Day 1 part 2- Cancer Flashcards Preview

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Flashcards in Day 1 part 2- Cancer Deck (47)
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What are 2 other names for a fecal occult blood test?

~stool guaiac test
~Hemoccult test


What is the fecal occult blood test?

~Test fecal sample for blood
~Can be bleeding anywhere along gastrointestinal tract


Why look at urine cytology?

Reveal cancer cells from kidney, ureters, bladder or urethra


What type of cells are you looking for in urine cytology?

Looking for dysplastic & metaplastic cells


What are the 3 most common imaging used for cancer screening?

~Standard radiographs (chest radiograph)
~Endoscopy (colonoscopy & sigmoidoscopy)


What are you looking for on a standard chest radiograph?

~May reveal an obvious mass
~Widening of the mediastinum - suggestive of spread to lymph nodes there
~Atelectasis (collapse of alveoli) secondary to blockage of airways
~Consolidation secondary to fluid infiltrates into the airways and alveoli or pneumonia
~Pleural effusion triggered by cancer cell irritation of pleural membranes


What is a mammography?

Low power radiographic imaging of the breast


What position is the image taken?

Done horizontally, vertically and on the bias


What can you use a mammography for?

Can use to image both cancerous & benign growths


Why is a mammography so important?

~Early detection and thus early treatment and better prognosis!!!
~1/10th radiation of an average chest x-ray
~1-2/1000 lead to diagnosis of cancer


What are the current Screening Guidelines for ACS for getting a mammography?

~Women ages 40 to 44 should have the choice to start annual breast cancer screening with mammograms (x-rays of the breast) if they wish to do so.

~Women age 45 to 54 should get mammograms every year.

~Women 55 and older should switch to mammograms every 2 years, or can continue yearly screening.

~Screening should continue as long as a woman is in good health and is expected to live 10 more years or longer.

~All women should be familiar with the known benefits, limitations, and potential harms linked to breast cancer screening. They also should know how their breasts normally look and feel and report any breast changes to a health care provider right away.


What is a sigmoidoscopy?

~Patient in side lying position lightly anesthetized
~Lighted probe (sigmoidoscope) is inserted into the rectum and lower colon to check for polyps and other abnormalities


What is a colonoscopy?

~Same as sigmoidoscopy but view entire colon
~If polyps are found during the procedure they can be removed immediately
~Tissue can also be taken for biopsy


Why are blood tests used are screening for cancer?

~Screening blood tests and diagnostic blood tests
~Serum immunoglobulins that are often elevated in multiple myeloma
~Tumor markers associated with specific forms of cancer


Tumor markers associated with specific forms of cancer (for ovarian cancer)

Cancer antigen 125 (CA 125) for ovarian cancer


Tumor markers associated with specific forms of cancer (for medullary thyroid cancer)



Tumor markers associated with specific forms of cancer (for liver cancer)

Alpha-fetoprotein (AFP)


Tumor markers associated with specific forms of cancer (for germ cell tumors, such as testicular cancer and ovarian cancer)

Human chorionic gonadotropin (HCG)


Tumor markers associated with specific forms of cancer (for uterine cancer)

Serum p53 antibody
~may hold value (recent study: Sensitivity-64%, Specificity –96%, PPV-78% & NPV-92%)


Tumor markers associated with specific forms of cancer (for colon cancer)

~CA19-9 and CA 242 biomarkers
~Tissue inhibitor of metalloproteinases 1 (TIMP1)


Different types of biopsy and cytological examinations:

~Fine Needle Aspiration and Cytology (FNAC)
~Excisional biopsy
~Core biopsy
~Bronchoscopy & Biopsy
~CT guided lung biopsy
~ Visual inspection with colposcopy
~Cervical biopsy
~Prostate biopsy


Fine Needle Aspiration and Cytology is used when:

~Breast abnormalities
~Just serous fluid – likely benign
~If cells send them for analysis


Excisional biopsy is used when:

~Entire lump is removed and cyctology done
~Considered the definitive diagnostic & treatment method


Core biopsy is:

~Only a section of the breast lump is removed
(could disrupt the cancer cells)


Bronchoscopy & Biopsy is:

~Can be used a an imaging technique for certain lung cancers
~Most commonly combined with biopsy and cytological assessment for diagnosis


CT guided lung biopsy-

Cytological examination of the suspicious tissue under the microscope by a pathologist


What are two biospies/ cytological examinations used for cervical cancer?

~Visual inspection with colposcopy
~Cervical biopsy – determine magnitude of dysplasia and type of cancer cells


Details on prostate cancer- biopsy and cytological examination

~Prostate biopsy only truly diagnostic procedure
~Histological changes scored using 1-5 Gleason score based upon lack of differentiation in cells
~Higher number poorer is the prognosis


What is the staging of cancer based on?

~Tumor size
~Spread to Lymph Nodes


How do you categorize cancer staging?

(4 being the worse)