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5 Cards in this Set

  • Front
  • Back

The Cell Cycle

Interphase: cell is growing but not dividing (G1, S, and G2)


G1: growth phase, longest phase, cell prepares for S


G0: resting, no cell division


S: DNA synthesis


G2: cell prepares for M


M: mitosis


After M, G1 starts again

Characteristics of Cancer

Cancer cells are mostly in M stage


Neoplastic cells: rapid proliferation, invasive growth, metastasis, immortality

Treatment Approaches to Cancer

Surgery: for solid tumor cancers


Radiation


Drug therapy: for disseminated cancers like leukemia, small cell lung cancer, Hodgkin’s disease


Drug Classes: cytotoxic agents (most common), hormones and hormone antagonists, biologic response modifiers or immunotherapies, targeted drugs

Major Toxicities for Chemotherapy

Bone marrow suppression (most serious): neutropenia (less than 500), thrombocytopenia (less than 10x10^3), anemia (HgB less than 8)


Digestive tract injury: stomatitis, diarrhea


N/V


Alopecia


Reproductive toxicity

Strategies for Chemotherapy

Intermittent chemotherapy


Combination chemotherapy: suppression of drug resistance, increased cancer destruction, reduced harm to normal cells


Drug selection: each drug should be effective by itself, different MOA, and minimally overlapping toxicities


Regional drug delivery


Supportive drugs