5.12 path lung cancer 5 Flashcards

(75 cards)

0
Q

Gefitinib targets

A

Tyrosine kinase domain of EGFR

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1
Q

Lung cancer metastasizes to

A

Adrenals
Liver
Brain
Bone

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2
Q

Erlotinib targets

A

Tyrosine kinase of EGFR

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3
Q

Crizotinib targets

A

ALK

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4
Q

Bevacizumab targets

A

VEGF

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5
Q

What drug targets the tyrosine kinase domain of EGFR

A

Gefitinib

Erlotinib

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6
Q

What drug targets ALK

A

Crizotinib

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7
Q

What drug targets VEGF

A

Bevacizumab

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8
Q

An East Asian female with adenocarcinoma might have what mutation

A

EGFR

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9
Q

EGFR mutation in exons

A

18,19,21

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10
Q

KRAS mutations are on exon

A

1

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11
Q

White smoker with adenocarcinoma most likely has what mutation

A

K-RAS

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12
Q

Young never or ex smoker with adenocarcinoma most likely has what mutation

A

ALK

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13
Q

Benign mimic of lung cancer

A

Pulmonary hamartoma

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14
Q

Epithelial clefts lined by ciliates columnar epithelium

A

Pulmonary hamartoma

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15
Q

Nodules of connective tissue intersected by epithelial clefts

A

Pulmonary hamartoma

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16
Q

What organ cancers metastasize to the lung

A

Men - lung

Women - lung, breast, ovary

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17
Q

Fibrous pleural plaques

A

Asbestos exposure

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18
Q

Long latency after asbestos exposure

A

Mesothelioma

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19
Q

Bloody pleural effusions encasing lung

A

Mesothelioma

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20
Q

Stubby microvilli on EM

A

Adenocarcinoma

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21
Q

Long slender microvilli on EM

A

Mesothelioma

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22
Q

Mesothelioma can also arise from

A

Peritoneum

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23
Q

Aerogenous spread

A

MUCINOUS adenoma in situ

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24
One peripheral nodule in lepidic pattern
NON MUCINOUS adenocarcinoma in situ
25
Small lesion with dysplasic pneumocytes lining fibrotic alveolar walls
Atypical adenomatous hyperplasia
26
Peripheral
Adenocarcinoma
27
Glandular or mucin producing
Adenocarcinoma
28
TTF1
Adenocarcinoma
29
More in non or ex smokers
Adenocarcinoma
30
KRAS mutation
Adenocarcinoma
31
EGFR mutation
Adenocarcinoma
32
ALK mutation
Adenocarcinoma
33
Associated with smoking
Squamous cell Small cell Large cell
34
Central
Squamous | Small cell
35
CDKN2A mutation
Squamous cell
36
Tp53 mutation
Squamous cell
37
Amplify FGFR1
Squamous cell
38
May grow into bronchial lumen
Squamous cell
39
Necrosis with cavitation
Squamous
40
Cauliflower like intraparenchymal mass
Squamous
41
Keratin pearls
Squamous
42
Intercellular bridges
Squamous
43
Keratinization
Squamous
44
Diffuse idiopathic pulmonary neuro endocrine cell hyperplasia is the precursor lesion to
Small cell
45
Not surgically curable
Small cell
46
Another name for small cell
Neuroendocrine
47
ACTH
Small cell
48
ADH
Small cell
49
Small blue cells
Small cell
50
Scant cytoplasm
Small cell
51
Salt and pepper nuclear chromatin
Small cell
52
Round, soluble shaped cells with nuclear molding
Small cell
53
High mitotic count
Small cell
54
Azzopardi effect
Small cell
55
Basophilic staining of vascular walls is also called
Azzopardi effect
56
Crush artifact
Small cell
57
Kulchitsky cells
Small cell
58
Amplify MYC
Small cell
59
Chromogranin marker
Small cell
60
Synaptophysin marker
Small cell
61
CD56 marker
Small cell
62
Small cell neuroendocrine markers
Chromogranin Synaptophysin CD56
63
Diagnosis of exclusion
Large cell
64
PTH
Squamous
65
Calcitonin
Small cell
66
Gonadotropins
Small cell
67
Describe Lambert eaton
Muscle weakness from auto antibodies to neuronal calcium channels
68
Example of hypercoagulable state
Trousseau's syndrome
69
Pulmonary osteoarthropathy is also called
Clubbing of fingers
70
Apical lung cancer called
Pancoast tumor
71
Horner syndrome caused by
Pancoast tumor (in apical lung) compressing on cervical sympathetic plexus
72
Signet ring cells
ALK
73
Acinus growth pattern in Asians
ALK
74
Positive for stain of calretinin
Mesothelioma