Tumor Markers Flashcards

(67 cards)

1
Q

where a cancer starts

A

primary tumor

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2
Q

where cancer spreads to other parts of the body

A

secondary tumor / metastasis

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3
Q

the most common type of cancer in women

A

breast cancer

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4
Q

the most common type of cancer in men

A

prostate cancer

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5
Q

a biochemical substance present in or produced by a tumor or by the body in response to it

A

tumor markers

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6
Q

what does concentration of the tumor marker tell us?

A

volume of the tumor cells

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7
Q

in a tumor marker, quantity of marker must correlate with ____

A

tumor burden

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8
Q

what does it mean when a tumor marker has a long lead-time mean?

A

detectable at the early stage of the tumor while it is susceptible to treatment

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9
Q

what does it mean when a tumor marker has a short half-life?

A

good for serial monitoring in response to treatment/recurrence

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10
Q

a tumor marker produced by specific tumor cells

A

tumor specific proteins

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11
Q

tumor markers produced by host response factors to the presence of a tumor

A

non-specific proteins

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12
Q

tumor markers found in the body but are expressed or secreted at a much higher rate by malignant cells

A

increased production protein

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13
Q

glycoprotein synthesized by the fetal liver, yolk sac, and GI tract

A

alpha fetoprotein

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14
Q

AFP is homologous to which protein?

A

albumin

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15
Q

when is AFP the highest?

A

during fetal development

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16
Q

when does AFP rapidly clear?

A

after birth

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17
Q

how long is AFP half-life?

A

5-7 days

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18
Q

elevated levels of AFP indicate what 2 malignancies?

A

hepatocellular carcinoma
testicular non-seminomatous germ cell tumors

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19
Q

elevated levels of AFP are present in which 3 benign conditions?

A

hepatitis
cirrhosis
pregnancy

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20
Q

when is the MSAFP screening test done?

A

15-21 weeks in pregnancy

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21
Q

what do high levels of MSAFP indicate? (3)

A

spina bifida
anencephaly
multiple gestation

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22
Q

what do low levels of MSAFP indicate?

A

down syndrome

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23
Q

what test is used to check for down syndrome in pregnancy?

A

triple marker screen: MSAFP + HCG + estriol

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24
Q

a measure of how far an individual test result deviates from the median

A

multiple of median (MoM)

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25
what does an abnormal MoM require?
repeat test to confirm
26
what does a 2nd elevated MoM indicate for MSAFP?
need for fetal sonogram
27
protein found in fetal intestine, pancreas, and liver
carcinoembryonic antigen (CEA)
28
elevated levels of CEA indicate what malignancies? (4)
colon ca pancreatic ca breast ca ovarian/uterine ca
29
elevated levels of CEA indicate what benign conditions? (4)
hepatitis cirrhosis hypothyroidism peptic ulcers
30
glycoprotein synthesized by the placenta in pregnancy
HCG
31
how early can HCG be detected?
1 week after conception
32
when does HCG peak?
1st trimester (60-90 days)
33
which subunit of HCG is most commonly assessed?
beta
34
elevated levels of HCG indicates what malignancies? (3)
Hyatidaform moles Choriocarcinoma Germ cell cancer
35
tumor develops inside the uterus from tissue that forms after conception
gestational trophoblastic disease
36
elevated levels of HCG indicates what benign conditions? (2)
pregnancy marijuana use
37
glycoprotein produced by prostate tissue
prostate specific antigen (PSA)
38
what is PSA highly sensitive for?
prostate cancer
39
elevated levels of PSA indicate what benign conditions? (2)
BPH prostatitis
40
what is the most common risk factor for prostate cancer?
age
41
what form of PSA is present in BPH and prostate cancer?
complexed form
42
what 3 types of medications can lower PSA results? (3)
statins NSAIDs thiazides
43
glycoprotein found in cells that line the pelvic organs and peritoneum
cancer antigen-125 (CA)
44
elevated levels of CA-125 indicate what malignancies? (2)
ovarian ca endometrial ca
45
elevated levels of CA-125 indicate what benign conditions? (5)
endometriosis ovarian cysts liver disease menstruation pregnancy
46
after treatment, what CA-125 level provides strong evidence of residual tumor?
over 35 U/ml
47
testing CA-125 is not very sensitive for ovarian cancer in _____ _____
asymptomatic women
48
what other modalities will enhance the sensitivity of CA-125?
pelvic exam transvaginal US CA 19-9 CA 15-3
49
synthesized by normal human pancreatic and biliary ductal cells, gastric, colon, endometrial, and salivary epithelial cells
cancer antigen 19-9
50
elevated CA 9-19 levels indicate what malignancies? (3)
pancreatic ca colon ca gastric ca
51
elevated levels of CA 19-9 indicate what benign conditions?
pancreatitis cirrhosis
52
which test is primarily used to differentiate between benign and malignant diseases?
CA 19-9
53
what level of CA 19-9 indicates malignancy?
over 37 U/ml
54
CA 19-9 has a specificity of 76%. what does this mean?
not good enough to be used for screening early stage pancreatic disease
55
levels in biopsy tissue that predict the natural history and response to hormonal manipulations
estrogen/progesterone receptor assay
56
how are estrogen and progesterone receptor assays reported?
as percent of positive cells
57
how is a positive estrogen/progesterone receptor assay indicated?
>1%
58
what do positive levels of estrogen and progesterone receptor assays help us determine in clinic?
response to hormonal therapy
59
why do ER negative tumors have a worse prognosis?
no signals for hormones = harder to locate/treat
60
what is the treatment goal in breast cancer?
deprive cells of estrogen
61
why do we want to deprive breast cancer cells of estrogen?
estrogen fuels them to grow and divide
62
what are 2 local treatment options for breast cancer?
surgery radiation
63
what are 3 systemic treatment options for breast cancer?
hormone therapy chemotherapy targeted therapy
64
what is the most common cause of cervical cancer?
HPV
65
exposure to what can lead to cervical cancer?
diethylstilbestrol (DES)
66
what is DES also known as?
synthetic estrogen
67
what is the most common cause of penile cancer?
HPV