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Oncology lecture
applied patho
42
Other
Graduate
10/09/2008

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Term
Type of cancer: carcinoma
Definition
malignant tumors derived from epithelial cells (lining of tissue, skin, mucosal surface, etc); most common cancer (include breat, prostate, lung, colorectal)
Term
Type of cancer: sarcoma
Definition
malignant tumors derived from connective tissue, or mesenchymal cells (muscles, bones, ligaments)
Term
Type of cancer: lymphomas and leukemia
Definition
malignancies dervied from hematopoietic (blood forming) cells
Term
Type of cancer: germ cell tumors
Definition
tumors derived from totipotent cells; most often found in testicles and ovaries; found on body midline in fetuses, babies and young children
Term
Definition of differentiation
Definition
developmental process by which a less specialized cell becomes a more specialized cell type
Term
Definition of proliferation
Definition
increasing in cell number by cell division and growth
Term
Definition of dysplasia
Definition
abnormality in maturation of cells; often indicative of an early neoplastic process
Term
Definition of hyperplasia
Definition
proliferation of cells w/in an organ or tissue beyond that which is ordinarily seen (splenomegaly, hepatomegaly)
Term
Definition of metaplasia
Definition
abnormal replacement of cells of one type by cells of another
Term
Definition of metastasis
Definition
spread of disease (cancer) from one body part to another
Term
Definition of definitive therapy (aka radical therapy)
Definition
treatment w/ curative intent (i.e. mastectomy for breast cancer)
Term
Definition of palliative therapy
Definition
intent of treatment is not to cure but to relieve symptoms
Term
Definition of adjuvant therapy
Definition
treatment that FOLLOWS definitive therapy to improve disease control (i.e. chemo or radiation)
Term
Definition of neoadjuvant therapy
Definition
treatment that PRECEDES definitive therapy to improve efficacy of definitive therapy (i.e. induction chemo, pre-op radiation)
Term
TNM staging system
Definition
based on Tumor, Node, Metastasis states; most powerful predictor of survival and the basis of treatment
Term
Stage 0
Definition
carcinoma in situ (no invasion)
Term
Stage I
Definition
cancers are LOCALIZED to ONE PART of the body
Term
Stage II
Definition
cancers are EXTENDING outside of the organ but still localized
Term
Stage III
Definition
cancers are LOCALLY ADVANCED (i.e. lymph node involvement)
Term
Stage IV
Definition
cancers have often METASTASIZED, or SPREAD to other organs or throughout the body
Term
Benign tumor
Definition
over-growth of tissue but self-limited and do not invade or metastasize
Term
Malignant tumor
Definition
poor prognosis, will spread to and infiltrate other tissues and cause death
Term
Primary tumor
Definition
tumor originated in the same organ, and has not metastasized to other organs
Term
Secondary tumor
Definition
cancerous tumors that are either metastatic offshoots of a primary tumor, or apparently unrelated tumors that increase in frequency following certain cancer treatments, including chemotherapy or radiotherapy
Term
Aging effects on cancer
Definition
risk of developing cancer increases with age
Term
Causes of cancer
Definition
abnormalities in DNA; environment exposure (tobacco, alcohol, radon, asbestos); radiation exposure (UV sun, atomic bomb, nuclear plant); random somatic mutations acquired through errors in DNA replication; inherited germ line mutations; infectious agents (viral: HPV for cervical CA, hepatitis for liver CA; bacterial: H. pylori for stomach CA)
Term
Primary prevention
Definition
Primary prevention avoids the development of a disease. Most population-based health promotion activities are primary preventive measures
Term
Secondary prevention
Definition
Secondary prevention activities are aimed at early disease detection, thereby increasing opportunities for interventions to prevent progression of the disease and emergence of symptoms
Term
Tertiary prevention
Definition
Tertiary prevention reduces the negative impact of an already established disease by restoring function and reducing disease-related complications
Term
Surgery (local tx) side effects
Definition
operative mortality/morbidity, wound healing problems, functional defect (lobectomy, amputation), nerve damage
Term
Radiaton (local tx) side effects
Definition
skin/mucosal toxicity, muscle/joint fibrosis (contractures), fatigue, second malignancy, other local effects (N/V, blindness, pneumonitis, nerve damage), skin tenderness (limited to area receiving RT)
Term
Chemotherapy (systemic tx) side effects
Definition
blood cell toxicity (anemia, neutropenia), compromised immunity, N/V, kidney/liver/cardiac toxicity, hair loss
Term
How does radiation work?
Definition
Damages DNA w/in cancer cells and destroys their ability to reproduce. When damaged cancer cells are destroyed by radiation, the body naturally eliminates them. Normals cells can be affected but able to self-repair.
Term
How is radiation therapy (RT) used?
Definition
To CURE CANCER: destroy tumors that haven't metastasized; reduce risk of cancer returning after surgery or chemo. To REDUCE SYMPTOMS: shrink tumors affecting QOL (i.e. lung mass causing SOB); alleviate pain.
Term
Intensity Modulated Radiothearpy (IMRT)
Definition
specialized form of 3D conformal radiotherapy; radiation is broken into many beamlets and the intensity of each can be adjusted individually
Term
Internal radiotherapy
Definition
places radioactive material into tumor or surrounding tissues so large doses can hit cancer cells; allows minimal radiation exposures to surrounding tissue
Term
What happens if someone lacks the myostatin gene
Definition
enhanced muscle development, no fat!, "superhuman," possible use in treating muscle dystrophy and cachexia
Term
ankylating agents and nitrosourea
Definition
inhibit cell growth and division by reacting with DNA
Term
Antimetabolites
Definition
prevent cell growth by competing with metabolites in production of nucleic acid
Term
Antitumor antibiotics
Definition
inhibit cell growth by binding with DNA and interfering with DNA-dependent RNA synthesis
Term
Plant alkaloids
Definition
prevent cellular reproduction by disrupting cell mitosis
Term
Steroid hormones
Definition
block growth of hormone-susceptible tumors by changing their chemical env't
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