Cancer Research
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Questions and Answers

What is the estimated lifetime risk of getting a cancer diagnosis for those born in 1961?

  • 1 in 2 (correct)
  • 3 in 4
  • 2 in 3
  • 1 in 3
  • What percentage of cancers are potentially preventable?

  • 20%
  • 50%
  • 30%
  • 40% (correct)
  • What is the approximate number of new cancer cases in the UK every day?

  • 2,000
  • 500
  • 1,000 (correct)
  • 1,500
  • What is the approximate percentage of cancer patients who will survive for 10+ years?

    <p>50%</p> Signup and view all the answers

    Why is a multidisciplinary team (MDT) approach important in cancer treatment?

    <p>Because it improves patient outcomes</p> Signup and view all the answers

    What is a growing trend in cancer treatment, resulting in increasing costs to the NHS?

    <p>The introduction of new chemotherapy drugs</p> Signup and view all the answers

    What is the primary mechanism of action of cytotoxics in cancer treatment?

    <p>By interfering with DNA replication or cell division</p> Signup and view all the answers

    What is the main difference between hormone therapy and targeted therapy in cancer treatment?

    <p>Hormone therapy blocks hormone receptors, while targeted therapy exploits differences in cancer cells</p> Signup and view all the answers

    What is the primary adverse effect of cisplatin treatment?

    <p>Nephrotoxicity</p> Signup and view all the answers

    Which type of cancer is vincristine primarily used to treat?

    <p>Haematological cancers</p> Signup and view all the answers

    What is the mechanism of action of palbociclib in treating ER+ HER2-ve breast cancer?

    <p>By preventing the passing of checkpoint R</p> Signup and view all the answers

    What is the primary mechanism of action of daratumumab in treating multiple myeloma?

    <p>By provoking an immune response against cancer cells</p> Signup and view all the answers

    What is the main advantage of using targeted therapy in cancer treatment?

    <p>It exploits differences in cancer cells, leading to fewer side effects</p> Signup and view all the answers

    What is the primary indication for using hormone therapy in cancer treatment?

    <p>To treat ER+ tumours</p> Signup and view all the answers

    What is the primary advantage of using cytotoxics in combination with other treatments in cancer treatment?

    <p>It increases the effectiveness of chemotherapy by killing cancer cells more quickly</p> Signup and view all the answers

    What is the primary aim of palliative treatment in cancer patients?

    <p>To relieve symptoms and improve quality of life</p> Signup and view all the answers

    What is the primary limitation of using hormone therapy in cancer treatment?

    <p>It is not curative when used alone</p> Signup and view all the answers

    What is the primary concern when it comes to CINV reaction?

    <p>It has an anticipatory component</p> Signup and view all the answers

    What is the term for the removal of a tumor or affected tissue as a preventative measure?

    <p>Prophylactic removal</p> Signup and view all the answers

    What is the name of the system used to measure the performance status of a cancer patient?

    <p>ECOG system</p> Signup and view all the answers

    Which of the following medications is NOT a mainstay treatment for CINV?

    <p>Levomepromazine</p> Signup and view all the answers

    What is the most common effect of chemotherapy on the GI system?

    <p>Nausea and vomiting</p> Signup and view all the answers

    What is the term for the use of two or more treatments simultaneously for cancer treatment?

    <p>Concurrent treatment</p> Signup and view all the answers

    What is the term for the treatment given after another intervention to reduce the risk of recurrence?

    <p>Adjuvant therapy</p> Signup and view all the answers

    What is the term for the cognitive impairment associated with chemotherapy?

    <p>Chemo brain</p> Signup and view all the answers

    What is the primary mechanism of action of Vismodegib?

    <p>Inhibiting the Hedgehog pathway</p> Signup and view all the answers

    Which of the following is a potential long-term effect of chemotherapy?

    <p>Reduced libido</p> Signup and view all the answers

    What is the term for the treatment given before another intervention to reduce the size of the tumor?

    <p>Neo-adjuvant therapy</p> Signup and view all the answers

    What is the main adverse effect of Olaparib?

    <p>All of the above</p> Signup and view all the answers

    What is the primary reason for reducing the dose of chemotherapy or changing treatment?

    <p>To alleviate higher severity effects</p> 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?

    <p>TNM system</p> Signup and view all the answers

    What is the role of a pharmacist in clinical trials?

    <p>Running clinics and providing advice to clinicians</p> Signup and view all the answers

    What is the term for the 'round' of treatment or chemotherapy?

    <p>Cycle</p> Signup and view all the answers

    What is the purpose of calculating body surface area (BSA) in chemotherapy dosing?

    <p>To calculate the patient's dose based on BSA</p> Signup and view all the answers

    What is the name of the genetic defect associated with breast, ovarian, prostate, and pancreatic cancer?

    <p>BRCA1/2 defect</p> Signup and view all the answers

    What is the purpose of genetic testing in cancer treatment?

    <p>To determine the patient's genetic markers for targeted therapy</p> 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?

    <p>Modifiable risk factors</p> Signup and view all the answers

    What is the purpose of the Mosteller formula?

    <p>To calculate the patient's body surface area</p> Signup and view all the answers

    What is the primary role of a pharmacist in cancer treatment?

    <p>To check the accuracy of medication prescriptions</p> Signup and view all the answers

    What is the purpose of the worked example provided in the text?

    <p>To illustrate the calculation of chemotherapy dose</p> Signup and view all the answers

    What is the purpose of toxicity management in cancer treatment?

    <p>To manage adverse effects and reduce their impact on cancer treatment</p> Signup and view all the answers

    Why are patients on chemotherapy often told to avoid paracetamol?

    <p>Because it can interact with chemotherapy medications</p> 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

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