Shared Flashcard Set

Details

R-GU oncology dx and tx
R-GU
18
Medical
Graduate
10/10/2010

Additional Medical Flashcards

 


 

Cards

Term
is RCC considered sensitive to XRT?
Definition
no, but a portion may respond
Term
is there a benefit to XRT in RCC pts post-nephrectomy?
Definition
yes
Term
is there a survival advantage to neoadjuvant XRT w/RCC?
Definition
no
Term
does RCC respond to chemotherapy (IFN, medroxyprogesterone-acetate, etc)
Definition
no
Term
what immunotherapy agents are used for RCC management?
Definition
LAK, IL-2, IF-alpha as well as angiogenesis inhibitors: TKIs/bevacizumab (slight survival benefit)
Term
what is the MOA for sunitinib malate?
Definition
sunitinib malate inhibits multiple receptor tyrosine kinases which are involved in tumor growth/angiogenesis/metastasis by inhibition of phosphorylation.
Term
who is sunitinib malate used in?
Definition
pts who failed cytokine therapy see some improvement in objective response rate, but not overall survival
Term
what does pazopanib (and possibly sorafenib) have action on in terms of RCC management?
Definition
VEGFR1,2,3, PDGFR alpha/beta, and c-kit
Term
*what is early stage prostate CA treatment?
Definition
radiation or surgery. possibly hormone?
Term
*what is late stage prostate CA treatment?
Definition
hormone, chemo, radiation
Term
*what are the hormone therapeutic agents used in prostate CA?
Definition
*GnRH antagonists: lupron, zoladex, eligard, and viadur. *anti-androgens: casodex, eulexin, nilandron (block receptors)
Term
*how long does hormone therapy for prostate CA usually last?
Definition
18-24 mos
Term
*what is second-line hormone therapy for prostate CA?
Definition
ketoconazole/prednisone (anti-fungal which blocks adrenal synthesis)
Term
*what is the benefit of mitoxantrone/prednisone (chemo) in prostate CA pts?
Definition
this drug will make the pt feel better - but not much else
Term
*what ADRs are associated with taxotere (chemo for prostate CA)? how is it administered?
Definition
ADRs: infections, low white count, anemia, febrile neutropenia, allergic reaction, low platelets, nerve damage, loss of taste, dyspnea, constipation, anorexia, nail disorders, fluid retention, asthenia, pain, nausea, diarrhea, vomiting, mucositis, alopecia, skin reactions, myalgia. administered: once a week or once every 3 weeks over an hour. steroids are given before the drug.
Term
*what is ixabepilone?
Definition
an epothilone B analogue: new class of cytotoxic tubulin polymerization agents from fermentation of the broth of myxobacterium sporangium cellulosum
Term
*what are positive prognostic factors for prostate CA?
Definition
performance status, lack of constitutional symptoms, no wt loss, low ESR, and 0 or 1 metastatic site
Term
*what is tx for penile CA?
Definition
sx and XRT (chemosensitizing agents)
Supporting users have an ad free experience!