-
what are the four main targets of genetic damage?
- proto-oncogenes
- tumor suppressor genes
- genes that regulate apoptosis
- DNA repair genes
-
3/4 of cases are unilateral and due to sporadic mutations. 1/4 of cases are bilateral and 1 "hit" comes from parents, 1 "hit" comes from sporadic genetic change.
Retinoblastoma
-
what is the most common oncogene abnormality in humans? what disease is most associated with it?
RAS
Follicular Thyroid Carcinoma
-
what type of cancer is associated?
Rb
- Retinoblastoma
- Osteosarcoma
-
what type of cancer is associated?
DPC
pancreatic
-
what type of cancer is associated?
APC
-
what type of cancer is associated?
WTI
wilms tumor
-
what type of cancer is associated?
BRCA1 and 2
breast and ovarian cancer
-
what cancers are associated with K-RAS mutation?
Colon, Lung and Pancrease
-
name the most common cancers in men. name the most common cancers in women.
men: prostate, lung, colon, pancreas
women: breast, lung, colon, uterus
-
what are the most common cancers causing mortality?
- Lung
- Prostate/Breast
- Colon
- Pancreas
-
what cancers are associated with UV radiation?
SCC, BCC and melanomas
-
Which type of UV radiation is most problematic?
UVB - b for bad
-
what type of cancer is associated?
RET
MEN IIa and IIb
Papillary Thyroid Cancer
-
what diseases are associated with DNA-repair defects?
- HNPCC
- Xeroderma Pigmentosum - pyrimidine dimer repair
- Ataxia-Telangiectasia
-
What organism is associated with SCC of the bladder? "An Egyptian with Hematuria"
Schistosoma Haematobium
-
Associated neoplasms:
Hashimoto Thyroiditis
Lymphoma
-
Associated neoplasms:
Down Syndrome
ALL, AML
-
Associated neoplasms:
Plummer Vinson
SCC of the esophagus
-
Associated neoplasms:
Tuberous Sclerosis
Cardiac Rhabdomyoma, astrocytoma, angiomyolipoma
-
Associated neoplasms:
Ataxia-telangiectasia
Leukemias and Lymphomas
-
Associated neoplasms:
Paget Disease of the bone
Osteosarcoma, Fibrosarcoma
-
Associated neoplasms:
Nitrosamines
Gastric adenoma, esophageal and colon cancer
-
Associated neoplasms:
Asbestos
Mesothelioma, Bronchogenic cancer
-
Associated neoplasms:
Naphthalene
Transitional Cell Carcinoma of the bladder
-
Associated neoplasms:
Arsenic
SCC skin, liver angio sarcoma
-
Associated neoplasms:
EBV
Burkitt Lymphoma, Nasopharyngeal, Hodgkin Lymphoma
-
Associated neoplasms:
HPV
Cervical cancer
-
Associated neoplasms:
Schistosoma haematobium
SCC of the bladder
-
What type of tumor matches following description:
benign tumor of epithelium
adenoma, papilloma
-
What type of tumor matches following description:
malignant tumor of the blood vessels
angiosarcoma
-
What type of tumor matches following description:
benign tumor of bone
osteoma
-
What type of tumor matches following description:
malignant tumor of smooth muscle
leiomyosarcoma
-
Nomenclature:
"Hemangi" or "angi"
blood vessels
-
Nomenclature:
"leiomyo"
smooth muscle
-
Nomenclature:
"rhabdomyo"
skeletal muscle
-
Nomenclature:
Fibro
Connective tissue
-
what enzyme is normally absent in somatic cells but is active in stem cells and cancer cells?
Telomerase
-
what are the proangiogenic cytokines?
bFGF, VEGF
(basic fibroblast growth factor, vascular endothelial growth factor)
-
Name the tumor marker:
HCC
alpha fetoprotein
-
Name the tumor marker:
Ovarian Cancer
CA 125
-
Name the tumor marker:
Pancreatic cancer
CA 19-9, CEA
-
Name the tumor marker:
Melanoma
S100
-
Name the tumor marker:
Colon Cancer
CEA
-
Name the tumor marker:
Astrocytoma
S100
-
what is the most common cause of hypercalcemia? what cancers can cause hypercalcemia?
Primary Hyperparathyroidism - MOST COMMON
Cancers: SCC, RCC, multiple myeloma, breast, bone mets
-
what neoplasm is most commonly responsible for:
ACTH -> Cushings
small cell carcinoma of the lung
-
what neoplasm is most commonly responsible for:
Erythropoetin -> polycythemia
RCC
- Hemangioma
- HCC
- Pheochromocytoma
-
what neoplasm is most commonly responsible for:
ADH -> SIADH
- intracranial lesion
- small cell lung carcinoma
-
which cancers mets to bone?
PT Barnum Loves Kids
- Prostate
- Thyroid/Testes
- Breast
- Lungs
- Kidneys
-
which cancers mets to brain?
Stuff Kills Glia
Lung and Breast (always)
-
which cancers mets to liver?
Cancer Sometimes Penetrates Benign Liver
- Colon
- Stomach
- Pancreas
- Breast
- Lung
-
What is the primary immune cell involved in host tumor immune surveillance?
CD8 cells
-
what enzyme present in melanoma generates peptides that are targets for host t cells?
Tyrosinase
-
How can tumor cells evade attack from cytotoxic T cells?
decrease MHC class I expression - but this makes you an NK target
-
how might tumor cells induce apoptosis of T cells that would antagonize them?
FAS L - kills CD8 cells
-
Methotrexate: MOA, Notes, Tx:
Methotrexate - inhibits dihydrofolate reductase - leuvocorin rescue
Tx: Leukemias and Lymphomas
-
5-Fluorouracil: MOA, Tx, Notes
MOA: inhibits thymidylate synthase
Tx: BCC, actinic keratosis -> SCC
Notes: Thymidine rescue
-
6-mercaptopurine: MOA, Tx, Notes
MOA: purine analog - PRPP synthetase
Tx: leukemias and lymphomas
Notes: metabolized by xanthine oxidase
-
Which anticancer drug is also used for rheumatoid disease and ectopic pregnancies?
Methotrexate
-
For which cancers is dactinomycin particularly useful?
- Ewings Sarcoma
- Wilms Tumor
- Rhabdomyosarcoma
Kids ACT out (DACTinomycin)
-
Anticancer drug:
forms complex between topoisomerase II and DNA
Etoposide
-
Anticancer drug:
Alkylates DNA, toxicity-> pulmonary fibrosis
Busulfan
-
Anticancer drug:
Fragments DNA, toxicity -> pulmonary fibrosis
Bleomycin
-
Anticancer drug:
Blocks purine synthesis, metabolized by xanthine oxidase
6-MP
-
Anticancer drug:
Crosslinks DNA, nephrotoxic, ototoxic
Cisplatin, Carboplatin
-
Anticancer drug:
Nitrogen mustard, alkylates DNA
Cyclophosphamide
-
Anticancer drug:
Folic acid analog inhibits dihydrofolate reductase
Methotrexate
-
Anticancer drug:
prevents tubulin disassembly
Paclitaxel
-
Anticancer drug:
Intercalates DNA, produces oxygen free radicals, cardiotoxic
Doxorubicin, Daunorubicin
-
Anticancer drug:
DNA alkylating agents used in brain cancer
nitrosureas
-
Anticancer drug:
prevents tubulin assembly
Vincristine/blastine
-
Anticancer drug:
inhibits thymidylate synthase -> decreased nucleotide synthesis
5FU
-
Anticancer drug:
SERM - blocks estrogen binding to the ER+ cells
Tamoxifen, Raloxifene
-
Anticancer drug:
Mechanism similar to antivirals acyclovir and foscarnet
Cytarabine
-
Anticancer drug:
Mechanism similar to fluoroquinolones
Etoposide
-
Anticancer drug:
Mechanism similar to trimethoprim
methotrexate
-
Anticancer drug:
monoclonal antibody against HER2
Traztusumab
-
Anticancer drug:
Free radical-induced DNA breakage
Bleo, Doxo and Daunarubicin
-
Anticancer drug:
Inhibitor of PRPP synthetase
6MP
-
Anticancer drug:
Reversible with leucovorin
methotrexate
-
Anticancer drug:
treatment for choriocarcinoma
Methotrexate, Vincristine/blastine
-
Anticancer drug:
Treatment for AML
Cytarabine
-
Anticancer drug:
Treatment for CML
Imatinib
-
Anticancer drug:
Prevents breast cancer
Tamoxifen
-
Anticancer drug:
Treatment for testicular cancer
"Eradicate Ball Cancer"
- etoposide
- bleomycin
- cisplatin
-
Anticancer drug:
applied topically for actinic keratosis and BCC's
5FU
-
Anticancer drug:
Treatment for childhood tumors
Dactinomycin
-
Anticancer drug:
Inhibits ribonucleotide reductase
Hydroxyurea
-
Anticancer drug:
side effect of hemorrhagic cystitis
Cyclophosphamide
-
Anticancer drug:
Antibodies against mutated tyrosine kinase from philadelphia chromosome
Imatinib
-
What are the potenital side effects of prednisone use?
- cushings
- cataracts
- acne
- osteoporosis
- HTN
- peptic ulcers
- hyperglycemia
- insomnia
- psychosis
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