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What are the most common sites of metastasis for lung cancer?
Liver, Bone, Brain
("Lungs Like BB's")
What are the most common sites of metastasis for anal cancer?
("Anal Lives in the Lungs")
What is the most common site of metastatis for stomach cancer?
(The stomach is near the liver)
What are the most common sites of metastasis for breast cancer?
Lung, Bone & Brain
("Lungs are near the breasts, BB")
What is the most common symptom of oropharynx cancer?
painful swallowing and otalgia (ear pain)
What is a whipple procedure?
resection of the head of pancreas, entire duodenum, distal stomach, gallbladder, and common bile duct
What lymph nodes are covered in a mantle field?
submandibular; occipital; cervical; supraclavicular; infraclavicular; axillary; hilar; mediastinal
("SOCS In A Hot Mess")
What are the common chemo drugs used in hodkins disease?
Adriamycin, Bleomycin, Vincristine, Dacarbazine
Most common symptom of hypoparynx cancer?
Dysphagia & painful neck node
List some symptoms of anaphylactic shock(10)
- 1)Difficulty breathing
- 2)swollen or tingling lips
- 3)drop in blood pressure
- 5)metalLic taste in the mouth
- 6)itching skin
- 9)Temporary loss of consciousness
TD 5/5 of the fetus
TD 5/5 of the vagina
TD 5/5 of the Lungs
TD 5/5 of the Liver
TD 5/5 of the kidney
TD 5/5 of the rectum
TD 5/5 of the testis
Td 5/5 of the Brain
TD 5/5 of the Lens
What is the range of white blood cells?
What is the range for hemoglobin? (O2 in RBCs)
- (lower for women &Children)
- men 14 - 18
- women 12-16
- children 12-14
(thinks: hemOglobin, as in oxygen, and you want to strangle your kids during teenage years!)
The suprasternal notch is at what level?
What is TPR?
- Ratio of the absorbed dose at a given depth in a phantom to the absorbed dose at the same point at a reference depth in a phantom TPR= dose in tissue/dose in phantom
- (difference between TPR and TMR, is that the reference depth is dmax)
What is the treatment for low grade glioblastoma?
surgery (gross total resection / radiation - postop 50-55 Gy
(Think a Glioblastoma is the same age range as me for dose)
What is the anatomy of the hypo-pharynx?
pyriform sinuses (most common); post-cricoid; lower posterior pharyngeal walls below the base of the tongue
What is TMR?
Dose in tissue/dose in phantom (D-max)
(reference depth is Dmax-for TPR reference depth can be anything)
What is TAR?
- TAR= dose in tissue/dose in air
- The ratio of the absorbed dose at a given depth in phantom to the absorbed dose at the same
- point in free space
Describe the Compton interaction
- produced when an xray photon interacts with an outershell orbital electron with sufficient energy to eject the electron from orbit and alter its the photon's path
What is the dose for treating Lung?
( curative NSCLC, SCLC, Boost)
curative NSCLC = 6000-7500 cGy SCLC 4500 - 6000 cGy Boost 4000-4500 cGy
What is the dose for treating the bladder?
45-50 Gy - large pelvic field 15-20 Gy Boost fields
What is the dose for treating the prostate?
- 72-80 Gy
- nodal doses 45-50 Gy
- seminal vesicles 54-56 Gy
What is the Nasopharynx borders?
- Superior - 2cm beyond the tumor including the base of skull and sphenoid sinus
- Posterior - 2cm of margin beyond mastoid process
- Anterior - posterior third of the maxillary sinus and nasal cavity
- Inferior - Thyroid Notch
What is the treatment for ALL Leukemia
- Total Body Irradiation(TBI) doses are 1200 cGy in 3 days
- Bone Marrow transplant
- Chemo: Prednisone, Vincristine, L-Aspaginase
Define: Ampulla of Vater
the union of the pancreatic duct and the common bile duct
In Arc Therapy - gantry doesn’t move, what is wrong?
2/3 of the tongue drains to?
submandibular,submaxillary, and upper jugular nodes
Packed red blood cells? Increases patients ________ and _______
hematocrit & hemoglobin
Ampula of Vater AKA;_______________ associated with ___________
aka: hematopancreatic duct associated with pancreas
What cancer most likely metastasizes to both sides of the neck?
base of tongue, nasopharynx
What is the most common site of spread for laryngeal cancer?
What is methotrexate most often used for?
lymphomas and breast cancer
If you have an unresectable non small cell tumor, what would be the dose?
55 to 60 Gy
List blood cells from most sensitive to least sensitive
(erythrocytes, endothelial, crypt, parenchymal cells)
- 1)crypt cells
- 2)endothelial cells
- 3)parenchymal cells
What does the nasopharynx drain too?
- sUPERIOR JUGULAR
- pOSTERIOR CERVICAL
- lateral retrophaygeal nodes(NODES OF ROUVIERE)
What is the TD 5/5 of the heart that causes pericarditis?
Where is the pyriform sinus located?
located in the hypopharynx - lies between the throat & the esophagus
Cesium 137 is most common in treating?
What is the most common sign of nasophayngeal cancer ?
nose bleeds, difficulty hearing
Which of the following would you do interstitial brachytherapy on?
A) tongue B) Tonsils C) Larynx D) Nasopharynx
What organs drain to the internal iliacs?
vagina, cervix, prostate, bladder
Which bones would prostate cancer metastasize to first?
What is Cisplatin?
a chemotherapy drug that is a cytotoxic alkylating agent
What is this?
coronoid process of the mandible
Dmax 10 MV :
2 cm or 2.5 cm