Therapeutic options Flashcards
what are cancer prevention options? (4)
- diet
- screening
- genetics
- medication
what are cancer treatment options? (3)
- surgery
- radiotherapy
- systemic therapy
what 2 diet choices have links with what cancers?
- red meat consumption; associated with colorectal (bowel) cancer
- saturated fat intake; associated with breast cancer
what is the current advice on diet which affect hormonal balance in the body? (3)
- 5 a day
- at least 30 mins of exercise a day
- avoid obesity
what are the 3 main screening options?
- cervical cancer: smear tests
- CRC: faecal occult blood test
- breast cancer: mammography
what are the more controversial screening tests which aren’t available readily?
- prostate cancer (PSA blood test)
2. lung cancer ( MR/CT scanning and breath test)
what are 2 of the most common genetically inherited cancers?
- breast cancers (BRCA1 and BRCA2)
2. CRC (colorectal cancer) and FAP (familial adenomatous polyposis coli)
what 3 measures can be taken for people who have the autosomal dominant CRC or FAP conditions?
- screen families for APC mutations
- regular colonoscopy
- offer panprotocolectomy when adenomas found
what are some of the more controversial cancers which use chemo-prevention
- oesophageal cancer
- breast cancer
- lung cancer
what are 4 types of local/ regional treatment for cancer?
- surgery
- radiotherapy
- ablation (freezing, radi-frequency, etc)
- isolated limb perfusion
what are 4 types of systemic treatment for cancer?
- hormonal therapy
- chemotherapy
- immunotherapy
- whole body irradiation
what 2 factors does cancer staging depend on?
- where is cancer
2. what kind of cancer
How can the location if the cancer be detected? (2)
- examination/ palpation
2. use of radiology/ imaging (CT, MRI, USS, PET etc)
how can the kind/ type of cancer be detected?
through pathology/cytology
what does surgery mean in terms of how much cancer is cleared?
Surgery needs anatomical clearance (ALL of cancer is taken out)
what can radiotherapy allow doctors to do? (3)
- needs anatomical coverage
- can treat inoperable lesions
- can make surgery become possible
What are the 5Rs of radiobiology?
- radiosensitivity (of tumour)
- repair
- re-population (growth)
- re-oxygenation
- re-assortment
does radiotherapy provide more or less oxygen to the tumour?
More oxygen
in what cell cycle phase will most cell be in?
G1 phase
what does re-assortment mean in terms of cells in radiography?
when cells have dividing chromosomes, it makes them more sensitive to radiation
What are the 3 main reasons why radiotherapy is given?
- to cure cancer (e.g.~40% of head/neck, cervix/uterus, skin and lymphoma cancers)
- to combine with chemotherapy (e.g. anal, rectal, oesophageal cancers)
- important in palliation (pain relief, bleeding, swollen limbs)
why is systemic treatment both good and bad?
- good and beneficial for widespread
- bad as can result in widespread toxicity
what is the main treatment method to palliate patients? (easing pain)
chemotherapy
In the therapeutic index curves used by oncologists, how do they want to keep the curves on the graph?
As far away from each other as possible