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Flashcards in Oncology Deck (57)
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31

side effect of radiation

diarrhea

32

gleason grading

AGGRESSIVENESS or the
MALIGNANT POTENTIAL of prostate cancer

33

high glassine grade

GET IT OUT before it mets

34

helping to control size and progression of mets for prostate cancer

flutamide
GnRH agonists (leuprolide)
ketoconazole
orchiectomy

35

prostate US screening for prostate cancer

NOOOOOOO, always wrong

36

prostate US use...

localize lesions to biopsy if high PSA

37

lumpectomy for prostate cancer

NOOOOOOO, always wrong

38

PSA

NO clear mortality benefit
should NOT be routinely offered to patients
normal PSA doesn't exclude possibility of prostate cancer
above age 75-- DO NOT DO IT-- EVEN IF ASKED

39

PSA and cancer

higher the PSA, GREATER RISK of cancer-- corresponds to volume of cancer

40

patient is requesting a PSA to screen for cancer....

DO THE TEST

41

surgery for lung cancer

SIZE DOES NOT MATTER-- depends on the surrounding lung (ie. BIG lesion with normal surrounding, vs. small lesion with abnormal surrounding)

42

CANNOT DO SX FOR LUNG CANCER

- bilateral disease or lymph nodes positive on opposite side
- malignant pleural effusion
- involvement: heart, carina, aorta, vena cava

43

screening for lung cancer

low dose chest CT:
- 30 pack years
- age 55-80

44

ovarian cancer screening...

NOOOOOO SCREENING

45

ovarian cancer tx

ONLY CANCER-- where removing local metastatic disease will benefit the patient

46

cutting the scrotum for testicular cancer

NOOOOOOOOO DO NOT DO IT

47

needle biopsy of the testicle

NOOOOO WRONG-- since seeding

48

after seminoma orchiectomy, for local disease

radiation

49

after seminoma orchiectomy, for widespread disease

chemo

50

seminomas are sensitive to

CHEMO and RADIATION

51

non-seminomas are sensitive to

CHEMO only

52

does Pap smear lower mortality as much as mammography or colonoscopy

NOOOOO it doesn't

53

HPV vaccines

all women between 11-26yo

54

pap smears

starting at age 21, repeat every 3 years until 65yo

55

of women with fatal cervical cancer-- what % have never had a pap smear

85%

56

ASCUS present

do HPV testing
--> colposcopy

57

ASCUS not associated with hpv

repeat pap smear at 6 months