Therapeutic Options in Cancer Flashcards

1
Q

What are cancer therapies based on?

A

Prevention

Treatment

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2
Q

How can diet prevent cancer?

A

Cancer has been linked to the diet- various cohort studies show that limiting consumption of certain foods can prevent malignancy.

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3
Q

What in the diet is colorectal cancer associated with?

A

Red meat

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4
Q

What in the diet is breast cancer associated with?

A

Saturated fat

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5
Q

What are environmental changes aided by?

A

Social standard policies- implementing healthcare-related policies such as the smoking ban, alcohol minimum pricing and vaccination programmes have prevented cancers.

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6
Q

How can screening prevent cancer?

A

Allows early recognition of dysplasia or tumour formation- can prevent malignancy. Seen in colorectal screening and cervical PAP smear tests for cervical cancer.

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7
Q

How can genetics prevent cancer?

A

It is clear that genetics plays a role in predisposition to cancer. For example, the BRCA1/BRCA2 genes for breast cancer and the FAP genes.

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8
Q

How can chemo-prevention work?

A

Can work in predisposition-prone individuals- some patents vulnerable to breast cancer will receive drug prophylactic treatment. In China, many people consume antioxidant therapies to prevent oesophageal cancer.

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9
Q

What are the two types of cancer therapy?

A

Local therapy

Systemic therapy

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10
Q

How does local therapy work?

A

Directly treats the malignancy.

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11
Q

What is staging?

A

Staging occurs in local therapy to recognise WHERE the malignancy is and WHAT it is in terms of pathology and cytology.

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12
Q

What are the two examples of local therapies?

A

Surgery

Radiotherapy

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13
Q

How does surgery treat cancer?

A

Attempts to directly remove or limit the malignancy. Over 50% of cancers are cured using surgery.

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14
Q

What does surgery require?

A

Anatomical clearance.

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15
Q

How does radiotherapy treat cancer?

A

Attempts to remove the tumour through radioactivity and extensive coverage of the surrounding tissue- over 40% of cancers are cured using radiotherapy.

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16
Q

What does radiotherapy require?

A

Anatomical coverage.

17
Q

What is systemic therapy associated with?

A

Palliative care.

18
Q

What can systemic therapies result in?

A

Extreme toxicity to body tissues.

19
Q

What do targeted systemic therapy agents have the potential to be?

A

Highly specific.

20
Q

Why must an appropriate dose regime be established?

A

To ensure that there is a balance between the therapeutic index of the therapy and the toxicity in the patient.

21
Q

How do immune therapies work?

A

They can be non-specific or specific. For example, PD-1 pathway is non-specific but others are specific such as that of monoclonal antibodies and CAR (chimeric antigen receptor) T-cells.