tumor markers Flashcards

1
Q

what is the mechanism of the BRCA gene ?

A

inhibition of tumor suppressor genes , like p53 , APC, RB

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2
Q

what is thee most likely gene associated with hereditary breast cancer ?

A

BRCA gene mutation

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3
Q

where does the BRCA gene reside ?

A

chromosome 17

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4
Q

what tumor marker is used to monitor the treatment response in breast cancer ?

A

CA 15-3

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5
Q

what lab test is used to differentiate between liver and bone metastasis ?

A

GGT

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6
Q

what is the cause of hypercalcemia in advanced breast cancer ?

A

may be due to bone metastasis
or due to 1 alpha hydroxylase

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7
Q

what tumor marker can be used for gastrointestinal malignancies ?

A

CA19-9

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8
Q

what tumor marker is used for hepatocellular carcinoma ?

A

AFP

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9
Q

what other cancers are associated with a high level of AFP?

A

hepatocellular carcinoma
hepatoblastoma
non seeminous germ cell tumors of the ovary and testis

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10
Q

what benign conditions are associated with an elevated level of AFP ?

A

pregnancy
benign liver conditions - viral hepatitis and cirrhosis

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11
Q

for the identification of germ cell tumors what markers are used ?

A

AFP and hCG

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12
Q

what molecular investigations should be performed for a patient with NSCLC ?

A

EGFR
ALK
ROS1
to see if they are eligible for EGFR-TKI therapy

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13
Q

two primary types of lung cancer?

A

small cell and non small cell

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14
Q

what tumor markker can be used for the detection of prostatic ccancer ?

A

PSA

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15
Q

what are the indications for measuring PSA ?

A

should be delayed for 3 days after rectal prostate examination as after examination there are falsely elevated levels

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16
Q

patient ccomplains off obstrucctive urinary symptoms seccondary to prostatic eenlargemeent , what is the next best step in management ?

A

perccutaneous nephrotomy

17
Q

what is the expected outcome after relief of obstruction ?

A

temporary diuresis and natriuresis