Podcast
Questions and Answers
What is the estimated lifetime risk of getting a cancer diagnosis for those born in 1961?
What is the estimated lifetime risk of getting a cancer diagnosis for those born in 1961?
What percentage of cancers are potentially preventable?
What percentage of cancers are potentially preventable?
What is the approximate number of new cancer cases in the UK every day?
What is the approximate number of new cancer cases in the UK every day?
What is the approximate percentage of cancer patients who will survive for 10+ years?
What is the approximate percentage of cancer patients who will survive for 10+ years?
Signup and view all the answers
Why is a multidisciplinary team (MDT) approach important in cancer treatment?
Why is a multidisciplinary team (MDT) approach important in cancer treatment?
Signup and view all the answers
What is a growing trend in cancer treatment, resulting in increasing costs to the NHS?
What is a growing trend in cancer treatment, resulting in increasing costs to the NHS?
Signup and view all the answers
What is the primary mechanism of action of cytotoxics in cancer treatment?
What is the primary mechanism of action of cytotoxics in cancer treatment?
Signup and view all the answers
What is the main difference between hormone therapy and targeted therapy in cancer treatment?
What is the main difference between hormone therapy and targeted therapy in cancer treatment?
Signup and view all the answers
What is the primary adverse effect of cisplatin treatment?
What is the primary adverse effect of cisplatin treatment?
Signup and view all the answers
Which type of cancer is vincristine primarily used to treat?
Which type of cancer is vincristine primarily used to treat?
Signup and view all the answers
What is the mechanism of action of palbociclib in treating ER+ HER2-ve breast cancer?
What is the mechanism of action of palbociclib in treating ER+ HER2-ve breast cancer?
Signup and view all the answers
What is the primary mechanism of action of daratumumab in treating multiple myeloma?
What is the primary mechanism of action of daratumumab in treating multiple myeloma?
Signup and view all the answers
What is the main advantage of using targeted therapy in cancer treatment?
What is the main advantage of using targeted therapy in cancer treatment?
Signup and view all the answers
What is the primary indication for using hormone therapy in cancer treatment?
What is the primary indication for using hormone therapy in cancer treatment?
Signup and view all the answers
What is the primary advantage of using cytotoxics in combination with other treatments in cancer treatment?
What is the primary advantage of using cytotoxics in combination with other treatments in cancer treatment?
Signup and view all the answers
What is the primary aim of palliative treatment in cancer patients?
What is the primary aim of palliative treatment in cancer patients?
Signup and view all the answers
What is the primary limitation of using hormone therapy in cancer treatment?
What is the primary limitation of using hormone therapy in cancer treatment?
Signup and view all the answers
What is the primary concern when it comes to CINV reaction?
What is the primary concern when it comes to CINV reaction?
Signup and view all the answers
What is the term for the removal of a tumor or affected tissue as a preventative measure?
What is the term for the removal of a tumor or affected tissue as a preventative measure?
Signup and view all the answers
What is the name of the system used to measure the performance status of a cancer patient?
What is the name of the system used to measure the performance status of a cancer patient?
Signup and view all the answers
Which of the following medications is NOT a mainstay treatment for CINV?
Which of the following medications is NOT a mainstay treatment for CINV?
Signup and view all the answers
What is the most common effect of chemotherapy on the GI system?
What is the most common effect of chemotherapy on the GI system?
Signup and view all the answers
What is the term for the use of two or more treatments simultaneously for cancer treatment?
What is the term for the use of two or more treatments simultaneously for cancer treatment?
Signup and view all the answers
What is the term for the treatment given after another intervention to reduce the risk of recurrence?
What is the term for the treatment given after another intervention to reduce the risk of recurrence?
Signup and view all the answers
What is the term for the cognitive impairment associated with chemotherapy?
What is the term for the cognitive impairment associated with chemotherapy?
Signup and view all the answers
What is the primary mechanism of action of Vismodegib?
What is the primary mechanism of action of Vismodegib?
Signup and view all the answers
Which of the following is a potential long-term effect of chemotherapy?
Which of the following is a potential long-term effect of chemotherapy?
Signup and view all the answers
What is the term for the treatment given before another intervention to reduce the size of the tumor?
What is the term for the treatment given before another intervention to reduce the size of the tumor?
Signup and view all the answers
What is the main adverse effect of Olaparib?
What is the main adverse effect of Olaparib?
Signup and view all the answers
What is the primary reason for reducing the dose of chemotherapy or changing treatment?
What is the primary reason for reducing the dose of chemotherapy or changing treatment?
Signup and view all the answers
What is the name of the system used to stage cancer, which takes into account the tumor size, lymph node involvement, and metastases?
What is the name of the system used to stage cancer, which takes into account the tumor size, lymph node involvement, and metastases?
Signup and view all the answers
What is the role of a pharmacist in clinical trials?
What is the role of a pharmacist in clinical trials?
Signup and view all the answers
What is the term for the 'round' of treatment or chemotherapy?
What is the term for the 'round' of treatment or chemotherapy?
Signup and view all the answers
What is the purpose of calculating body surface area (BSA) in chemotherapy dosing?
What is the purpose of calculating body surface area (BSA) in chemotherapy dosing?
Signup and view all the answers
What is the name of the genetic defect associated with breast, ovarian, prostate, and pancreatic cancer?
What is the name of the genetic defect associated with breast, ovarian, prostate, and pancreatic cancer?
Signup and view all the answers
What is the purpose of genetic testing in cancer treatment?
What is the purpose of genetic testing in cancer treatment?
Signup and view all the answers
What is the term for the risk factors that can be modified or changed to reduce the risk of developing cancer?
What is the term for the risk factors that can be modified or changed to reduce the risk of developing cancer?
Signup and view all the answers
What is the purpose of the Mosteller formula?
What is the purpose of the Mosteller formula?
Signup and view all the answers
What is the primary role of a pharmacist in cancer treatment?
What is the primary role of a pharmacist in cancer treatment?
Signup and view all the answers
What is the purpose of the worked example provided in the text?
What is the purpose of the worked example provided in the text?
Signup and view all the answers
What is the purpose of toxicity management in cancer treatment?
What is the purpose of toxicity management in cancer treatment?
Signup and view all the answers
Why are patients on chemotherapy often told to avoid paracetamol?
Why are patients on chemotherapy often told to avoid paracetamol?
Signup and view all the answers
Study Notes
Cancer Treatment Overview
- Around 1,000 new cases of cancer are diagnosed every day in the UK, with a 1 in 2 lifetime risk of getting a cancer diagnosis.
- Almost 50% of people will survive cancer for 10+ years, and ~40% of cancers are potentially preventable.
Risk Factors
- Non-modifiable risk factors:
- Age
- Genetics
- Modifiable risk factors:
- Smoking
- Alcohol
- Infections (e.g., HPV, EBV, Hepatitis B/C, HIV)
- Obesity
- Medication
- Co-morbidities (e.g., diabetes, hypertension, IHD)
Genetics and Cancer
- Inherited or acquired genetic defects can increase cancer risk
- Examples:
- BRCA1/2 defects (breast, ovarian, prostate, pancreatic cancer)
- Lynch syndrome (bowel cancer)
- TP53 (Li-Fraumeni syndrome) (various cancers)
Infections and Cancer
- Chronic infections can increase cancer risk
- Examples:
- HPV (cervical cancer)
- EBV
- Hepatitis B/C
- HIV
Cancer Treatment Aims
- Curative: aim to eliminate cancer
- Palliative: aim to relieve symptoms and improve quality of life
Types of Cancer Treatment
- Surgery
- Radiotherapy
- Chemotherapy (Systemic Anti-Cancer Therapy, SACT)
- Hormone therapy
- Targeted therapy
- Immunotherapy
Chemotherapy (SACT)
- Cytotoxics:
- Interfere with DNA replication or cell division
- Examples: Cisplatin, Vincristine
- Hormone therapy:
- Blocks hormones that fuel cancer growth
- Examples: Tamoxifen, Anastrozole
- Targeted therapy:
- Exploits differences between cancer and healthy cells
- Examples: Trastuzumab, Pembrolizumab
Role of the Pharmacist in Cancer Treatment
- Historically:
- Screening prescriptions
- Clinical checks
- Production and release of SACT
- Patient counseling
- Developments:
- Running clinics
- Pharmacist prescribers
- Consultant posts
- Trial principal investigators
- Advanced clinical practice roles
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.