Pathophysiology – chapter 4 and 5 – Flashcards

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cancer
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also known as malignancy
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cancer
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this is the leading cause of death worldwide
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lung cancer
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this is the leading type of cancer to affect people worldwide
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9 million
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deaths from cancer worldwide are projected to continue to rise with an estimated _____ death are projected in 2015 and 11.4 million deaths in 2030
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tumors, neoplasms
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other terms used to describe cancer are _____ and _____.
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tumor
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this fundamentally means swelling
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neoplasia
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this refers to new growth
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benign, malignant
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a tumor or neoplasm can either be _____ or _____.
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benign
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this type of neoplasm is noncancerous and usually localized to a tissue or organ
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malignant
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these type of neoplasms, or cancer, consists of rapidly dividing cells that accumulate uncontrollably invading normal tissue, and have the ability to metastasize
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metastasize
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the process by which cancer spreads from one place to another
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metastasize
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benign tumors do not do this
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four factors that regulate cell growth
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these are known as this: -growth factors -growth inhibitors -cell cycle proteins called cyclins -programmed cell death or apoptosis
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carcinogenesis
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the development of cancer and literally means "cancer growth"
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mutation
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a change in the biochemistry of a gene, resulting in the production of abnormal cells
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oncogenes
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cancer-causing genes that are formed due to mutations
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lung cancer
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this is the most common malignant disease worldwide and is the major cause of death from cancer
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40, 70
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in both men and women, the incidence of lung cancer is low before the age of _____ and increases up to at least age _____.
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tobacco smoke
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this accounts for more than 90% of all lung cancers
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90%
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tobacco smoke accounts for more than _____ of all lung cancers.
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lung cancer risk
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in addition to cigarette smoke, household exposure to radon as well as industrial exposures to asbestos and other air borne chemicals increase this
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cough
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this is the most common presenting symptom in lung cancer is is reported along with *shortness of breath* *blood in sputum* *chest pain* *loss of appetite* *wheezing* *stridor or a high-pitched sound during respiration* *hoarseness* *dysphagia or difficulty speaking (frog in truth)*
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apoptosis
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programmed cell death
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endogenous etiologies
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when referring to cancer, these might be the causes: -age -sex -race -heredity -hormones -immunity
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environmental etiologies
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when referring to cancer, these might be the cause -tobacco use -industrial chemicals -radiation -poor diet -alcohol consumption -chronic infections -medicinal carcinogens
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squamous cell carcinomas
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these are usually located in the bronchi and are commonly associated with abnormal increases in blood calcium
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adenocarcinomas
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these are the most common lung cancers and the type most often diagnosed in nonsmokers.
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risk factors for lung cancer
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-tobacco smoke -secondhand smoke -radon -asbestos -other airborne chemicals these can be classified as what?
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biopsy
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this is used to identify cancer cells at a cellular level
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diagnosis of lung cancer
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-patient history -chest x-ray -sputum analysis -various blood tests -CT and PET scans -biopsy *all used to do this*
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surgery, radiation, chemotherapy
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treatments of lung cancer may include
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breast cancer
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this type of cancer is the most frequently diagnosed cancer in women
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signs and symptoms of breast cancer
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-an abnormality detected on a mammogram or breast self-examination -thickening, swelling, distortion, tenderness, and skin irritation, nipple changes
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risk factors for breast cancer
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-age -female gender -personal family history -long menstrual history -oral contraceptive use -never having children or having a first child after age 30 -obesity after menopause -post-menopausal hormone replacement therapy -physical inactivity -excess consumption of alcohol -BRAC1, BRCA2 genes *all classified as this*
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age
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this is the number one risk factor for breast cancer because the older you get, cells fade out
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mutates
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an excess consumption of alcohol does this to genes
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diagnosis of breast cancer
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using these methods can aid in doing this -clinical history -physical exam -mammography -ultrasound -biopsy
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stomach cancer
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this is the fourth most common malignancy in the world in 2000
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risk factors for stomach cancer
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-inadequate intake of fresh fruits and vegetables -high salt intake -consumption of smoked or cured meats or fish -helicobacter pylori *all considered this*
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surgery
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this is the most important treatment for stomach cancer
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colon, rectum
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cancers of the _____ and _____ are most common in western societies where consumption of high-fat food, refined carbohydrates, and animal protein combined with low physical activity is common
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colorectal cancer
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signs and symptoms of this include: -rectal bleeding -blood in stool -changes in bowel habits -pain in the lower abdomen
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colonoscopy
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diagnosis of colorectal cancer is made using this method
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surgery, radiation, chemotherapy
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treatment for colorectal cancer include these methods
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age
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the risk of colorectal cancer increases with this
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90%
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_____ of people diagnosed with colorectal cancer are age 50 years and older
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hepatocellular carcinoma
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also known as malignancy of the liver cells, it accounts for 80% of all primary cancers in the liver
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liver cancer
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this accounts for almost 4% of all cancers worldwide and affects men three times more frequently than women
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hepatomegaly
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a sign of liver cancer might be an (enlarged liver) also known as this
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jaundice
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this is the yellowish discoloration of the skin, sclera and bile; it could be an indication of liver cancer
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ultrasound
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this might be used to diagnose liver cancer as it is used to listen to the filtering of the liver
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liver
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a person can donate a part of this organ to another needing a transplant because of the regenerative qualities of this organ
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cervical cancer
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following breast cancer, this is the second most common type of cancer found in women
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human papillomavirus (hpv)
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mlecular and epidemiological studies have shown that certain types of this are central to the development of cervical cancer
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high-risk sexual behavior
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aside from HPV, this can be a risk factor for cervical cancer
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cervical cancer
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diagnosis of this is made using: -pap smears -colposcopy -biopsy
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cryosurgery
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freezing of tissue
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cautery
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heating which vaporize cells can be known as doing this type of procedure
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uterine cancer
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this is the seventh most common cancer of women worldwide, wight he highest incidence reported in the US
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endometrial cancer
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cancer of the uterus is also known as this
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endometrium
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also known as the uterus
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endometrial cancer
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this is linked to reproductive live, with a higher rate among women who have never been pregnant and women in late menopause
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endometrial cancer
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this disease is also associated with obesity, diabetes, and hypertension
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metrorragia
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the most common sign of uterine cancer is this, or uterine bleeding, especially after menopause
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hysterectomy
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one of the treatments for uterine cancer might be surgically removing the uterus known as this type of procedure
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ovarian cancer
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risk factors for this type of cancer may include: -family history -prior history of breast cancer -never been pregnant -history of pelvic inflammatory disease -polycystic ovary disease -endometriosis
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biopsy
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abdominal and vaginal ultrasound are used to detect the presence of an ovarian tumor; however, a definitive diagnosis requires surgical examination and a _____.
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surgery
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the first option for treating ovarian cancer would be this as well as chemotherapy
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30% to 50%
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despite treatment, the overall five-year survival rate for all stages of ovarian cancer ranges from these numbers
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prostate cancer
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this is the third most common cancer in men worldwide, with approximately 543k new cases each year in the US.
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age
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this is the leading risk factor for prostate cancer
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prostate cancer
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there are no symptoms that are absolutely specific to this
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Prostate specific antigen (PSA)
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a blood test known as this may support the diagnosis of prostate cancer
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surgery and radiation
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treatment for prostate cancer include
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testicular cancer
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this accounts for 1.5% of all male cancers
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testicular cancer
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risk factors for this include: -history of undescended testicles -family history of the cancer itself
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third and fourth decades of life
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cancer of the testes can occur at all ages, though the risk is greatest in men during this period of their lives
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80%
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approximately _____ of patients with advanced disease respond to all three treatments in relation to testicular cancer
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esophagus
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cancers of this are the sixth most frequent cancers worldwide
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esophageal cancer
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risk factors for this type of cancer include: -tobacco use -alcohol use -long-standing esophagitis due to reflux disease
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stenosis
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known as narrowing
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prosthetic tube
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replacement of this or a stent across the tumor stenosis may help restore swallowing in patients not suitable for surgery
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bladder cancer
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this is the ninth most common cancer worldwide
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bladder cancer
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risk factors for this may include: -smoking -exposure to certain industrial chemicals such as rubber, aromatic hydrocarbons, asbestos, and solvents used in paint and hairspray -schistosoma haematobium infection -hematuria -increased urinary frequency -chronic uti
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smoking
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the most important risk factor for bladder cancer is this, which accounts for approximately 65% of male cases and 30% of female cases.
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hematuria
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blood in urine is the most common symptom of bladder cancer and is also medically known as this
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pain
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this is rarely associated with hematuria
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head and neck cancer
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this is the eleventh most common cancer worldwide
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head and neck cancer
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smoking and excess alcohol consumption are the major risk factors for this
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necrosis
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death to surrounding tissue
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bone, muscle, and skin
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large masses with areas of necrosis may extend to these parts of the body
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lymphoma
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there are two types of this which include: -hodgkin's disease -non-hodgkin's
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hodgkin's disease
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the type of lymphoma with the risk factors that include: -infections with EBV, HIV -chronic exposure to wood or wood products
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hodgkin's disease
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the signs and symptoms of this include: -painless swelling of the lymph nodes in the neck, armpit or groin -fatigue -unexplained fever -night sweats -indigestion
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chemotherapy
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hodgkin's disease is often treated with _____ with combinations of several different agents
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non-hodgkin's lymphoma
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the risk factors for this include: -HIV/AIDS -EBV -HTLV-1 -Helicobacter pylori
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non-hodgkin's lymphoma
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the signs and symptoms of this include: -painless swelling of the lump nodes -fatigue -night sweats -fever
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bone marrow sampling
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diagnosis of non-hodgkin's lymphoma can be made using a biopsy, x-rays, CT scans, MRI, lymph grams and this which is specific to the body.
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bone marrow transplant
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treatment of non-hodgkin's lymphoma include radiation, chemotherapy and as the last resort, this.
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leukemia
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this is diagnosed 10 times more often in children than in adults
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children, adults
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leukemia is diagnosed 10 times more often in _____ than in _____
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immature:abnormal
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leukemia can mean this
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leukemia
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this, which causes massive proliferation of immature forms of white blood cells, occurs in more than 250k individuals worldwide each years
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childhood cancer
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leukemia is often thought of as
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leukemia
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the symptoms of this include: -fatigue -paleness -weight loss -repeated infections -fever -bruising easily -nosebleeds -other hemorrhages
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blood tests and bone marrow biopsy
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these types of tests provide definitive evidence for leukemia
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chemotherapy
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this is the most effective method for treating leukemia
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blood transfusions and antibiotics
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supportive treatment with _____ _____ and _____ is needed to treat anemia and infections
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bone marrow transplantation
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this from a matched donor, is one form of therapy for late stages of leukemia
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pancreatic cancer
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signs and symptoms of this cancer are very pronounced; an ultrasound can confirm the disease
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melanoma
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this is a malignant proliferation of pigment-producing cells or melanocytes
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melanocytes
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pigment-producing cells
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melanomas
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this can occur anywhere on the skin, though the majority of it in men appear on the back while in women the majority appear on the legs
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thyroid cancer
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known risk factors of this include: -radiation exposure -iodine deficiency -radioactive iodine exposure
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renal carcinoma
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this is the most common type of kidney cancer which occurs twice as frequently in men than in women
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cigarette smokers
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kidney cancer has consistently been found to be more common in
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kidney cancer
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increased risks of this disease include: -obesity -leather tanners, shoeworkers, dry cleaning employees, asbestos workers
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kidney cancer
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signs and symptoms of this include: -hematuria -flank pain -palpable kidney mass
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65
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more than 60% of all cancers in the united states occur in adults over the age of this
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deoxyribonucleic acid
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DNA is an acronym for
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DNA
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parent sex cells of this contain 46 chromosomes and divide by meiosis to produce gametes, which contain 23 chromosomes each
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xy
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male
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xx
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female
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karyotype
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the complete chromosomal composition of the nucleus
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alleles
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alternative forms of a gene
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heterozygous
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this pair of alleles is different
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dominant
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these types of alleles always produce their trait when inherited
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recessive
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these types of alleles only manifest themselves when the person is homozygous for the trait
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homozygous
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An organism that has two identical alleles for a trait.
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polydactyly
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extra fingers or toes
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achondroplasia
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cartilage formation in the fetus is defective causing dwarfism
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heterozygous
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Each parent gives the offspring a different allele for a particular trait
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phenylketonuria (PKU)
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this is a genetic screening for infants
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retardation
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if PKU is left untreated it may lead to this which interferes with the development of the brain, liver and eyes
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tay-sachs disease
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children with this disease usually die between 2 and 4 years of age
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hermaphrodite
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a person having both testes and ovaries are known as this
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congenital diseases
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rubella, cerebral palsy, syphilis, neural tube defect, cleft lip and palate, and esophageal or intestinal atresia are all examples of this
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congenital diseases
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causes of this include inadequate oxygen, maternal infection, drugs, malnutrition, radiation
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offspring
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congenital diseases cannot be transmitted to _____ through genetic material
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down syndrome
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this is known to have these traits: -trisomy 21 -nondisjunction of an autosome -eyes appear slanted -tongue is coarse and often protrudes -nose is short and flat -short stature -sex organs are underdeveloped -straight crease extends across the palm of the hand -little finger is often shorter than normal -short life expectancy -some mental retardation
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cri-du-chat syndrome
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this syndrome usually results in death by age 5-6
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