Cancer Case Study Flashcards

1
Q

Why is dexamethasone included in treatment of brain tumors?

A
  1. Corticosteroid - Immunosuppressants (decreases swelling, increases tight junctions, reconstitutes BBB –> dec. swelling)
  2. Antiemetic (decreases nausea/vomiting)
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2
Q

What things about the tumor affect the outcome of chemotherapy treatment?

A

Stage, Location & Resistance (-innate -2 deg)

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3
Q

What things about the patient affect the outcome of chemotherapy treatment?

A
  • Family support
  • Age of patient
  • Overall Health - Karnofsky
  • Liver Function
  • Kidney Function
  • Bone Marrow Capacity
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4
Q

Vincristine

A
  • Stops spindle formation
  • Interrupts Mitosis
  • CCS - M phase
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5
Q

Paclitaxel

A
  • Increases Spindle formation
  • Interrupts Mitosis
  • CCS - M phase
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6
Q

Etoposide

A
  • Topoisomerase II inhibitor
  • Causes strand breaks
  • Damages DNA
  • CCS - S phase
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7
Q

Doxorubicin

A
  • Intercalates
  • Damages DNA
  • CCNS
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8
Q

Cisplatin

A
  • Cross-links
  • Platinum
  • Damages DNA
  • CCNS
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9
Q

BCNU (Carmustine)

A
  • Cross-links
  • Alkylates
  • Damages DNA
  • CCNS
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10
Q

TMZ (temozolomide)

A
  • Cross-links
  • Alkylates
  • Damages DNA
  • CCNS
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11
Q

Cyclophosphamide

A
  • Cross-links
  • Alkylates
  • Damages DNA
  • CCNS
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12
Q

Busulfan

A
  • Cross-links
  • Alkylates
  • Damages DNA
  • CCNS
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13
Q

Fludarabine

A
  • Inhibits DNA synthesizing enzymes [Purines - prevents DNA synthesis]
  • CCS - S phase
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14
Q

Ara-C (Cytarabine)

A
  • Inhibits DNA synthesizing enzymes
  • Pyrimidines
  • Prevents DNA synthesis
  • CCS - S phase
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15
Q

5-FU

A

-Inhibits nucleotide synthesis
[Pyrimidine - Prevents DNA synthesis]
-CCS - S phase
“FU is not so Pur”

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16
Q

MTX

A
  • Inhibits nucleotide synthesis [Blocks DHFR-dihydrofolate reductase - Prevents DNA synthesis]
  • CCS - S phase
17
Q

Crossing BBB:

TMZ (temozolomide)

A
  • Small
  • Lipophilic
  • Doesn’t get pumped out
18
Q

Crossing BBB:

BCNU (Carmustine)

A

Not small
Somewhat lipophilic
No effect - doesn’t get pumped either way

19
Q

Crossing BBB:

Vincristine

A

Not small
Lipophilic
Yes, gets pumped out by efflux pumps

20
Q

Crossing BBB:

Aphoterecin-C

A

Not small
Lipophilic
Yes, gets pumped out by efflux pumps