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81 Cards in this Set

  • Front
  • Back

Acathosis Nigricans

Visceral malignancy


Rare


More commonly A/W insulin resistance

Barrett esophagus

Esophageal adenoCa

Chronic atrophic gastritis/Postsurgical gastric remnants

Gastric adenoCa

Cirrhosis

Hepatocellular adenoCa

Ulcerative colitis

Colon adenoCa

Actinic keratosis

SCC of skin

Dermato- and polymyositis

Visceral malignancies


Particularly GU

Dysplastic nevus

Malignant melanoma

Multiple seborrheic keratoses

GI


Breast


Lung


Lymphoid malignancies

Paget disease of bone

Secondary osteosarcoma


Fibrosarcoma

Plummer-Vinson syndrome

SCC of esophagus

Tuberous sclerosis

Multiple hamartomatous/benign tumours - including giant cell astrocytomas, renal angiomyolipoms, cardiac rhabdomyomas


May become malignant

Xeroderma pigmentosum, Albinism

SCC, basal cell carcinoma, melanoma

AIDS

Aggressive non-Hodgkin lymphoma


Kaposi sarcoma

Autoimmune dxs - Hashimoto thyroiditis, SLE

Lymphoma

Down syndrome

Acute lymphocytic leukemia

Immunodeficiency

Lymphoma, melanoma, renal cell Ca

Li-Fraumeni syndrome

Various cancer types at young age


Sarcoma


Breast


Leukemia


Adrenal gland Ca

Radiation exposure

Leukemia


Sarcoma


Papillary thyroid cancer


Breast cancer

BCR-ABL

Tyrosine kinase


CML


ALL

BCL-2

Antiapoptotic molecule


Follicular and undifferentiated lymphomas

BRAF

Serine/threonine kinase


Melanoma


Non-Hodgkin lymphoma

c-kit

Cytokine receptor


GIST

c-myc

Transcription factor


Burkitt lymphoma

HER2/neu - c-erbB2

Tyrosine kinase


Breast Ca


Ovarian Ca


Gastric Ca

L-myc

Transcription factor


Lung tumour

N-myc

Transcription factor


Neuroblastoma

RAS

GTPase


Colon cancer


Lung cancer


Pancreatic cancer

RET

Tyrosine kinase


MEN 2A/B


Medullary thyroid cancer

Oncogenes

Gain of fxn -> Increased cancer risk


Only need to damage 1 allele


BCR-ABL, BCL-2, BRAF, c-kit, c-myc, HER2/neu, L-myc, N-myc, RAS, RET

Tumour suppressor genes

Loss of fxn -> Increased cancer risk


Both alleles must be lost for expression of dx


APC, BRCA1/2, DCC, DPC4, MEN1, NF1, NF2, P16, P53, PTEN, Rb, TSC1, TSC2, VHL, WT1/2

APC

Colorectal cancer - FAP

BRCA1/2

Breast and ovarian cancer


DNA repair protein

DCC

Colon cancer

DPC4/SMAD4

Pancreatic cancer

MEN1

Menin


MEN 1

NF1

Neurofibromatosis 1


Ras GTPase activating protein = neurofibromin

NF2

Neurofibromatosis 2


Merlin/schwannomin protein

P16

Melanoma


Cyclin-dependent kinase inhibitor 2A

P53

Li-Fraumeni syndrome


Most cancers


Transcription factor for P21


Blocks G1 -> S phase

PTEN

Breast cancer


Prostate cancer


Endometrial cancer

Rb

Retinoblastoma


Osteosarcoma


Inhibits E2F


Blocks G1 -> S phase

TSC1

Tuberous sclerosis


Hamartin protein

TSC2

Tuberous sclerosis


Tuberin protein

VHL

Von Hippel-Lindau dx


Renal cell Ca


Inhibits hypoxia inducible factor 1a

WT1/WT2

Wilms Tumour = Nephroblastoma

Alkaline Phosphatase

Mets to bone/liver


Paget dx of bone


Seminoma - placental ALP

Alpha Fetoprotein

Hepatocellular carcinoma


Hepatoblastoma


Yolk sac = endodermal sinus tumour


Mixed germ cell tumour


Normally made by fetus - transiently elevated in pregnancy - high levels A/W neural tube and AB wall defects, low levels A/W Down syndrome

Beta-hCG

Hydatidiform moles


Choriocarcinomas - gestational trophoblastic disease


Testicular cancer


Mixed germ cell tumour


Produced by synctiotrophoblasts of placenta

CA 15-3/CA 27-29

Breast cancer

CA 19-9

Pancreatic adenoCa

CA 125

Ovarian cancer

Calcitonin

Medullary thyroid cancer

CEA

CarcinoEmbryonic Antigen


Nonspecific - produced by 70% of colorectal and pancreatic cancers


Also produced by gastric, breast and medullary thyroid Cas

Chromogranin

Neuroendocrine tumours


Carcinoid

PSA

Prostate specific Ag


Prostate cancer


Can also be elevated by BPH and prostitis

EBV

Burkitt lymphoma


Hodgkin lymphoma


Nasopharyngeal Ca


Primary CNS lymphoma - in immunocompromised pts

HBV/HCV

Hepatocellular Ca

HHV-8

Kaposi sarcoma

HPV

Cervical and penile/anal Ca - 16/18


Head and neck cancer

H Pylori

Gastric adenoCa


MALT lymphoma

Liver fluke

= Clonorchis sinensis


Cholangiocarcinoma

Schistosoma haematobium

Bladder SCC

Aflatoxins

Hepatocellular Ca

Alkylating agents

Leukemia


Lymphoma

Aromatic amines

Transitional cell Ca bladder

Arsenic

Angiosarcoma


Lung cancer


SCC

Asbestos

Bronchogenic Ca

Carbon tetrachloride

Centrilobular necrosis


Fatty change

Cigarette smoke

TCC bladder


Cervical Ca


SCC/AdenoCa of esophagus


Renal cell Ca


SCC Larynx


SCC + Small cell Ca lung


Pancreatic adenoCa

Ethanol

SCC esophagus


Hepatocellular Ca

Ionising radiation

Papillary thyroid Ca

Nitrosamines - smoked foods

Gastric cancer

Radon

Lung cancer

Vinyl chloride

Angiosarcoma

Calcitrol

Causes hypercalcemia


Hodgkin lymphoma


Non-Hodgkin lymphoma

ACTH

Causes Cushing syndrome


Small cell lung Ca


Renal cell Ca

ADH

Causes SIADH


Small cell lung Ca


Intracranial neoplasms

Ab against presynaptic Ca channels at NMJ

Causes Lambert-Eaton myasthenic syndrome - muscle weakness


Small cell lung Ca

Erythropoietin

Causes polycythemia


Renal cell Ca


Hemangioblastoma


Hepatocellular Ca


Leiomyoma


Pheochromocytoma

PTHrP

Causes hypercalcemia


SCC lung


Renal cell Ca


Breast Cancer