| Term 
 | Definition 
 
        | always maintains the characteristics of where it started 
 spreads by direct invasion into surrounding tissues
 
 spreads through lymphatic system
 
 spreads through the blood
 
 the LUNGS, LIVER, AND BONES are the most common sites of distant metastases
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | breaks tumor into 3 components: T (Tumor)
 N (lymph Nodes)
 M (distant Metastases)
 
 overall stage is determined by a combination of the various combinations of the individual components
 
 0 = carcinoma in situ
 
 I = small tumor (T1 or T2, N0, M0)
 
 II = larger tumor (T3 or T4, N0, M0)
 
 III = lymph node involvement (Tany, N1-3, M0)
 
 IV = distant metastasis (Tany, Nany, M1)
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | I = T1-2, N0, M0 II = T3-4, N0, M0
 III = Tany, N1-2, M0
 IV = Tany, Nany, M1
 |  | 
        |  | 
        
        | Term 
 
        | known medications to prevent cancer |  | Definition 
 
        | tamoxifen (breast cancer) 
 raloxefene (breast cancer)
 
 aspirin and NSAIDs (colorectal cancer)
 
 HPV vaccine (cervical, anal, head/neck cancer)
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | biggest questions for screening are: does it impact survival?
 is it cost effective?
 
 American Cancer Society recommends:
 prostate cancer
 breast cancer
 colorectal cancer
 cervical cancer
 |  | 
        |  | 
        
        | Term 
 
        | treatment terminology:  intent |  | Definition 
 
        | curative:  goal is to totally eliminate any cancer 
 palliation:  goal is to improve symptoms and prolong life
 |  | 
        |  | 
        
        | Term 
 
        | treatment terminology:  response |  | Definition 
 
        | complete response:  no signs of any remaining tumor after completion of therapy = remission 
 partial response:  tumor has decreased in size, but some cancer remains (at least 50% decrease)
 
 stable disease:  tumor decreased minimally (<50% decrease) or not at all, no increase in tumor size
 
 no response:  tumor has grown despite therapy = refractory
 |  | 
        |  | 
        
        | Term 
 
        | important surgery concepts |  | Definition 
 
        | complete resection = no visible remaining tumor 
 partial resection = some tumor remains after surgery
 
 margins = area around the visible tumor (looks normal, but do not know for sure until pathologic evaluation)
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | external beam radiation (EBRT):  use linear accelerator to produce high energy X-rays or gamma rays; outside source of radiation which is directed at the patient; most common form of radiation 
 internal radiation (brachytherapy)
 systemic radiation (radio pharmaceuticals)
 energy comes from breakdown of radioactive isotopes
 |  | 
        |  | 
        
        | Term 
 
        | origin and immunogenicity:  mu |  | Definition 
 
        | human 
 very low immunogenicity
 |  | 
        |  | 
        
        | Term 
 
        | origin and immunogenicity:  zu |  | Definition 
 
        | humanized 
 low immunogenicity
 |  | 
        |  | 
        
        | Term 
 
        | origin and immunogenicity:  xi |  | Definition 
 
        | chimeric 
 high immunogenicity
 |  | 
        |  | 
        
        | Term 
 
        | origin and immunogenicity:  mo |  | Definition 
 
        | mouse 
 very high immunogenicity
 |  | 
        |  |