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30 Cards in this Set

  • Front
  • Back
most common cause of gross hematuria in 60 year old men
BPH
bladder ca is more common in men/women
men
5 risk factors for bladder ca
smoking
aromatic amines
nitrites
CTX
chronic irritation
chronic irritation of bladder can be caused by ___ (3)
catheter
S. hematobium
irradiation
cytology has ___ sensitivity and ___ specificity for bladder ca
low
high
most bladder cancer is ___
most of the rest is ___
transitional cell ca (TCC)
SCC
most dx of bladder ca is via ___
cytoscopy with transurethral resection
bladder ca from stage T___ and on invade muscularis propria
2
___% of superficial bladder ca progress to ___
15-20
MP invasive bladder ca
3 adjuvant tx for superficial bladder ca
BCG
IFN
chemo
in MP invasive bladder ca, ___ was usually required
radical cystectomy
2 kinds of urinary diversion after cystectomy
continent
noncontinent
noncontinent urinary diversion means
urine drains into pouch
4 main short term complications of cystectomy
sepsis
urine leak
pyelonephritis
acute acidosis
3 main long term complications of cystectomy
renal failure
ureteral intestinal obstruction
stoma problems
standard tx for metastatic bladder ca (2)
cisplatin
gemcitabine
prostate ca is the ___th most common ca in men
1
incidence/mortality ration for prostate ca is
8
3 risk factors for prostate ca
African american
high fat diet
sedetary lifestyle
if PSA is high, then probability of prostate ca goes up/down with increasing free PSA %
down
Gleason scores range from ___ to ___, but you almost never see one below ___.
2
10
6
___% of prostate ca are from the peripheral zone
80
bound PSA is bound to ___
alpha1 antichymotrypsin
T1 tumors are not ___
palpable
T2 tumors are ___ but ___
palpable
confined to prostate
___ is an androgen receptor antagonist
bicalutamide
___ is a GnRH agonist
gozerelin
intermediate risk group has PSA of ___, Gleason of ___, and tumor stage T___.
10--20
7
2B
antiandrogen tx is given to ___ risk groups
intermediate
high
high risk group gets ___ (3)
electron beam RT
radical prostatectomy
long term antiandrogen tx