TOPIC 6 - cancer Flashcards

1
Q

cancer treatments

A

radiation, chemo, brachytherapy, surgery

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2
Q

benign vs malignant

A

benign: harmless, does not require intervention
malignant: indicates cancer, serious (can lead to death without intervention)

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3
Q

benign tumor cells

A

normal cells growing in the wrong place or at the wrong time
result of problem with cellular regulation

specific morphology, small size, specific differentiated function, tight adherence, no migration, orderly growth, normal chromosomes

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4
Q

transformation occurs through

A

initiation, promotion, progression, metastasis

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5
Q

features of cancer cells

A

anoplasia, large nuclear:cytoplasmic ratio, specific functions lost, loose adherence, migration, no contact inhibition, rapid or continuous cell division, abnormal chromosomes

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6
Q

how do oncogenes affect cancer development

A

oncogenes have the potential to chance a normal cell to a malignant one

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7
Q

cancer etiology and genetic risk

A

oncogene activation, chemical/ physical/ viral carcinogenesis, dietary factors, immune function, advancing age, genetic risk

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8
Q

cancer prevention

A

modifying associated factors, removal of “at risk” issues, chemoprevention, vaccination, cancer screen guidelines

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9
Q

primary tumors

A

identified by the tissue from which it arose

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10
Q

secondary (metastatic) tumors

A

cells move from primary location = additional tumors

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11
Q

early warning signs

A

chance in bowel or bladder, lesion that does not heal, unusual bleeding or discharge, thickening of breast tissue, indigestion or difficulty swallowing, obvious changes in wart or mole, nagging cough

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12
Q

medical goals

A

curative, control, palliative

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13
Q

surgery is used for

A

diagnosis, staging, tumor removal/debulking, palliation

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14
Q

type of surgery determined by

A

extent of disease, location and structures involved, tumor growth rate, tumor invasiveness, surgical risk, quality of life expected post op

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15
Q

radiation therapy

A

purpose is to destroy cancer cells with minimal damaging effects to surrounding cells
local treatment
ionizing radiation
exposure - amount of radiation delivered
radiation dose - amount absorbed

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16
Q

brachytherapy vs teletherapy

A

brachytherapy : Brachytherapy uses radioactive isotopes either in solid form or within body fluids. Isotopes can be delivered to the tumor in several ways
teletherapy : Teletherapy is radiation delivered from a source outside of the patient. Because the source is external, the patient is not radioactive and is not hazardous to others.

17
Q

side effects of radiation therapy

A

acute and long term site specific changes, varies according to site, local skin changes and hair loss, altered taste sensation, fatigue, bone marrow suppression

18
Q

acute response followed by dry desquamation

A

erythema

19
Q

collaborative care

A

nutrition
care for xerostomia
teach about risk for fractures
exercise and sleep interventions for fatigue

20
Q

disease related consequences of cancer

A

reduced immune and blood producing function
altered GI stricture and function
motor and sensory deficit
decreased resp function

21
Q

chemotherapy

A

treatment of cancer with chemical agents, used to cure and increase survival time, adjuvant therapy (chemo+surgery), cytotoxic effects exerted on healthy cells and cancer cells

22
Q

chemotherapy drugs

A

alkylating agents, antimetabolites, anti-mitotic agents, anti tumor antibodies, topoisomerase inhibitors

23
Q

health care provider safety

A

eye protection, masks, double gloves, gown

24
Q

side effects of collaborative care

A

N/V/D, mucositis, alopecia, cognitive change, chemo induced peripheral neuropathy

25
Q

how does radiation therapy stop cancer cells from reproducing

A

damaging cellular DNA