 16

For up to 5 brain mets with a very aggressive dose

Alternative to surgery

Question 17

Life expectancy of follicular lymphoma

Answer 17

10 - 15 years

Question 18

Can follicular lymphoma be cured?

Answer 18

No

Question 19

Does follicular lymphoma respond well to systemic treatment?

Answer 19

No

Question 20

What type of cancers are very sensitive?

Answer 20

Sinus cancers

Question 21

What is mycosis fungoides?

Answer 21

A T cell lymphoma

Question 22

What is the main problematic symptom of mycosis fungoides?

Answer 22

Majorly itchy

Question 23

How long does treatment take to work of mycosis fungoides?

Answer 23

6 - 12 months

Question 24

Most common S/E of chemo

Answer 24

N + V

Question 25

Risk factors for the development of S/Es in chemo

Answer 25

Anxiety
Age < 50
Concurrent use of opioids
Type of chemo used

Question 26

S/Es of cyclophosphamide

Answer 26

Haemorrhagic cystitis
Myelosuppression
Transitional cell carcinoma

Question 27

What is a PET scan used for?

Answer 27

Evaluating possible primary and metastatic disease