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39 Cards in this Set

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"Cancer mortality rates have decreased in the last few years" True or False?
TRUE
What is a major risk factor for the increase and shift in cancer prevalence rates?
Population Aging
"Cancer is the leading cause of death in the developed world" True or False?
False, it is the second leading cause of death afetr Cardiovascular disease
"Cancer is the leading cause of death in Canada" True or False?
TRUE
What is the order of mortality of the types of Cancer in the developed world?
1) Lung Cancer (Highest)

2) Breast Cancer


3) Colon Cancer


4) Prostate Cancer


5) Pancreatic Cancer (least)

"Pancreatic Cancer has lower incidence but has very high mortality rate" True or False?
TRUE
What is the definition of Cancer?
The loss of normal cellular growth control
What are some of the reasons for disruption in balance of cell growth and cell death? (2)
1) Uncontrolled Cell Growth

2) Loss of a cell's ability to undergo cell apoptosis

"Cancer can arise from a single transformed human cell"True or False?
TRUE
What are the four hallmarks of Cancer?
1) Loss of Growth Control

2) Cellular Immortality


3) Immune System Evasion and Corruption


4) Genomic Instability

Why can cancer cells not function normally?
Because they lose their cellular differentiation and organization
What does the Cancer's "Corruption of the immune system" consist of?
Turning on the signalling cascades to feed its own growth
Chromosomal information is switched via _______
Translocation
What are the different stages of Cancer Development? (4)
1) Presence of Abnormal Growth

2) Benign Tumor


3) Invasion to nearby areas


4) Metastasis

What is a "tumor"?
(i.e. A neoplasm) Is the gradual increase in the number of dividing cells creating a mass
What is a "Benign Tumor"?
When the tumor is still contained within a single site where it first developed
What is a "Malignant Tumor"?
When the tumor has spread from its original site to other sites in the body
What are the two mechanisms that Cancers use to spread to other sites in the body?
1) Invasion

2) Metastasis

If melanoma arises in the skin and then spreads to the liver what is it referred to?
Metasatic Melanoma. Melanoma with Liver Metastasis. NOT LIVER CANCER
What are Oncogenes?
Genes whose presence and/or over activity can stimulate development of Cancer
What are Tumor Suppression Genes?
Family of proteins that restrain cell growth and division
What are DNA repair Genes?
Codes for proteins who normally functions to correct errors that arise
What is the normal function of Oncogenes?
Normally functions to accelerate cell division and growth
What is the normal function of Tumor Suppression Genes?
Normally functions to slow down cell growth and division
What are examples of Proto-Oncogenes?
Growth Factors, Signalling Enzymes & Transcription Factors
What are examples of Oncogenes?
HER2, C-MYC, K-Ras
What are examples of Tumor Suppressor Genes?
P53, Rb, PTEN
What are examples of DNA repair genes?
BRCA1, BRCA2 and XPB
Why do people with Xerodema Pigmentosum have higher chance of Skin Cancer?
Because they have an inherent defect in a DNA repair gene
What is the order of mutations in tumor formation?
1) Mutation inactivates suppressor genes (=no brakes)

2) Mutation inactivates DNA repair gene


3) Mutation of Proto-Oncogenes -> Oncogenes (=stuck gas pedal)

Need at least how many mutations to become malignant?
7
How do chemical/radiations cause cancer?
Act by damaging genes
How do Viruses cause cancer?
Introduces their own genes into cells
How can cancer be hereditary?
Passes on alterations in genes that make a person more susceptible to cancer
What are the MOA of Anti-Cancer Therapies? (3)
1) Affects Cell Survival

2) Affects Cell Growth Signals


3) Boosts our Immune System in its effort to combat the abnormal cells

What are examples of Cell Cycle Specific Therapies? (2)
1) Attacks in various processes crucial to cancer cell replications

2) Inhibit Cell Division

What are examples of Non Cell Cycle Specific Therapies? (2)
1) Damage Genetic Material (i.e. DNA)

2) Endocrine Therapy or Growth Factor Inhibition

What are the ways that a functional immune system may respond Cancerous cells? (4)
1) Can damage/destroy some neoplastic cells

2) T-cells recognize abnormal cells and destroy them


3) Antibodies form for the abnormal cell protein


4) Interferons and Tissue Necrosis Factor(TNF) plays in elimination of abnormal cells

What are the common side effects of Cancer Chemotherapy? (5)
1) Myelosuppression 2) Elimination Organ Damage (liver&kidney)3) Nausea and Vomitting 4) GI Disturbances 5) Hair Loss