Tumor markers and oncogenic microbes Flashcards

1
Q

Purpose of tumor markers?

A

Monitor tumor recurrence, response to therapy

*Biopsy makes the definitive diagnosis

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2
Q

Alkaline phosphatase

A

Metastases to bone or liver
Pagest disease of bone
Seminoma (placental ALP)

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3
Q

AFP associations with cancers

A

Hepatocellular carcinoma
Hepatoblastoma
Yolk sac tumor
Mixed germ cell tumor

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4
Q

AFP associations with fetal anomalies

A

^AFP in neural tube defects
^AFP in abdominal wall defects
Decreased in down syndrome

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5
Q

b-HCG

A
Hydatidiform moles
Choriocarcinomas
Testicular cancer
Mixed germ cell tumor
HCG=Hydatidiform, choriocarcinomas, germ cell (don't forget the balls!)
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6
Q

Where is b-HCG produced?

A

Syncytiotrophoblasts of the placenta

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7
Q

CA15-3/CA27-29

A

Breast cancer

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8
Q

CA 19-9

A

Pancreatic adenocarcinoma

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9
Q

CA 125

A

Ovarian cancer

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10
Q

Calcitonin

A

Medullary thyroid carcinoma (Parafollicular cells)

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11
Q

CEA

A

CarcinoEmbryonicAntigen: very nonspecific
70% of colorectal and pancreatic cancers
Also seen in gastric, breast, medullary thyroid carcinomas

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12
Q

Chromogranin

A

Neuroendocrine tumors and carcinoid

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13
Q

PSA

A

Prostate specific antigen.
Prostate cancer
BPH
Prostatitis

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14
Q

Oncogenic EBV

A

Burkitt, hodgkin, nasopharyngeal, Primary CNS lymphoma

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15
Q

Oncogenic HBV/HCV

A

Hepatocellular carcinoma

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16
Q

Oncogenic HHV-8

A

Kaposi sarcoma

17
Q

Oncogenic HPV

A

Cervical and penile/anal carcinoma (types 16 and 18)

Head and neck cancer

18
Q

Oncogenic H. pylori

A

Gastric adenocarcinoma and MALT lymphoma

19
Q

Oncogenic HTLV-1

A

Adult T cell leukemia/lymphoma

20
Q

Oncogenic liver fluke (Clonorchis sinensis)

A

Cholangiocarcinoma

21
Q

Oncogenic Schistosoma haematobium

A

Squamous cell bladder cancer

22
Q

Psammomma bodies are found in which pathologies?

A
PSaMMoma
Papillary thyroid carcinoma
Serous papillary cystadenocarcinoma of the ovary
Meningioma
Malignant mesothelioma
23
Q

Common primary tumors that metastasize to the brain

A

Lung>breast>prostate>melanoma>GI

24
Q

Common primary tumors that metastasize to the liver

A

Colon»stomach>pancreas

25
Q

Common primary tumors that metastasize to the bone

A

Prostate, breast>lung, thyroid, kidney