Lec 20 Oncology Intro Flashcards

1
Q

What is median age of diagnosis new malignancy?

A

66

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2
Q

What are the top 2 leading causes of death in the US in order?

A
  1. heart disease

2. malignancy

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3
Q

What are the top 3 most common cancers in males in order?

A
  1. prostate
  2. lung
  3. colorectal
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4
Q

What are the top 3 most common cancers in females in order?

A
  1. breast
  2. lung
  3. colorectal
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5
Q

What are the top 3 causes of cancer deaths in males in order?

A
  1. lung
  2. prostate
  3. colorectal
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6
Q

What are the top 3 causes of cancer deaths in females in order?

A
  1. lung
  2. breast
  3. colorectal
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7
Q

What is happening to incidence and death from colorectal cancer? why?

A

both declining b/c of screening

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8
Q

What is happening to lung cancer incidence?

A

declining

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9
Q

What 5 types of cancer associated with Li Fraumeni syndrome?

A

brain, breast, adrenal cortex, leukemia, sarcoma

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10
Q

What gene associated with Li Fraumeni?

A

p53

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11
Q

What gene assocaited with FAP?

A

APC

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12
Q

What gene associated with MEN1?

A

MEN1

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13
Q

What gene associated with MEN2?

A

RET

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14
Q

What 3 cancers associated with MEN1?

A
  • pancreatic islet
  • pituitary adenoma
  • parathyroid adenoma

TRIPLE P

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15
Q

What 2 cancers associated with MEN2?

A
  • medullary thyroid

- pheochromocytoma

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16
Q

What 3 cancers associated with von hippel lindau?

A
  • hemangioblastoma
  • nervous system
  • renal cell
17
Q

What mutation assoctated with cowden syndrome?

18
Q

What 2 cancers associated with Cowden?

A

breast

thyroid

19
Q

What is sensitivity?

A

proportion of people with a disease who have a positive result on screening test

20
Q

What is specificity?

A

proportion of people who do not have a disease who have a negative result on screening test

21
Q

What property of test allows you to detect when a disease is present?

A

sensitivity

22
Q

What property of test allows you to correctly identify absence of disease?

A

specificity

23
Q

What is definition of positive predictive value?

A

proportion of people with a positive result on a screening tests who actually have the disease

24
Q

What is the negative predictive value?

A

proportion of people who have negative result on screening test who truly do not have the disease

25
What is selection bias?
screening high risk population detect more cancer than general population
26
What is lead time bias?
bias when survival from diagnosis to death appears increased but its b/c patients are diagnosed early but don't actually live longer
27
What is length bias?
when screening test diagnoses slow growth tumors. pts die from other causes with a particular tumor not FROM the tumor
28
What type of cancer is MRI not a good study for evaluating?
lung cancer
29
What does PET scan show you?
anatomic distribution of tumor and activity of lesions involved
30
What does bone scan show you?
osteoblastic activity of metastasis