Podcast
Questions and Answers
Which dental professional on a multidisciplinary oncology team specializes in restoring teeth affected by tumor or treatment?
Which dental professional on a multidisciplinary oncology team specializes in restoring teeth affected by tumor or treatment?
- Radiologist
- Maxillofacial surgeon
- Restorative dentist (correct)
- General dentist
What is the MINIMUM recommended waiting period after extracting teeth associated with a tumor before starting radiotherapy?
What is the MINIMUM recommended waiting period after extracting teeth associated with a tumor before starting radiotherapy?
- 10 days (correct)
- 3 days
- 3 weeks
- 5 days
During radiotherapy for head and neck cancer, which mouthwash is recommended for routine supportive care?
During radiotherapy for head and neck cancer, which mouthwash is recommended for routine supportive care?
- Chlorhexidine (CHX) mouthwash (correct)
- Hydrogen peroxide mouthwash
- Essential oil mouthwash
- Fluoride mouthwash
Which healthcare professional on the multidisciplinary team is primarily responsible for addressing swallowing difficulties and reducing the risk of aspiration in head and neck cancer patients?
Which healthcare professional on the multidisciplinary team is primarily responsible for addressing swallowing difficulties and reducing the risk of aspiration in head and neck cancer patients?
What is the PRIMARY role of an oncologist in the multidisciplinary management of head and neck cancer?
What is the PRIMARY role of an oncologist in the multidisciplinary management of head and neck cancer?
In the context of chemotherapy for oral squamous cell carcinoma, which statement is MOST accurate?
In the context of chemotherapy for oral squamous cell carcinoma, which statement is MOST accurate?
Which of the following is LEAST likely to be recommended as part of dental care DURING radiotherapy?
Which of the following is LEAST likely to be recommended as part of dental care DURING radiotherapy?
A patient undergoing radiotherapy for head and neck cancer develops a fungal infection in the oral cavity. Which of the following antifungal medications is MOST likely to be prescribed?
A patient undergoing radiotherapy for head and neck cancer develops a fungal infection in the oral cavity. Which of the following antifungal medications is MOST likely to be prescribed?
Considering the dental management protocol for patients undergoing radiotherapy, what is the rationale behind recommending extraction of teeth associated with the tumor, followed by a waiting period before radiotherapy?
Considering the dental management protocol for patients undergoing radiotherapy, what is the rationale behind recommending extraction of teeth associated with the tumor, followed by a waiting period before radiotherapy?
A patient is scheduled to begin radiotherapy for nasopharyngeal carcinoma in 5 days. During dental assessment, a lower molar with a large periapical lesion and grade 2 mobility is identified within the planned radiation field. Which of the following represents the MOST appropriate immediate management strategy?
A patient is scheduled to begin radiotherapy for nasopharyngeal carcinoma in 5 days. During dental assessment, a lower molar with a large periapical lesion and grade 2 mobility is identified within the planned radiation field. Which of the following represents the MOST appropriate immediate management strategy?
Which acute toxicity of chemotherapy is often the dose-limiting factor, necessitating careful monitoring of blood cell counts?
Which acute toxicity of chemotherapy is often the dose-limiting factor, necessitating careful monitoring of blood cell counts?
A patient undergoing chemotherapy is experiencing nausea and vomiting. Which physiological mechanism is primarily responsible for this side effect?
A patient undergoing chemotherapy is experiencing nausea and vomiting. Which physiological mechanism is primarily responsible for this side effect?
Methotrexate-induced mucositis may be potentially alleviated by supplementation with which of the following?
Methotrexate-induced mucositis may be potentially alleviated by supplementation with which of the following?
Approximately how long after the first chemotherapy injection does hair loss (alopecia) typically begin, if it is going to occur?
Approximately how long after the first chemotherapy injection does hair loss (alopecia) typically begin, if it is going to occur?
Long-term use of alkylating agents in chemotherapy is most significantly associated with an increased risk of developing which secondary malignancy?
Long-term use of alkylating agents in chemotherapy is most significantly associated with an increased risk of developing which secondary malignancy?
Oral mucositis, a common complication of chemotherapy, typically develops within what timeframe after the initiation of treatment?
Oral mucositis, a common complication of chemotherapy, typically develops within what timeframe after the initiation of treatment?
Why is maintaining excellent oral hygiene particularly critical for patients undergoing chemotherapy?
Why is maintaining excellent oral hygiene particularly critical for patients undergoing chemotherapy?
Sucking on ice cubes or cold water during the infusion of which chemotherapeutic agent is particularly recommended to help prevent stomatitis?
Sucking on ice cubes or cold water during the infusion of which chemotherapeutic agent is particularly recommended to help prevent stomatitis?
A patient receiving methotrexate requires a muscle relaxant. Which commonly used muscle relaxant is known to have potentially increased toxicity in patients on methotrexate?
A patient receiving methotrexate requires a muscle relaxant. Which commonly used muscle relaxant is known to have potentially increased toxicity in patients on methotrexate?
For a chemotherapy patient, what is the minimum platelet count (per litre) generally considered acceptable for routine management without requiring immediate platelet transfusion?
For a chemotherapy patient, what is the minimum platelet count (per litre) generally considered acceptable for routine management without requiring immediate platelet transfusion?
During which phases of the cell cycle are chemotherapy drugs generally most effective?
During which phases of the cell cycle are chemotherapy drugs generally most effective?
What term describes chemotherapy that is administered after surgery or radiotherapy?
What term describes chemotherapy that is administered after surgery or radiotherapy?
In the context of widespread metastatic disease, what is the primary goal of induction chemotherapy?
In the context of widespread metastatic disease, what is the primary goal of induction chemotherapy?
Which of the following best describes the mechanism of action of alkylating agents in chemotherapy?
Which of the following best describes the mechanism of action of alkylating agents in chemotherapy?
What is the key difference between phase-dependent and non-phase dependent chemotherapy drugs in terms of their mechanism?
What is the key difference between phase-dependent and non-phase dependent chemotherapy drugs in terms of their mechanism?
Methotrexate inhibits purine and pyrimidine synthesis. Considering its classification as a phase-dependent drug, during which phase of the cell cycle would it exert its most significant impact?
Methotrexate inhibits purine and pyrimidine synthesis. Considering its classification as a phase-dependent drug, during which phase of the cell cycle would it exert its most significant impact?
The text mentions that selectively targeting tumor cells while sparing normal tissues with chemotherapy is 'quite hard in principle'. What is the fundamental reason for this challenge?
The text mentions that selectively targeting tumor cells while sparing normal tissues with chemotherapy is 'quite hard in principle'. What is the fundamental reason for this challenge?
A novel drug is developed to specifically disrupt microtubule formation, a process critical for chromosome segregation during cell division. Based on the provided chemotherapy classifications, this drug would most likely be categorized as a(n):
A novel drug is developed to specifically disrupt microtubule formation, a process critical for chromosome segregation during cell division. Based on the provided chemotherapy classifications, this drug would most likely be categorized as a(n):
For long-term chemotherapy administration via a central line, where is the distal tip of the catheter typically positioned?
For long-term chemotherapy administration via a central line, where is the distal tip of the catheter typically positioned?
Both 'Vinca alkaloids' and 'antimitotic antibiotics' are described as stopping mitosis. Based solely on the provided text, what is the most reasonable inference about the key distinction between these two classes?
Both 'Vinca alkaloids' and 'antimitotic antibiotics' are described as stopping mitosis. Based solely on the provided text, what is the most reasonable inference about the key distinction between these two classes?
What is the typical minimum waiting period recommended between extracting teeth associated with a tumor and starting radiotherapy?
What is the typical minimum waiting period recommended between extracting teeth associated with a tumor and starting radiotherapy?
Which of the following mouthwash ingredients is typically recommended for routine supportive care during radiotherapy?
Which of the following mouthwash ingredients is typically recommended for routine supportive care during radiotherapy?
What is the MOST important aspect of oral hygiene for a patient undergoing radiotherapy?
What is the MOST important aspect of oral hygiene for a patient undergoing radiotherapy?
Which of the following professionals is typically responsible for helping head and neck cancer patients minimize the risk of aspiration?
Which of the following professionals is typically responsible for helping head and neck cancer patients minimize the risk of aspiration?
What is the role of an oncologist in the multidisciplinary management of head and neck cancer?
What is the role of an oncologist in the multidisciplinary management of head and neck cancer?
Which intervention is LEAST likely to be a routine recommendation as part of dental care DURING radiotherapy?
Which intervention is LEAST likely to be a routine recommendation as part of dental care DURING radiotherapy?
If a patient undergoing radiotherapy develops a fungal infection in their oral cavity, which topical medication is MOST likely to be prescribed?
If a patient undergoing radiotherapy develops a fungal infection in their oral cavity, which topical medication is MOST likely to be prescribed?
Why is extraction of teeth associated with the tumor recommended prior to radiotherapy?
Why is extraction of teeth associated with the tumor recommended prior to radiotherapy?
In the context of chemotherapy, under what circumstances is it MOST often utilized for Oral Squamous Cell Carcinoma?
In the context of chemotherapy, under what circumstances is it MOST often utilized for Oral Squamous Cell Carcinoma?
What is the MOST significant risk associated with the long-term use of alkylating agents in chemotherapy?
What is the MOST significant risk associated with the long-term use of alkylating agents in chemotherapy?
Which of the following BEST describes the difference between curative and palliative chemotherapy?
Which of the following BEST describes the difference between curative and palliative chemotherapy?
Approximately how long after chemotherapy initiation does oral mucositis typically develop?
Approximately how long after chemotherapy initiation does oral mucositis typically develop?
Sucking on ice cubes during the infusion of which chemotherapeutic agent is particularly recommended to help prevent stomatitis?
Sucking on ice cubes during the infusion of which chemotherapeutic agent is particularly recommended to help prevent stomatitis?
A patient receiving methotrexate requires a muscle relaxant. Which muscle relaxant is known to have potentially increased toxicity in patients on methotrexate?
A patient receiving methotrexate requires a muscle relaxant. Which muscle relaxant is known to have potentially increased toxicity in patients on methotrexate?
What platelet count (per litre) is generally considered acceptable for routine dental management of a chemotherapy patient?
What platelet count (per litre) is generally considered acceptable for routine dental management of a chemotherapy patient?
A patient undergoing chemotherapy presents with oral ulceration specifically caused by methotrexate. Which of the following topical treatments is MOST appropriate?
A patient undergoing chemotherapy presents with oral ulceration specifically caused by methotrexate. Which of the following topical treatments is MOST appropriate?
Which of the following strategies is LEAST likely to help reduce alopecia associated with chemotherapy?
Which of the following strategies is LEAST likely to help reduce alopecia associated with chemotherapy?
Why might a dental professional recommend taste modification strategies (e.g., increased seasoning) for a patient undergoing chemotherapy?
Why might a dental professional recommend taste modification strategies (e.g., increased seasoning) for a patient undergoing chemotherapy?
Which phase of the cell cycle is characterized by DNA synthesis?
Which phase of the cell cycle is characterized by DNA synthesis?
A chemotherapy patient who is prone to stomatitis is prescribed benzydamine hydrochloride for established mucositis. What is the MOST likely rationale for this prescription?
A chemotherapy patient who is prone to stomatitis is prescribed benzydamine hydrochloride for established mucositis. What is the MOST likely rationale for this prescription?
What is the primary mechanism of action of alkylating agents in chemotherapy?
What is the primary mechanism of action of alkylating agents in chemotherapy?
In the context of cancer treatment, what does the term 'adjuvant chemotherapy' refer to?
In the context of cancer treatment, what does the term 'adjuvant chemotherapy' refer to?
What is the MOST likely placement site for a long-term chemotherapy catheter?
What is the MOST likely placement site for a long-term chemotherapy catheter?
Which of the following describes 'induction chemotherapy'?
Which of the following describes 'induction chemotherapy'?
Methotrexate and 5-FU are examples of what?
Methotrexate and 5-FU are examples of what?
What is the role of 'neoadjuvant chemotherapy' in cancer treatment?
What is the role of 'neoadjuvant chemotherapy' in cancer treatment?
Which of the following chemotherapeutic agents directly prevents cell division by inhibiting mitosis?
Which of the following chemotherapeutic agents directly prevents cell division by inhibiting mitosis?
A researcher is evaluating a new chemotherapy drug and observes that it kills cancer cells effectively, regardless of their position in the cell cycle. Furthermore, the rate of cell death increases exponentially with increasing drug doses. How would this drug be classified?
A researcher is evaluating a new chemotherapy drug and observes that it kills cancer cells effectively, regardless of their position in the cell cycle. Furthermore, the rate of cell death increases exponentially with increasing drug doses. How would this drug be classified?
Considering the mechanisms through which chemotherapeutic drugs exert cytotoxicity, which of the following represents the MOST significant obstacle to achieving selective eradication of tumor cells while preserving normal tissue function?
Considering the mechanisms through which chemotherapeutic drugs exert cytotoxicity, which of the following represents the MOST significant obstacle to achieving selective eradication of tumor cells while preserving normal tissue function?
Flashcards
Maxillofacial Surgeon
Maxillofacial Surgeon
Surgeon specializing in procedures involving the jaws and face.
ENT Surgeon
ENT Surgeon
Surgeon specializing in ear, nose, and throat conditions.
Plastic/Reconstruction Surgeon
Plastic/Reconstruction Surgeon
Surgeon specializing in reconstruction and repair of body tissues.
Oncologist
Oncologist
Signup and view all the flashcards
Speech and Language Therapist
Speech and Language Therapist
Signup and view all the flashcards
Pre-RT Extractions
Pre-RT Extractions
Signup and view all the flashcards
Smoking & Alcohol During RT
Smoking & Alcohol During RT
Signup and view all the flashcards
Supportive Care During RT
Supportive Care During RT
Signup and view all the flashcards
Treat Fungal Infections
Treat Fungal Infections
Signup and view all the flashcards
Chemotherapy
Chemotherapy
Signup and view all the flashcards
Chemotherapy Drugs
Chemotherapy Drugs
Signup and view all the flashcards
Adjuvant Chemotherapy
Adjuvant Chemotherapy
Signup and view all the flashcards
Neo-Adjuvant Chemotherapy
Neo-Adjuvant Chemotherapy
Signup and view all the flashcards
Induction Chemotherapy
Induction Chemotherapy
Signup and view all the flashcards
Non-Phase Dependent Chemotherapy
Non-Phase Dependent Chemotherapy
Signup and view all the flashcards
Phase-Dependent Chemotherapy
Phase-Dependent Chemotherapy
Signup and view all the flashcards
Methotrexate
Methotrexate
Signup and view all the flashcards
Vinca Alkaloids
Vinca Alkaloids
Signup and view all the flashcards
5-Fluorouracil (5-FU)
5-Fluorouracil (5-FU)
Signup and view all the flashcards
Alkylating Agents
Alkylating Agents
Signup and view all the flashcards
Local Toxicity (Chemotherapy)
Local Toxicity (Chemotherapy)
Signup and view all the flashcards
Bone Marrow Toxicity (Chemo)
Bone Marrow Toxicity (Chemo)
Signup and view all the flashcards
GI Toxicity (Chemotherapy)
GI Toxicity (Chemotherapy)
Signup and view all the flashcards
Mucositis
Mucositis
Signup and view all the flashcards
Alopecia (Chemotherapy)
Alopecia (Chemotherapy)
Signup and view all the flashcards
Carcinogenesis (Chemo)
Carcinogenesis (Chemo)
Signup and view all the flashcards
Gonadal Damage (Chemo)
Gonadal Damage (Chemo)
Signup and view all the flashcards
Oral Mucositis (Chemo)
Oral Mucositis (Chemo)
Signup and view all the flashcards
Infections (Chemo)
Infections (Chemo)
Signup and view all the flashcards
Methotrexate Ulceration Tx
Methotrexate Ulceration Tx
Signup and view all the flashcards
Dietitian
Dietitian
Signup and view all the flashcards
Restorative Dentist
Restorative Dentist
Signup and view all the flashcards
Pre-RT Extractions Timing
Pre-RT Extractions Timing
Signup and view all the flashcards
Extractions During Radiotherapy
Extractions During Radiotherapy
Signup and view all the flashcards
Oral Hygiene During RT
Oral Hygiene During RT
Signup and view all the flashcards
High Fluoride Supplementation
High Fluoride Supplementation
Signup and view all the flashcards
Nystatin/Miconazole Use
Nystatin/Miconazole Use
Signup and view all the flashcards
Chemotherapy for OSCC
Chemotherapy for OSCC
Signup and view all the flashcards
G0 Phase
G0 Phase
Signup and view all the flashcards
G1 Phase
G1 Phase
Signup and view all the flashcards
S Phase
S Phase
Signup and view all the flashcards
G2 Phase
G2 Phase
Signup and view all the flashcards
M Phase
M Phase
Signup and view all the flashcards
Antimetabolites
Antimetabolites
Signup and view all the flashcards
Intrathecal Administration
Intrathecal Administration
Signup and view all the flashcards
Central Venous Catheters
Central Venous Catheters
Signup and view all the flashcards
Hickman Line
Hickman Line
Signup and view all the flashcards
Portacath
Portacath
Signup and view all the flashcards
FBC and Chemo
FBC and Chemo
Signup and view all the flashcards
Chemo and Hair Loss
Chemo and Hair Loss
Signup and view all the flashcards
Chemotherapy Side Effects
Chemotherapy Side Effects
Signup and view all the flashcards
Chemo-Induced Oral Issues
Chemo-Induced Oral Issues
Signup and view all the flashcards
Oral Hygiene and Chemo
Oral Hygiene and Chemo
Signup and view all the flashcards
Chemotherapy and Taste
Chemotherapy and Taste
Signup and view all the flashcards
Chemotherapy & Nutrition
Chemotherapy & Nutrition
Signup and view all the flashcards
Chemo and Proliferating Mucosa
Chemo and Proliferating Mucosa
Signup and view all the flashcards
Study Notes
Evaluation of Disease - Oral Cancer
- Imaging includes CT and MRI, it is better to show Soft Tissue
Cancer Risk Factors
- Use of HRT (hormone replacement therapy) increases women's risk for breast Cancer
- Breast Cancer becomes Cancer when it breaks through the basement membrane
Signs and Symptoms of Cancer
- Anaemia could be related to gut cancer
- Anaemia is Hypochromic Microcytic due to Chronic Blood Loss
- Delayed Pain affects Pancreatic Cancer after some time
- Delayed Pain affects the Antrum and Ovarium due to lots of room to grow before it is noticed
- Motor/Sensory Deficits; damage to the VII cranial nerve in Parotid Cancer, Trigeminal (unexplained numbness of face)
- Blood in Urine/Sputum/Faeces
- A cough that lasts 3 or more weeks is a symptom
- Anorexia is also a symptom
Diagnosing and Staging Cancer
- Any suspicious lesion should be referred to and biopsied
TNM Staging Components
- T (Tumour): Size of the Tumour; bigger the Number, bigger the Size
- N (Lymph nodes): Lymph node involvement; bigger the number, more Lymph Nodes involved
- M (Metastases): Spread to different parts of the body; bigger the number, more spread
TNM Staging - Notes (N)
- N₁: mobile nodes, <3 cm, ipsilateral (same side)
- N2: mobile nodes, 3-6 cm, contra (opposite side) or bilateral (both sides)
- N3: fixed nodes >6 cm
Grading System for Cancer
- Graded upon the Resemblance of Cancer Cells to the Normal Cells
- Higher the number, the less it looks like Normal Cells
- The Worse the Cancer Is with a higher number
Why is Radiotherapy Used?
- Neoadjuvant or Induction Treatment is Given before Surgery to shrink Tumour
- Adjuvant Treatment is Given after Surgery to destroy any Residual Tumour Cells
- For Bone Marrow Transplants
- 49% are cured by surgery, 40% are cured by radiotherapy, and 11% are cured by chemotherapy
Radiosensitivity
- Highly sensitive includes: Lymphoma, Leukaemia, Seminoma, Ewing's sarcoma, and Many embryonal tumours
- Moderately sensitive includes: Small-cell lung cancer and Breast cancer
- Relatively insensitive includes: Squamous carcinomas (including gynaecological, head and neck, and skin tumours), Adenocarcinomas of the bowel, Glioma, Sarcoma of bone and connective tissue, and Melanoma
Side Effects of Radiotherapy
- Radical External Beam Irradiation often requires a Multi-Field Technique used Employing Three or Four Fields
- Radiotherapy allows to apply Higher Doses without as much Collateral Damage
Dental Aspects of Radiotherapy
- Dental Aspects of Radiotherapy DENTAL ASPECTS
- Prior starting radio/chemotherapy, it is important for the patient to be dentally fit.
- Patients should maintain good oral hygiene and are on high fluoride supplements (FV, Duraphat etc).
Complications of Radiotherapy
- Mucositis: Side effect of both Radio and Chemotherapy
- Oral Erythema, Pain, Ulceration, and Bleeding significantly impairs Quality of Life
- Excellent Oral Hygiene is essential
- Low Level Laser Therapy
- Topical Lidocaine, can purchase from pharmacies
- Degree of Dry Mouth dependent on the Dose Provided
- Permanent Reduction in Salivary Gland Function, there may be some recovery
- Serous Acini more susceptible to damage
- Infections: Due to Dry Mouth, increased risk of Candidal Infections, Acute/Chronic Sialadenitis
- Hypogeusia: Loss of Sense Of Taste
- Taste may begin to recover within 2-4 months
- Extremely High Doses given, may never recover
- "Think of eating as a job"
- If the Patient doesn't eat, they will become Malnourished and this will affect healing
More Complications of Radiotherapy
- Radiation can cause Fibrosis of the Masticatory Muscles
- Decreases Blood Supply
- Osteoradionecrosis - Endarteritis Obliterans
- Bone is 1.8x denser than Soft Tissues, thus more Radiation is absorbed
- Ionising Radiation causes Vascular Channels in the Bone to Narrow, decreases the Blood Flow to the Bone
- Bone becomes Hypocellular, Hypo-Vascular and Hypoxic compared with Non-Irradiated Tissues
- Osteoradionecrosis (ORN): Area of Exposed Devitalised Irradiation Bone that fails to heal over a Period of Three to Six Months in the absence of Local Neoplastic Disease
- Smoking and alcohol should be discouraged
- Supportive care
- FUNGAL INFECTIONS are the primary concern
Chemotherapy
- Chemotherapy is rarely used for Oral Squamous Cell Carcinoma
- If given after Surgery/DXT is called ADJUVANT (DXT = Radiotherapy)
- NEO-ADJUVANT is used as Primary Treatment for Local Control = Chemotherapy
- Primary treatment in widespread Disease is known as INDUCTION CHEMOTHERAPY
- Patient with an Oral Melanoma
- Cannon ball metastases can be seen is an indication for chemo
- Good example of a patient who would be fit for chemotherapy
- KINETIC CLASSIFICATION Kills Cells at a Lower Dose but reach a plateau kill at higher doses Alkylating Agents damage DNA to stop reproduction ANTI-METABOLITES which interfere with DNA and RNA growth
- Vinca Alkaloids stops cell division
- ANTIMITOTIC ANTIBIOTICS stops mitosis
Routes of ADMINISTRATION
- Oral, I.M., I.V., Intrathecal (around spinal cord)
- Long-Term catheters are placed in the Right Atrium.
- Portcath is better as its all under the skin and so is less susceptible to infection
Complications - Acute Toxicity
- Local Toxicity - tissue destruction if injected out of vessel
- Bone Marrow Toxicity - dose-limiting factor
- GI Toxicity - nausea and vomiting
- Stimulation of CT zone, Gut and Cerebral Cortex
- Methotrexate - Mucositis
- Alopecia
- Can be reduced by Scalp Cooling
- Hair Loss starts 18-21 days after first injection
- Not all Agents cause it
Long-Term Toxicity
- CARCINOGENESIS - Long-term Alkylating Agents can lead to Acute Leukaemia
- GONADAL DAMAGE - STERILITY
Side Effects
- Anorexia
- Backache
- Oral mucositis
- Infections
- Nausea/vomiting
- Oedema
- Fatigue
- Anaemia
- Headaches
Dental Aspects of Chemotherapy
- Loss of Taste:
- Loss of taste affects Appetite, and Nutrition
- "Think of Eating as a job"
- Dental Aspects of Chemotherapy includes: Oral hygiene
- DURING Chemotherapy: -Ulceration caused by methotrexate - If prone to Stomatitis -ESTABLISHED MUCOSITIS -Liquid form CANDIDIASIS - HERPETIC INFECTIONS BLOOD CONSIDERATIONS: -PLATELETS: -GRANULOCYTES: -AFTER Chemotherapy increases susceptibility to infection and bleeding tendencies
Principles of Oncology:
- Staging can determine type of treatment
- Provide Follow-Up -Head and Neck Patients are Transition to palliative care
- Patient -Palliative Care is now from the beginning -But Patients may need to be Changed to Full Palliative
Biology of Abnormal cancer cells
- They do not have to Responds to signals for Programmed Cell Death (fingers as an example!)
- Webbed Fingers happen in the womb, so it will create spaces between Figures
- They're able to migrate throughout the body
- Specific Scans can show Metastasis in different-Inject a Radioactive Substance
Progression
- In progression stage where the Abnormal Cells have continued to grow into a Primary Tumour
Immunotherapy
- Includes inducing, enhancing or suppressing the Immune Response
- Active immunotherapy
- Adoptive immunotherapy includes
- Tumour Vaccines
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.