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Medsurg test 2
Test 2 flashcards for medsurg nursing
45
Medical
Undergraduate 4
09/22/2008

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Term
Anaplasia
Definition
Cells that lack normal cellular characteristics and differ in shape and organization with respect to their cells of origin; usually, anaplastic cells are malignant.
Term
Biologic response modifier
Definition
Use of agents or treatment methods that can alter the immunologic relationship between the tumor and the host to provide a therapeutic benefit.
Term
Biologic response modifier
Definition
Use of agents or treatment methods that can alter the immunologic relationship between the tumor and the host to provide a therapeutic benefit.
Term
Biopsy
Definition
A diagnostic procedure to remove a small sample of tissue to be examined microscopically to detect malignant cells.
Term
Brachytherapy
Definition
Delivery of radiation therapy through internal implants.
Term
Cancer
Definition
A disease process whereby cells proliferate abnormally, ignoring growth-regulating signals in the environment surrounding the cells.
Term
Carcinogenesis
Definition
Process of transforming normal cells into malignant cells
Term
Chemotherapy
Definition
Use of medications to kill tumor cells by interfering with cellular functions and reproduction
Term
Control
Definition
Containment of the growth of cancer cells
Term
Cure
Definition
Prolonged survival and disappearance of all evidence of disease so that the patient has the same life expectance as anyone else in his or her age group.
Term
Cytokines
Definition
Substances produced by cells of the immune system to enhance production and functioning of components of the immune system.
Term
dysplasia
Definition
Bizarre cell growth resulting in cells that differ in size, shape or arrangement from other cells of the same type of tissue.
Term
Extravasation
Definition
Leakage of medication from the veins into the subcutaneous tissue.
Term
Grading
Definition
Identification of the type of tissue from which the tumor originated and the degree to which the tumor cells retain the functional and structural characteristics of the tissue of origin.
Term
Graft-vs. Host disease
Definition
An immune response initiated by T lymphocytes of donor tissue against the recipient's tissues (skin, GI tract, liver); an undesireable response.
Term
Graft-Vs. Disease effect
Definition
The donor cell response against the malignancy; a desireable response.
Term
Hyperplasia
Definition
Increase in the number of cells of a tissue; most often associated with periods of rapid body growth.
Term
Malignant
Definition
Having cells or processes that are characteristic of cancer
Term
Metaplasia
Definition
Conversion of one type of mature cell into another type of cell
Term
Metastasis
Definition
Spread of cancer cells from the primary tumor to distant sites.
Term
Myelosuppression
Definition
Suppression of the blood cell-producing function of the bone marrow.
Term
NAdir
Definition
Lowest point of white blood cell depression after therapy that has toxic effects on the bone marrow.
Term
Neoplasia
Definition
Uncontrolled cell growth that follows no physiologic demand.
Term
Neutropenia
Definition
Abnormally low absolute neutrophil count
Term
Oncology
Definition
Field of study of cancer
Term
Palliation
Definition
Relief of symptoms associated with cancer
Term
Radiation therapy
Definition
Use of ionizing radiation to interrupt the growth of malignant cells.
Term
Stomatitis
Definition
Inflammation of the oral tisues, often associated with some chemotherapeutic agents.
Term
Staging
Definition
Process of determining the size and spread, or metastasis of the tumor.
Term
Targeted therapies
Definition
Cancer treatments that seek to minimize the negative effects on healthy tissues by disrupting specific cancer cell functions such as malignant transformation, communication pathways, processes for growth and metastasis, and genetic coding.
Term
Thrombocytopenia
Definition
Decrease in the number of circulating platelets; associated with the potential for bleeding.
Term
Tumor-specific antigen
Definition
Protein on the membrane of cancer cells that distinguishes the malignant cell from a benign cell of the same tissue type.
Term
Vesicant
Definition
substance that can cause tissue necrosis and damage, particularly when extravasated.
Term
xerostomia
Definition
Dry oral cavity resulting from decreased function of salivary glands.
Term
What is the first stage of carcinogenesis called?
Definition
Initiation
Term
Explain what haooens during initiation.
Definition
Initiators (carcinogens), such as chemicals, physical factors, and biologic agents, escape normal enzymatic mechanisms and alter the genetic structure of the cellular DNA. These mutations usually are not significant to cells until the second step of carcinogenesis.
Term
What is the second step of carcinogenesis called?
Definition
Promotion.
Term
Explain what happens during promotion
Definition
Repeated exposure to promoting agents (carcinogens) causes the expression of abnormal or mutant genetics information even after long latency periods. Latency periods for the promotion of cellular mutations vary with the type of agent and the dosage of the promoter as well as the innate characteristics of the target cell.
Term
What are proto-oncogenes?
Definition
They are oncogenes that act as an "on-switch" for cellular growth. Proto-oncogenes are influenced by multiple growth factors that stimulate cell proliferation, such as epidermal growth factor.
Term
Where is the K-ras proto-oncogene located?
Definition
On chromosome 12
Term
What must happen to suppressor genes for malignant cells to reproduce?
Definition
They must become mutated, rearranged, or amplified, or lose their regulatory capabilities.
Term
What is a tumor suppressor gene that is frequently mutated in many human cancers?
Definition
P53
Term
What happens during progression?
Definition
The cellular changes formed during initiation and promotion exhibit increased malignant behavior. These cells have a propensity to invade adjacent tissues and to metastasize. Agents that initiate or promote cellular transformation are referred to as carcinogens.
Term
What is an additional treatment option after primary tumor removal surgery that uses an extensive surgical approach to treat the local recurrence of a cancer after the use of a less extensive primary approach?
Definition
Salvage surgery
Term
A doctor decides to remove a patient's breast after a lumpectomy does not deter the growth of cancer. What type of surgery is the mastectomy?
Definition
A salvage surgery
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