Shared Flashcard Set

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cancer basics
Therapy Final
36
Pharmacology
Graduate
12/07/2012

Additional Pharmacology Flashcards

 


 

Cards

Term
Causes of cancer
Definition
modifiable risk factors, mutations in genetic code, non-modifiable risk factors
Term
First step in cancer development
Definition
initiation; exposure to carcinogen leading to cellular damage, activation of oncogene or inactivation of tumor suppressor gene
Term
second step in cancer development
Definition
promotion; alteration in cellular environment that favor the growth of the mutated cells (reversible)
Term
third step in cancer development
Definition
conversion; mutated cell becomes cancerous, clinically detectable
Term
fourth step in cancer development
Definition
progression; increased cell proliferation, tumor invasion into tissue, development of metastases
Term
proto-oncogene
Definition
normal genes, essential in regulation of normal cellular function
Term
oncogene
Definition
mutant form of proto-onco, activated via alterations causing disregulation of cell growth and proliferation
Term
hypertrophy
Definition
increase in size of cells in a specific tissue or organ
Term
hyperplasia
Definition
increase in number of cells in a specific tissue or organ
Term
dysplasia
Definition
abnormal change in size, shape or organization of cells
Term
neoplasia
Definition
abnormal proliferation of cells, may be benign, pre-malignant or malignant
Term
invasion
Definition
direct migration and penetration into lymphatic system and/ or blood vessels and spread from a primary location to a distant location
Term
angiogenesis
Definition
tumor angiogenesis enables metastasis, cancerous cell release molecules that send signals (VEGF) to surrounding tissue to increas blood vessel proliferation that penetrates tumor supplying it with oxygen and nutrients
Term
benign tumor characteristice
Definition
seldom metastasizes, encapsulated and localized, differentiation resembles original cells, slow growth, rarely re-occur
Term
malignant tumor characteristics
Definition
metastesizes, non-encapsulated, atypical differentiation, viable growth, recurrence is common
Term
carcinomas
Definition
tumors of epithelial and epidermal origin
Term
sarcomas
Definition
cancers of connective tissue origin
Term
lymphomas
Definition
arise in Lymph node and tissue of immune system
Term
leukemias
Definition
cancers of immature blood cells
Term
stage 1
Definition
localized tumor
Term
stage 2
Definition
local spread
Term
stage 3
Definition
regional spread across midline/diaphram
Term
stage 4
Definition
distant metastasis; looking at symptom control and quality of life
Term
doubling time
Definition
time it takes for tumor to double in size, as tumor increases then doubling time increases
Term
cell kill hypothesis
Definition
only a certain percentage of cells will be killed with each chemo course
Term
adjuvant
Definition
post operative treatment, kill remaining cancer cells and prevent recurrence, goal is to cure
Term
neoadjuvant
Definition
pre-op treatment, reduce tumor size prior to surgery
Term
palliative therapy
Definition
goal is to relieve symptoms, use to slow tumor growth, prolong live, reduce symptoms, and decrease tumor size
Term
surgery
Definition
significant role in preventing, diagnosing and staging cancers
Term
radiation
Definition
treats local tumor types, adjuvant use: may be used with chemo and surgery with goal to cure or post-op to clear up micrometasteses, neoadjuvant: used prior to surgery to decrease size of tumor
Term
radiation SE
Definition
fatigue, skin/lesions, burn at site, N/V/D and hair loss
Term
chemotherapy
Definition
systemic: targets rapidly dividing cells both cancerous and normal, dose density: short interval between doeses, limitation toxicity, less time for body to recover, Dose intensity: increase does admin to pt (less frequent intervals)
Term
biologics
Definition
systemic immunotherapy: designated to more specifically target malignant cells, includes: interferons, interleukins, monoclonal antibodies, tyrosine kinase inhibitors
Term
hormone therapy
Definition
management of cancers from tissues whose growth is under gonadal hormone control (breast, prostate, endometrial), block hormone: selective estrogen receptor modifiers, aromatase inhibitors
Term
cellular immunity
Definition
Sipuleucel-T: prostate cancer vaccine, T-Cell immunity to tumors that express PSA
Term
mechanism of muli-drug resistance
Definition
efflux, enzymatic degradation, decreased premeability, altered binding sites, changing metabolic pathways
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