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41 Cards in this Set

  • Front
  • Back
MCC of cancer related death in men or women
lung
MC CA in men and women
breast and prostate
T cells vs NK cells
former need MHC complex to attack tumor
Tumor markers for
Colon CA
Liver CA
Pancreatic CA
testicular CA
ChoriocCA
Prostate
CEA
AFP
CA 19-9
CA 125
beta HCG
PSA
BRCA I and II
NSE (small cell lung CA, neuroblastoma)
EBV is a/w what ttypes of CA
Burkitt's lymphoma
Nasopharyngeal CA (c-myc)
retroviruses contain oncogenes
Most vulnerable stage of cell cycle for XRT
M phase
target DNA via oxygen radicals
Higher energy radiation has what effect
skin preservation
Fractionate doses
allows repair of nl cells, tumor rexoygenation, and redistribution of tumor cells in cell cycle
Very radiosensitive tumors
seminomas
lymphomas
very radioresistant tumors
epithelial
sarcomas
organs with increased sensitivity to XRT
kidneys, lungs, liver, and lymphocytes
Cell cycle specific chemo
exhibit plateau in cell killing ability
Tamoxifen
decreases 5 year risk of breast CA by 45%
1% DVT
0.1% endometrial CA
MOA of Taxol
microtubule formation --> rupture cells
which 2 chemo agents cause pulmonary fibrosis
bleomycin
busulfan
Adverse efx of cisplatin
neuro, neuro, ototoxic
Adverse efx of carBOplatin and vinBlastine
BOne suppression
2 microtubule inhibitor chemo agents
Vincristine (peripheral neuropathy and neurotoxic)
vinblastine
MOA and AE of cyclophosphamide
alkylating agent
acrolein is active metabolite
AE SIADH, hemorrhagic cystitis (mesna can help)
MTX MOA
DHFR inhibitor --> purine
nephrotoxic
role of leucovorin
reverses effects of MTX by decreasing folate
increases toxicity of 5FU
MOA of 5FU
inhibits thymidylate synthesis (purine)
MOA/AE of doxorubicin
DNA intercalater, oxygen radial
cardiotoxic
GCSF AE
sweet's syndrome (acute febrile neutropenic dermatitis)
Name 6 tumor suppressor genes
Rb1
p53
APC
DCC
bcl
BRCA
Name 5 proto-oncogenes and defects
ras
src
sis
erb B
myc
ras
ras (G protein defect)
src
src (tyrosine kinase defect)
sis
sis (platelet derived growth factor receptor defect)
erb B
erb B (epidermal growht factor receptor defect)
myc
myc (transcription)
Genetic defect in Li-Fraumeni syndrome and tumors
p53
child sarcomas
bresat CA
brain tumors
leukemia
adrenal CA
Genetic defects a/w medullary CA of thyroid
MENIN
Ret proto-oncogene
Genes a/w colon CA
APC, p53, DCC, K-ras
does not go to bone
#1 CA to mets to axillary
lymphoma (breast, melanoma)
#1 CA to mets to bone
breast
#1 CA to mets to SB
melanoma
ovarian mets
stomach and colon
supraclavicular nodes
neck
breast
lung
stomach
pancreas
4 phases of clinical trials
safe?
effective?
better?
implementation and marketing
5YSR of colon mets to liver
25% if resected