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Details

Lung Cancer Management Part 1
NSCLC Chemo Agents
20
Other
Not Applicable
12/05/2012

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Cards

Term
most common non-small cell lung cancer
Definition
adenocarcinoma (most are peripheral in origin)
Term
second most common non-small cell lung cancer
Definition
squamous: linked to smoking history, centrally located near a bronchus
Term
grows and spread quickly, poor prognosis (NSCLC)
Definition
large cell carcinoma
Term
highly emetogenic, ototoxic, renal toxic
Definition
Cisplatin (platinol)
Term
highly emetogenic, renal toxic--uses calvert formula for dosing
Definition
Carboplatin (Paraplatin)
Term
developed specifically for cisplatin to help pts tolerate it
Definition
Zofran
Term
platinum agent not used in lung cancer, mostly in colon
Definition
Oxalipatin (Eloxatin)
Term
cause anemia, neutropenia, thrombocytopenia
Definition
ALL chemotherapy
Term
Comes from pacific eu tree, can be neurotoxic, moderate to low emetogenic potential
Definition
Paclitaxel (Taxol)
Term
better tolerated,comes from needles of European Euu Tree
Definition
Docetaxel (Taxotere)
Term
Mildly emetogenic, severe hypotension, with rapid infusion
Definition
Etoposide (Vepesid)
Term
Neurotoxic, vinca alkaloid-- fatal if administered intrathecally
Definition
Vinblastine (velban)
Term
same precautions as vinblastine
Definition
Vinorelbine (Navelbine)
Term
many drug interactions CYP3A4 metabolized, rashes, nost associated w/ typical chemo side effects, oral but very expensive
Definition
Tyrosine kinase inhibitors
Term
improve OS by 3.3 months, second or third line (also used for pancreatic cancer)
Definition
Erlotinib (Tarceva)
Term
used to treat NSCLC that is advanced or metastasis and is caused by a defect in gene called ALK
Definition
Crizotinib (Xalkori)
Term
prolongs survival, improves symptom control, and yields superior quality of life compared to best supportive care (NSCLC)
Definition
Platinum based chemotherapy
Term
1st line therapy in advanced disease guidelines (NSCLC)
Definition
Bevaczimuab + chemo or chemo along indicated in PS 0-2 w/ advanced or recurrent NSCLC
Term
2nd line therapy in pts who have experienced dx progression either during or after 1st line therapy (NSCLC)
Definition
docetaxel or pemetrexed, or tyrosin kinase inhibitor: Erlotinib
Term
3rd line therapy (NSCLC)
Definition
Erlotinib has proven statistically superior to BSC with respect to survival
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