Podcast
Questions and Answers
What is the cornerstone of cancer diagnosis and treatment?
What is the cornerstone of cancer diagnosis and treatment?
- Clinical examination
- Histopathological examination (correct)
- Imaging
- Laboratory analyses
What is the significance of HER2 positive status in cancer?
What is the significance of HER2 positive status in cancer?
- It is a positive prognostic factor.
- It is a positive predictive factor. (correct)
- It is a negative predictive factor.
- It is a negative prognostic factor. (correct)
What is the main difference between predictive and prognostic factors in cancer?
What is the main difference between predictive and prognostic factors in cancer?
- Prognostic factors indicate the likelihood of responding to treatment, while predictive factors indicate the likelihood of survival.
- Prognostic factors are always positive, while predictive factors are always negative.
- Predictive factors are always positive, while prognostic factors are always negative.
- Predictive factors indicate the likelihood of responding to treatment, while prognostic factors indicate the likelihood of survival. (correct)
What is a common feature of cachexia in advanced cancer?
What is a common feature of cachexia in advanced cancer?
What is a possible cause of anemia in cancer?
What is a possible cause of anemia in cancer?
What is a possible complication of cancer treatment that can affect blood clotting?
What is a possible complication of cancer treatment that can affect blood clotting?
What is a characteristic finding in the peripheral blood of patients with leukoerythroblastic anemia?
What is a characteristic finding in the peripheral blood of patients with leukoerythroblastic anemia?
What is a common symptom of advanced cancer?
What is a common symptom of advanced cancer?
When can treatment be initiated without a histological confirmation of malignancy?
When can treatment be initiated without a histological confirmation of malignancy?
What are the three key steps in the diagnostic process of cancer?
What are the three key steps in the diagnostic process of cancer?
What is the most common type of brain tumor in children?
What is the most common type of brain tumor in children?
Which of the following diagnostic steps emphasizes family history?
Which of the following diagnostic steps emphasizes family history?
What age group is associated with a bimodal peak incidence of cancer in children?
What age group is associated with a bimodal peak incidence of cancer in children?
Which rhabdomyosarcoma type has the worst prognosis?
Which rhabdomyosarcoma type has the worst prognosis?
Which condition is associated with Wilm’s tumor due to genetic mutations?
Which condition is associated with Wilm’s tumor due to genetic mutations?
During which stage of rhabdomyosarcoma is the best prognosis observed?
During which stage of rhabdomyosarcoma is the best prognosis observed?
What is the overall 10-year survival rate for childhood cancers?
What is the overall 10-year survival rate for childhood cancers?
What is a significant side effect of cancer treatment in children?
What is a significant side effect of cancer treatment in children?
At what age should men and women begin participating in screening for colorectal cancer?
At what age should men and women begin participating in screening for colorectal cancer?
What is the primary benefit of annual or biennial screening with faecal occult blood testing?
What is the primary benefit of annual or biennial screening with faecal occult blood testing?
Which screening method for lung cancer is recommended for heavy smokers aged 55-74 years?
Which screening method for lung cancer is recommended for heavy smokers aged 55-74 years?
Which of the following screening methods is considered ineffective?
Which of the following screening methods is considered ineffective?
What is length-time bias?
What is length-time bias?
What is the significance of lead-time bias in medical screening?
What is the significance of lead-time bias in medical screening?
What is the recommended frequency for conducting a colonoscopy for colorectal cancer screening?
What is the recommended frequency for conducting a colonoscopy for colorectal cancer screening?
Which screening method is NOT effective for breast cancer in women under 50 years old?
Which screening method is NOT effective for breast cancer in women under 50 years old?
At what age is HPV testing recommended for women?
At what age is HPV testing recommended for women?
What is the primary purpose of the Pap test?
What is the primary purpose of the Pap test?
Why does the American Cancer Society no longer recommend annual Pap tests?
Why does the American Cancer Society no longer recommend annual Pap tests?
Which group of women may require more frequent cervical cancer screening?
Which group of women may require more frequent cervical cancer screening?
What is the effectiveness of mammography screening for women over 50 years of age?
What is the effectiveness of mammography screening for women over 50 years of age?
What is a key consideration regarding mammography screening for women under 50 years of age?
What is a key consideration regarding mammography screening for women under 50 years of age?
What is one benefit of using the HPV test during cervical cancer screening?
What is one benefit of using the HPV test during cervical cancer screening?
What leads to a false positive result in HPV testing for young women?
What leads to a false positive result in HPV testing for young women?
What staging system is used for female reproductive system cancers?
What staging system is used for female reproductive system cancers?
In lung cancer staging, which of the following represents Stage IIIA?
In lung cancer staging, which of the following represents Stage IIIA?
What is an important prognostic factor in the Ann Arbor classification for lymphoma?
What is an important prognostic factor in the Ann Arbor classification for lymphoma?
How is small cell lung cancer primarily categorized?
How is small cell lung cancer primarily categorized?
Which factor is NOT mentioned as a parameter influencing treatment and prognosis?
Which factor is NOT mentioned as a parameter influencing treatment and prognosis?
What does a Stage IIIB classification in Hodgkin’s lymphoma indicate?
What does a Stage IIIB classification in Hodgkin’s lymphoma indicate?
Which ECOG performance status describes a patient who is asymptomatic and fully active?
Which ECOG performance status describes a patient who is asymptomatic and fully active?
What should be considered a risk factor for not tolerating aggressive treatment?
What should be considered a risk factor for not tolerating aggressive treatment?
Which of the following cancers is most commonly associated with hypercalcemia as a paraneoplastic syndrome?
Which of the following cancers is most commonly associated with hypercalcemia as a paraneoplastic syndrome?
What is a characteristic symptom of Cushing syndrome?
What is a characteristic symptom of Cushing syndrome?
In Lambert-Eaton syndrome, which symptom differentiates it from myasthenia gravis?
In Lambert-Eaton syndrome, which symptom differentiates it from myasthenia gravis?
What is a common feature of hypertrophic osteoarthropathy?
What is a common feature of hypertrophic osteoarthropathy?
Which symptom is typically associated with lung cancer?
Which symptom is typically associated with lung cancer?
Which syndrome is characterized by elevation of the diaphragm in a chest X-ray?
Which syndrome is characterized by elevation of the diaphragm in a chest X-ray?
What is a key characteristic of the B-symptoms related to lymphomas?
What is a key characteristic of the B-symptoms related to lymphomas?
What symptom can indicate advanced gastric cancer?
What symptom can indicate advanced gastric cancer?
Which of the following symptoms is commonly associated with colorectal cancer?
Which of the following symptoms is commonly associated with colorectal cancer?
What is the initial indication for treatment of superior vena cava syndrome?
What is the initial indication for treatment of superior vena cava syndrome?
During what stage does the TNM system indicate the cancer has been confirmed via histology or cytology?
During what stage does the TNM system indicate the cancer has been confirmed via histology or cytology?
What is a common paraneoplastic dermatologic syndrome associated with gastric cancer?
What is a common paraneoplastic dermatologic syndrome associated with gastric cancer?
What symptom indicates cervical cancer in its advanced stage?
What symptom indicates cervical cancer in its advanced stage?
Flashcards
Tumor Stage Grouping
Tumor Stage Grouping
Categorization of malignancies from Stage I to IV based on prognosis.
Stage IIIA in Lung Cancer
Stage IIIA in Lung Cancer
Includes multiple TNM stages like T4N0M0, indicating advanced local disease.
FIGO system
FIGO system
Staging system for female reproductive cancers based on invasion and spread features.
Ann Arbor classification
Ann Arbor classification
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B symptoms
B symptoms
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Small Cell Lung Cancer Staging
Small Cell Lung Cancer Staging
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Performance Status
Performance Status
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Tumor Grade
Tumor Grade
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Colorectal Cancer Screening
Colorectal Cancer Screening
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Colonoscopy Frequency
Colonoscopy Frequency
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Lung Cancer Screening
Lung Cancer Screening
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Ineffective Screening Methods
Ineffective Screening Methods
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Length-Time Bias
Length-Time Bias
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Lead-Time Bias
Lead-Time Bias
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Colorectal Cancer Risk Group
Colorectal Cancer Risk Group
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Poor Screening Methods for Women
Poor Screening Methods for Women
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Co-testing
Co-testing
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HPV testing
HPV testing
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Pap test
Pap test
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Cervical cancer screening guidelines
Cervical cancer screening guidelines
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Mammography screening
Mammography screening
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Breast cancer mortality reduction
Breast cancer mortality reduction
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Mammography for women under 50
Mammography for women under 50
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High-risk screening
High-risk screening
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Cranial RT and IQ
Cranial RT and IQ
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Histopathological Proof
Histopathological Proof
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Palliative Care
Palliative Care
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Cachexia symptoms
Cachexia symptoms
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TNF-a in Cachexia
TNF-a in Cachexia
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Anemia causes in cancer
Anemia causes in cancer
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HER2 and prognostic factors
HER2 and prognostic factors
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Oropharyngeal tumors
Oropharyngeal tumors
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Leukoerythroblastic anemia
Leukoerythroblastic anemia
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Coagulation abnormalities
Coagulation abnormalities
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Cancer in children
Cancer in children
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Bimodal peak age
Bimodal peak age
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Acute Lymphoblastic Leukemia (ALL)
Acute Lymphoblastic Leukemia (ALL)
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Rhabdomyosarcoma
Rhabdomyosarcoma
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Pilocytic astrocytoma
Pilocytic astrocytoma
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Medulloblastoma
Medulloblastoma
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Blueberry muffin sign
Blueberry muffin sign
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Denys-Drash syndrome
Denys-Drash syndrome
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Malignancy
Malignancy
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Hypercalcemia
Hypercalcemia
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Cushing Syndrome
Cushing Syndrome
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Lambert-Eaton Syndrome
Lambert-Eaton Syndrome
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Dermatomyositis
Dermatomyositis
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Hypertrophic Osteoarthropathy
Hypertrophic Osteoarthropathy
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Superior Vena Cava Syndrome
Superior Vena Cava Syndrome
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Paget’s Disease
Paget’s Disease
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B-symptoms of Lymphoma
B-symptoms of Lymphoma
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Virchow’s Node
Virchow’s Node
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Kruckenberg Tumor
Kruckenberg Tumor
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TNM Staging System
TNM Staging System
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Blumer’s Shelf
Blumer’s Shelf
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Sister Mary Joseph Sign
Sister Mary Joseph Sign
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Study Notes
Epidemiology
- Cancer is the second leading cause of death in children, accidents being first.
- Peak incidence is observed in children under 5 years old and older than 15.
- Acute lymphoblastic leukemia (ALL) is most common, except in infants under 1 year old, where neuroblastoma is more prevalent.
CNS Tumors in Children
- Primarily low-grade glial tumors.
- 50% of brain tumors are infratentorial, 40% supratentorial, and 5% spinal cord tumors.
- Most common location of low-grade astrocytomas is the cerebellum, followed by hemispheric, midbrain, and central nervous system locations.
- Pilocytic astrocytomas appear in younger patients and fibrillary astrocytomas in older children.
- 85% of medulloblastomas occur in patients under the age of 15 years.
Soft Tissue Sarcomas (STS)
- Rhabdomyosarcoma is the most common subtype (70%).
- Orbital rhabdomyosarcomas have a worse prognosis.
- Common locations: Head and neck > parameningeal region > extremities.
- Best prognosis with botryoid or spindle-cell RMS histology.
- Intermediate prognosis with embryonal types, and the worst with alveolar, undifferentiated or anaplastic types.
- Neurogenic, synovial, and Ewing sarcoma and primitive neuroectodermal tumors (PNET) account for minority of soft tissue tumors in children.
Other CNS Tumors
- Unfavorable prognosis if resection is less than 75%, cerebrospinal fluid (CSF) affected, metastases, brain stem infiltration, age less than 4 years, chemotherapy needed.
- 40-80% 5-yr survival in other CNS tumors.
- Brain stem tumors comprise around 10 % with 20-30% 5-yr survival, with endophytic or exophytic development.
- Craniopharyngiomas have 80% 5-year survival and surgery may be curative in 60-80% of cases.
Lymphomas
- Non-Hodgkin lymphoma (NHL) is usually chemosensitive.
- B-cell type NHL is common in the abdomen, facial bones, and bone marrow.
- T-cell type NHL usually involves the mediastinum.
- Hodgkin lymphoma subtype characterized by more favorable prognosis following combination chemotherapy and radiotherapy, with 90% cure rate.
Leukemia
- Acute lymphoblastic leukemia (ALL) accounts for around 80%.
- Acute myeloid leukemia (AML) is present in approximately 17% of cases.
- Chronic myelogenous leukemia (CML) is found in 2-5% of cases.
- Common genetic accompanying factors include Down syndrome and Fanconi anemia.
- Treatment involves induction, consolidation, and sustaining remission chemo-therapy regimens, including prophylactic cranial irradiation.
Additional Information (from later pages)
- Genetic Syndromes: Certain genetic syndromes, like familial retinoblastoma, Li-Fraumeni, or HNPCC, increase risk of various childhood cancers.
- Bone Sarcomas: Typically in adolescents, close to the knees, and are often treated with chemotherapy, surgery, and further chemotherapy.
- Wilms Tumor: Most cases occur in children 3-4 years old and preceeding 7 years. Treatment usually includes chemo, radical surgery, and post-op chemo and radiation therapy.
- Neuroblastoma: Primarily 1-2 years old and often involves the retroperitoneal region. Treatment generally includes chemo, surgery and/or radiotherapy.
- Specific Symptoms: The study notes provide various symptoms associated with different cancers and tumor locations (e.g., cough, pain).
- Cancer Location: Cancers are located in specific areas, affecting certain parts of the body.
- Diagnosis and Treatment: Information on diagnostic steps, treatment options (chemo, radiotherapy, surgery), and staging, is included.
- Specific Cancer Types: Information is provided on various specific cancers, such as lung cancer, cervical cancer, gastric cancer, colorectal cancer, breast cancer, head and neck cancer.
- Screening Programs: Recommendations concerning the detection of specific cancers by various methods, like papsmear or mammogram, are present.
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