chapter 19: Cancer Medicine (Oncology)

cystic

Forming large open spaces filled with fluid. Mucinous.

fungating

Mushrooming pattern of growth in which tumor cells pile one on top of another and project from a tissue surface.

inflammatory

Having the features of inflammation---that is, redness, swelling, and heat.

medullary

Pertaining to large, soft, fleshy tumors

necrotic

Containing dead tissue

polypoid

Growths that are like projections extending outward from a base.

ulcerating

Characterized by an open, exposed surface resulting from the death of overlying tissue.

verrucous

Resembling a wart-like growth

alveolar

Tumor cells form patters resembling small, sacs

carcinoma in situ

Referring to localized tumor cells that have not invaded adjacent structures.

diffuse

Spreading evenly throughout the affected tissue

dysplastic

Abnormal-appearing cells; not clearly cancerous

epidermoid

Resembling squamous epithelial cells (thin, plate-like)

follicular

Forming small glandular sacs

papillary

forming small, finger-like or nipple-like projections

pleomorphic

Composed of a variety of types of cells

scirrhous

Densely packed tumors, containing dense bands of fibrous tissue

undifferentiated

Lacking microscopic structures typical of normal mature cells.

cauterization

Process of burning tissue to destroy it.

core needle biopsy

Placement of a large-bore needle that extracts a thin core of tissue

cryosurgery

Use of subfreezing temperature to destroy it

en bloc resection

Tumor is removed along with a large area of surrounding tissue containing lymph nodes.

excisional biopsy

Removal of tumor and a margin of normal tissue.

exenteration

Wide resection involving removal of the tumor, its organ of origin, and all surrounding tissue in the body space.

fine needle aspiration

Placement of a very thin needle inside the tumor mass and extracting cells for microscopic evaluation.

fulguration

Destruction of tissue by electric sparks generated by a high-frequency current

incisional biopsy

Piece of tumor is removed for examination to establish a diagnosis. More extensive surgical procedure or other forms of treatment, such as chemotherapy or radiation therapy, then are used to treat the bulk of the tumor.

brachytherapy

Implantation of small, sealed containers or seeds of radioactive material directly into the tumor; or in a cavity of the tumor. An implant may be temporary or permanent.

electron beams

Low-energy beams for treatment of skin or surface tumors.

external beam irradiation

Radiation therapy applied to a tumor from a distant source.

fields

Dimensions of the size of radiation area used to treat a tumor from a specific angle

fractionation

A method of dividing radiation into small, repeated doses rather than fewer large doses. Fractionation allows larger total doses to be given while causing less damage to normal tissues.

gray (Gy)

Unit of absorbed radiation dose.

linear accelerator

Large electronic device that produces high-energy x-ray beams for the treatment of deep-seated tumors.

photon therapy

Radiation therapy using x-rays or gamma rays. A linear accelerator produces photon beams to treat tumors.

proton therapy

Small subatomic positively charged particles produced by a cyclotron deposit all the absorbed dose at a focused finite point. This reduces the dose affecting normal surrounding tissues by at least 50%

radiocurable tumor

Tumor that can be completely eradicated by radiation therapy. Usually, this is a localized tumor with no evidence of metastasis.

radioresistant tumor

Tumor that requires large doses of radiation to produce death of the cells.

radiosensitive tumor

Tumor in which irradiation can cause the death of cells without serious damage to surrounding tissue.

radiosensitizers

Drugs that increase the sensitivity of tumors to x-rays.

simulation

Study prior to radiation therapy using CT scan and/or MRI to map treatment

stereotactic radiosurgery

A single large dose of radiation delivered under stereotactic guidance to destroy a vascular abnormality or to treat small intracranial tumors.

adjuvant therapy

Assisting primary treatment

alkylating agents

Synthetic chemicals containing alkyl groups that attack DNA, causing strand breaks

anaplasia

Loss of differentiation of cells; reversion to a more primitive cell type.

angiogenesis

Process of forming new blood vessels.

antibiotics

chemical substances, produced by bacteria or primitive plants. They inhibit the growth of cells and are used in cancer chemotherapy.

antimetabolites

Chemicals that prevent cell division by inhibiting formation of substances necessary to make DNA; used in cancer chemotherapy

antimitotics

Drugs that block mitosis. Taxol is an antimitotic used to treat breast and ovarian cancers.

apoptosis

Programmed death cell

benign tumor

noncancerous growth

biological response modifiers

Substances produced by normal cells that either directly block tumor growth or stimulate the immune system to fight cancer.

biological therapy

Use of the body's own defenses to destroy tumor cells

carcinogens

Agents that cause cancer; chemicals and drugs, radiation, and viruses.

carcinoma

Cancerous tumor made up of cells of epithelial origin.

cellular oncogenes

Pieces of DNA that, when activated by mutations or by dislocation, can cause a normal cell to become malignant.

chemotherapy

Treatment with drugs.

combination chemotherapy

Use of several chemotherapeutic agents together for the treatment of tumors.

dedifferentiation

Loss of differentiation of cells; reversion to a more primitive, embryonic cell type; anaplasia or undifferentiation.

deoxyribonucleic acid (DNA)

Genetic material within the nucleus of a cell; controls cell division and protein synthesis.

differentiating agents

Drugs that promote tumor cells to differenctiate, stop growing, and die.

differentiation

Specialization of cells

electron beams

Low-energy beams of radiation for treatment of skin or surface tumors.

encapsulated

Surrounded by a capsule; benign tumors are encapsulated

genetic screening

Family members are tested to determine whether they have inherited a cancer-causing gene.

grading of tumors

Evaluating the degree of maturity of tumor cells or indication of malignant transformation

gross description of tumors

Visual appearance of tumors to the naked eye; cystic, fungating, inflammatory, madullary, necrotic, polypoid, ulcerating and verrucous tumors.

infiltrative

Extending beyond normal tissue boundaries into adjacent tissues.

invasive

having the ability to enter and destroy surrounding tissue

irradiation

Exposure to any form of radiant energy such as light, heat, or x-rays

malignant tumor

A tumor having the characteristics of continuous growth, invasiveness, and metastasis.

mesenchymal

Embryonic connective tissue. This is the tissue from which connective tissues arise.

metastasis

Spread of a malignant tumor to a secondary site; literally, beyond control

microscopic description of tumors

Appearance of tumors when viewed under a microscope: alveolar, carcinoma in situ, diffuse, dysplastic, epidermoid, follicular, papillary, pleomorphic, scirrhous, undifferentiated.

mitosis

Replication of cells; a stage in a cell;s life cycle involving the production of two identical cells from a parent cell

mixed-tissue tumors

Tumors composed of different types of tissue

modality

Method of treatment, such as surgery, chemotherapy or irradiation.

molecularly targeted drugs

Anticancer drugs designed to block the function of growth factors, their receptors, and signaling pathways in specific tumor cells

morbidity

Condition of being unwell; deficient in normal function

mucinous

containing mucus

mutation

Change in the genetic material of a cell; may be caused by chemicals, radiation or viruses or may occur spontaneously

neoplasm

New growth; benign or malignant tumor

nucleotide

Unit of DNA composed of sugar, phosphate and a base. The sequence or arrangement of nucleotides on a gene is the genetic code

oncogene

Region of DNA in tumor cells or in viruses that cause cancer. Oncogenes are designated by a three-letter name, such as abl, erb, jun, myc, ras and src

palliative

Relieving but not curing symptoms

pedunculated

Possessing a stem or stalk; characteristic of some polypoid tumors

pharmacokinetics

Study of the distribution in and the removal of drugs from the body over time in humans and animals.

protocol

Detailed plan for treatment of an illness

radiation

Energy carried by a stream of particles

relapse

Recurrence of a tumor after treatment

remission

Partial or complete disappearance of symptoms of a disease

ribonucleic acid (RNA)

Cellular substance that represents a copy of DNA and directs the formation of new protein inside cells.

sarcoma

Cancerous tumor derived from connective or flesh tissue

serous

Having the appearance of a thin, watery fluid (serum)

sessile

Having no stem; characteristic of some polypoid tumors.

solid tumor

Tumor composed of a mass of cells

staging of tumors

System of evaluating the extent of spread of tumors.

viral oncogenes

Pieces of DNA from viruses that infect a normal cell and cause it to become malignant

alveol/o

small sac

cac/o

bad

carcin/o

cancer, cancerous

cauter/o

burn, heat

chem/o

chemical, drug

cry/o

cold

cyst/o

sac of fluid

fibr/o

fibers

follicul/o

small glandular sacs

fung/o

fungus, mushroom

medull/o

soft, inner part

mucos/o

mucous membrane

mut/a

genetic change

mutagen/o

causing genetic change

necr/o

death

onc/o

tumor

papill/o

nipple-like

pharmac/o

chemical, drug

plas/o

formation

ple/o

many, more

polyp/o

polyp

prot/o

first

radi/o

rays

sarc/o

flesh, connective tissue

scirrh/o

hard

xer/o

dry

-blastoma

immature tumor

-genesis

formation

-oma

mass, tumor

-plasia

formation, growth

-plasm

formation, growth

-suppression

to stop

-therapy

treatment

ana-

backward

apo-

off, away

brachy-

short (distance)

epi-

upon

meta-

beyond; change

tele-

far

cytogenetic analysis

Chromosomes of normal or tumor cells are examined for breaks, translocations, or deletions of DNA

immunohistochemistry

Localizing antigens or proteins in tissues using labeled antibodies

protein marker tests

Measure the level of proteins in the blood or on the surface of tumor cells

bone marrow biopsy

Aspiration of bone marrow tissue and examination under a microscope for evidence of malignant cells

bone marrow or stem cell transplantation

Bone marrow or stem cells are infused intravenously into a patient

fiberoptic colonoscopy

Visual examination of the colon using a fiberoptic instrument

exfoliative cytology

Cells are scraped from the region of suspected disease and examined under a microscope

laparoscopy

Visual examination of the abdominal cavity using small incisions and a laparoscope. Also known as peritoneoscopy.

mammography

X-ray examination of the breast to detect breast cancer

radionuclide scans

Radioactive substances are injected intravenously, and scans of organs are obtained.