Tumor Markers in Cancer Detection and Treatment
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Questions and Answers

Which tumor marker is associated with Medullary Thyroid Cancer?

  • Cancer Antigen (CA) 125
  • Prostate-specific antigen (PSA)
  • Calcitonin (correct)
  • Human Chorionic Gonadotrophins
  • What is the primary use of tumor markers in assessing the success of treatment?

  • To localize tumor masses
  • To screen the general population
  • To monitor response to therapy (correct)
  • To estimate tumor volume
  • Which tumor marker is commonly used for screening for prostate cancer?

  • Alpha-fetoprotein (AFP)
  • Prostate-specific antigen (PSA) (correct)
  • Carcinoembryonic antigen (CEA)
  • Alkaline Phosphatase (ALP)
  • Which of the following tumors is Alpha-fetoprotein (AFP) associated with?

    <p>Hepatocellular Cancer</p> Signup and view all the answers

    Which DNA marker mutation is associated with Non-Small Cell Lung Cancer?

    <p>Epidermal Growth Factor Receptor (EGFR) mutations</p> Signup and view all the answers

    Which condition is a-fetoprotein (AFP) NOT useful for screening?

    <p>Thyroid cancer</p> Signup and view all the answers

    What does a-fetoprotein (AFP) level greater than 1000 µg/L generally indicate?

    <p>Possible cancer</p> Signup and view all the answers

    Which cancer is ferritin NOT a marker for?

    <p>Thyroid cancer</p> Signup and view all the answers

    Which of the following is true regarding thyroglobulin?

    <p>It is used for detecting differentiated thyroid cancer.</p> Signup and view all the answers

    What condition is associated with elevated levels of a-fetoprotein (AFP) during pregnancy?

    <p>Normal pregnancy</p> Signup and view all the answers

    What is the significance of positive estrogen and progesterone receptors in breast cancer patients?

    <p>Patients are likely to respond to hormonal treatment.</p> Signup and view all the answers

    Why is progesterone receptor testing considered important in breast cancer assessment?

    <p>It assesses the integrity of estrogen action mechanisms.</p> Signup and view all the answers

    Which statement about cytoplasmic estrogen receptors is true?

    <p>They are routinely measured after tumor removal.</p> Signup and view all the answers

    What percentage of breast cancer patients typically have tumors with estrogen receptors?

    <p>60%</p> Signup and view all the answers

    What generally happens to patients with negative estrogen and progesterone receptors?

    <p>They require alternative treatment strategies.</p> Signup and view all the answers

    What defines tumor markers?

    <p>Biochemical substances synthesized by cancer cells or in response to cancer</p> Signup and view all the answers

    How do tumor markers assist in clinical settings?

    <p>They help monitor or identify the presence of cancerous growth</p> Signup and view all the answers

    What distinguishes tumor markers from substances produced by normal cells?

    <p>They are qualitatively and quantitatively different</p> Signup and view all the answers

    Which of the following is NOT a component of tumor markers?

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

    In the context of cancer monitoring, which statement about tumor markers is accurate?

    <p>They help in monitoring but are not definitive for diagnosis</p> Signup and view all the answers

    Which property is NOT essential for a good tumor marker?

    <p>Must have a long half-life</p> Signup and view all the answers

    Which of the following is classified as an enzyme/isoenzyme tumor marker?

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

    Which type of tumor marker includes mutations in oncogenes and tumor suppressor genes?

    <p>Genetic Changes</p> Signup and view all the answers

    What is a characteristic of carbohydrate epitopes tumor markers?

    <p>They include CA 15-3 and CA 19-9</p> Signup and view all the answers

    Which of the following tumor markers is an oncofetal antigen?

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

    Study Notes

    Potential Uses of Tumor Markers

    • Screening in general population
    • Differential diagnosis of symptomatic patients
    • Clinical staging of cancer
    • Estimating tumor volume
    • As a prognostic indicator for disease progression
    • Evaluating the success of treatment
    • Detecting the recurrence of cancer
    • Monitoring response to therapy
    • Localization of tumor masses

    Decoding Tumor Markers

    • Hormones

      • Human Chorionic Gonadotropins: Trophoblastic tumors
      • Calcitonin: Medullary Ca Thyroid
      • Catecholamines: Pheochromocytoma
    • Lineage-specific proteins

      • Prostate-specific antigen (PSA): Prostate cancer
      • Immunoglobulins, particularly M-protein (monoclonal): Multiple Myeloma
    • Mucins & other glycoproteins

      • Ovarian Cancer Antigen (CA 125): Ovarian Cancer
      • CA 19-9: Colorectal & Pancreas Cancer
      • CA 15-3: Breast Cancer
    • Oncofetal antigens

      • α-fetoprotein (AFP): Hepatocellular Carcinoma
      • Carcinoembryonic antigen (CEA): Colon, pancreas, lung, stomach, and heart
    • DNA markers (cell-free)

      • Epidermal Growth Factor Receptor (EGFR) mutations: Non-Small Cell Lung Cancer
      • KRAS mutations: Colon, Pancreas
      • BRAF V600E mutation: Melanoma
    • Enzymes

      • Lactate Dehydrogenase (LDH): Lymphoma, Germ cell tumors
      • Alkaline Phosphatase (ALP): Liver Cancer, Bone Metastasis

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    Description

    This quiz explores various tumor markers associated with different cancers, including Medullary Thyroid Cancer, prostate cancer, and breast cancer. Additionally, it examines the role of tumor markers in treatment assessments and their significance in specific cancer conditions. Test your knowledge on this critical aspect of oncology!

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