TOXICOLOGY: TUMOR MARKES Flashcards

1
Q

____ is a group of more than 100 diseases that develop
across time and involve the uncontrolled division of the
bodyโ€™s cells

A

Cancer

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2
Q

formation of tumor

A

๐Ÿ”ŠTumorigenesis

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3
Q

the spreading of tumor

A

๐Ÿ”ŠMetastasis

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4
Q

Also called, mass of cells, formed of these abnormal cells
may remain within the tissue in which it originated (a
condition called in situ cancer), or it may begin to invade
nearby tissues (a condition called invasive cancer).

A

TUMOR

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5
Q

An invasive tumor is said to be____, and cells shed
into the blood or lymph from a malignant tumor are likely
to establish new tumors (metastases) throughout the body

A

malignant

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6
Q

TUMOR MARKERS

A

๐Ÿ”ŠOther term: Cancer Marker

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7
Q

___ are measurable biochemicals that are
associated with a malignancy

A
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8
Q

Formation of New Blood Vessels

A

Angiogenesis

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9
Q

From the Greek word___, meaning vessel, the
formation of blood vessels from existing vasculature.

A

Angรชion

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10
Q

Programmed Cell Death

A

Apoptosis

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11
Q

Apoptosis
Biochemical Events:

A

โ—‹ Blebbing, cell shrinkage, nuclear fragmentation,
chromatin condensation, chromosomal DNA
fragmentation, and global mRNA decay

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12
Q

Apoptosis results when the ___) break down

A

cytoskeleton (by proteases)
and DNA (by endonucleases

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13
Q

Phases of cell activity divided into Growth, DNA
Synthesis and Mitosis.

A

Cell Cycle

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14
Q

Chromosome duplication occurs during the ___of the
cell cycle, whereas most other cell components are
duplicated continuously throughout the cycle.

A

S phase

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15
Q

During ___, the replicated chromosomes are
segregated into individual nuclei (mitosis), and the cell
then splits in two (cytokinesis).

A

M phase

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16
Q

Encodes a protein that promotes uncontrolled cell growth
when mutated

A

ONCOGENE

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17
Q

Uncontrolled tissue growth
โ— Malignant or Benign

A

NEOPLASM

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18
Q

๐Ÿ”ŠAs the disease progresses, both proliferation & metastasis occur
at expense of normal organ processes.

A

๐Ÿ”ŠStage 1: Localized Primary Tumor
โž” Only one is affected
๐Ÿ”ŠStage 2: Invasion of Primary Tumor through Epithelium and into
Blood Vessels ๐Ÿ”ŠStage 3: Migration of Tumor into Regional Lymph Node
โž” Liver in cancer but lymph nodes are affected
๐Ÿ”ŠStage 4: Metastasis & Invasion of Tumor to Distant Tissues
โž” Lung cancer but it reached the brain

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19
Q

Tumor marker concentration generally elevates during the
progression of tumor

A

Prognosis

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20
Q

Types of Tumor Markers

A

Enzyme
Serum protein
Endocrine (Hormones)
Carbohydrate & Cancer Antigen
Receptor

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21
Q

Prostate-Specific Antigen
โ— Tumor type:
โ— Clinical importance:

A

โ— Tumor type: Prostate cancer
โ— Clinical importance: Prostate cancer screening, therapy
monitoring, recurrence

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22
Q

LD
โ— Tumor type:
โ— Clinical importance:

A

โ— Tumor type: HEMATOLOGIC MALIGNANCIES
โ— Clinical importance:prognostic indicator, elevated
non-specifically in numerous CA

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23
Q

ALP
โ— Tumor type:
โ— Clinical importance:

A

โ— Tumor type: Metastatic bone CA, hepatocellular CA
(found in the liver) , osteosarcoma (for the bone),
lymphoma, leukemia
โ— Clinical importance:determination of liver and bone
involvement; nonspecific elevation in many bone related
and liver cancers

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24
Q

Neuron-Specific Enolase
โ— Tumor type:
โ— Clinical importance:

A

โ— Tumor type: : Neuroendocrine tumors
โ— Clinical importance:Prognostic indicator and monitoring
disease

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25
Neuron-Specific Enolase ๐Ÿ”ŠMethod
is Radioimmunoassay & Immunohistochemistry
26
ENZYME MARKERS ARE
PSA LD ALP NSE
27
SERUM PROTEIN MARKERS
-Serum M-Protein -Serum Free Light Chains -Beta2- Microglobulin
28
Serum M-Protein โ— Tumor type: โ— Clinical importance
โ— Tumor type: Plasma cell dyscrasias โ— Clinical importance: diagnosis and therapeutic monitoring
29
Serum Free Light Chains โ— Tumor type: โ— Clinical Importance:
โ— Tumor type: Plasma cell dyscrasias โ— Clinical Importance: Diagnosis and therapeutic monitoring
30
Beta2- Microglobulin Tumor type: Hematologic malignancies โ— Clinical Importance: Prognostic marker for lymphoproliferative disorders
Tumor type: Clinical Importance:
31
Endocrine Tumor Markers
-ACTH -ADH -C-PEPTIDE -CALCITIONIN -CHROMOGRANIN A -CORTISOL -GASTRIN
32
ACTH โ— Tumor type: tumor โ— Clinical importance:
โ— Tumor type: Pituitary adenoma, ectopic ACTH-producing tumor โ— Clinical importance: Ectopic ACTH-producing tumor
33
ADH โ— Tumor type: โ— Clinical Importance:
โ— Tumor type: Posterior pituitary tumors โ— Clinical Importance: SIADH
34
C- Peptide โ— Tumor type: โ— Clinical Importance:
โ— Tumor type: Insulin-secreting tumors ๐Ÿ”ŠOr tumors secreting insulin โ— Clinical Importance: Insulinoma
35
Calcitonin โ— Tumor type: โ— Clinical importance:
โ— Tumor type: MTC (Medullary Thyroid Carcinoma) โ— Clinical importance: Screening, response to therapy, and monitoring recurrence of MTC
36
Chromogranin A โ— Tumor type: โ— Clinical importance:
โ— Tumor type: Pheochromocytoma, neuroblastoma, carcinoid tumors, small lung cancers โ— Clinical importance: Aid in the diagnosis of carcinoid tumors, pheochromocytoma, & neuroblastomas
37
Cortisol โ— Tumor type: โ— Clinical importance:
โ— Tumor type: Adrenal tumors โ— Clinical importance: Diagnosis of Cushingโ€™s syndrome, adrenal adenoma
38
Gastrin โ— Tumor type: โ— Clinical importance:
โ— Tumor type: neuroendocrine tumor โ— Clinical importance: Prognostic marker for Lymphoproliferative disorders
39
Frequently Ordered Tumor Markers ๐Ÿ”ŠUsually requested tumor markers in the laboratory
1. AFP 2. Ca125 3. CEA 4. hCG 5. PSA
40
Abundant carcinoembryonic serum protein
AFP
41
AFP peaks a____ weeks gestation
1/10 the concentration of albumin at 30
42
Subtypes of Testicular CA
โ— Seminomatous Tumor โ— Nonseminomatous Tumor โ—‹ Differentiate into embryonal CA, teratoma, choriocarcinoma, and yolk sac tumors
43
โ—‹ Differentiate into embryonal CA, teratoma, choriocarcinoma, and yolk sac tumors
โ— Nonseminomatous Tumor
44
โ—‹ Directly forms from malignant germ cells
โ— Seminomatous Tumor
45
Marker for Colorectal CA โ— Utilized in combination with histology & TNM staging system
CEA
46
HCG Normally secreted by____ to maintain the corpus luteum through the 1st trimester of pregnancy
trophoblasts
47
Prognostic indicator for ovarian CA โ— Diagnostic marker for testicular CA โ— Most useful marker for detection of gestational trophoblastic diseases
HCG
48
Hepatic & Testicular CA
AFP
49
Lung Cancer
ALP
50
Pancreatic CA
Amylase
51
Breast & Ovarian Cancer
BRCA-1
52
Breast Cancer/ (Ovarian Cancer)
CA 125
53
Breast Cancer
CA 15-3
54
Gastric, pancreatic, & colorectal CA
CA 19-9
55
Gastric & Pancreatic CA
CA-50
56
Breast CA
CA 27.29 , Cathepsin-D & ESTROGEN RECPETOR
57
Breast, Lung, Colorectal, & Stomach CA
CEA
58
Small cell lung CA; prostate CA
CK-1
59
Hepatoma
GGT
60
Urinary Bladder CA
Nuclear Matrix Protein