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Diagnosis of cancers
Grading and Staging of Tumors, laboratory diagnosis of cancer, tumor markers
18
Medical
Graduate
05/02/2011

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Cards

Term
Grading
-how is it rated?
-explanation
Definition
I-IV

based on degree of differentiation and the number of mitoses
"what you can see with a microscope"
essentially defines a tumor's aggressiveness

not as important in terms of prognosis as staging
Term
Staging
Definition
Size, Spread

T (primary tumor) 1-4 based on size of primary lesion, 0=in situ

N (lymph node involvement) 0-3 based on number and range of nodes

M (metastases) 0-2 based on presence and number of metastases
Term
Name 3 histology/cytology methods you could use to diagnose cancer
Definition
Excision/biopsy - most common first response

Fine needle aspiration - readily-palpable lesions

Cytologic (pap) smears - detects anaplasia
Term
How is immuno-histochemistry helpful in diagnosis?
Definition
Categorization via presence of tissue-specific antigens

Determination of origin of undifferentiated tumors
Term
What does molecular diagnosis refer to?
how is it useful?
Definition
Diagnosis of DNA alteration via PCR, western blot, FISH
useful for detecting translocations, mutations, oncogenes, and hereditary predisposition
Term
What is flow cytometry?
Definition
quantitative measurement of DNA content, aneuploidy
Term
hCG
Definition
trophoblastic, non-seminoma testicular cancer
Term
calcitonin
Definition
medullary carcinoma of thyroid
Term
catecholamines
Definition
pheochromocytoma
Term
ectopic hormones
Definition
paraneoplastic syndromes
Term
*alpha-fetoprotein*
Definition
liver, non-seminoma testicular cancer (yolk sac tumors)
Term
*carcinoembryonic antigen (CEA)*
Definition
*colon, pancreas*, lung, stomach, heart
nonspecific
Term
prostatic acid phosphatase
Definition
prostate cancer
Term
neuron-specific enolase
Definition
small cell of lung cancer, neuroblastoma
Term
immunoglobulins
Definition
multiple myeloma
Term
prostate-specific antigen
Definition
prostate cancer
Term
MAGE
Definition
melanoma
Term
CA-125
Definition
marker for ovarian cancer and malignant epithelial tumors
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