Clinical Textbook Chapter 21: Oncology

malignant

______ tumors invade local tissues and can spread (metastasize) to other parts of the body, through blood and lymphatic vessels.

hemangiosarcoma

______ is a sarcoma that arises from blood vessels.

behave more aggressively

Tumor grade can have prognostic value, and higher-grade tumors are expected to

lymphoma

In dogs, the most common clinical presentation of ______ is a middle-aged dog with multiple markedly enlarged lymph nodes.

mast cell tumors

______ are the most common malignant skin tumors of dogs.

morphine

______ can cause mast cell tumor activation and histamine release that may result in severe hypotension. Therefore, use of this drug is contraindicated in mast cell tumor patients.

osteosarcoma

______ occurs most commonly in middle-aged, large breed dogs. It primarily affects the bones of the appendicular skeleton.

squamous cell carcinoma

The most common malignant oral tumor found in cats is

connective

Sarcomas arise from mesenchymal tissue, which is ______ tissue.

seed tumor cells to additional sites, cause degranulation of tumor cells thereby releasing harmful chemical mediators, and result in a nondiagnostic sample

Use of sloppy or improper biopsy or aspiration techniques of tumors may

excisional

______ biopsy attempts to remove the entire tumor.

programmed cell death

Apoptosis is defined as

radiation

______ treatment uses high-energy waves to kill cancer cells and shrink tumors.

palliative

______ radiation is used to reduce pain associated with the presence of a tumor and to improve the patient's quality of life.

white hair

After radiation therapy, the skin within the radiation field may have depigmentation, hyperpigmentation, leukotrichia, or alopecia. Leukotrichia means

nerve cells

Most traditional chemotherapy agents target metabolically active, rapidly dividing cells. These agents are not specific to cancer cells, however, and normal cells that are also metabolically active and rapidly dividing will be affected by these treatments as well. These normal cells don't include

chemotherapy-rated gloves, double-gloving with latex gloves, and gloves with no powder

Proper PPE for handling chemotherapeutic drugs involves

vesicants

Some chemotherapy agents, called ______, cause severe tissue irritation, blistering, and sloughing of skin and tissue if they are accidentally administered outside the vein.

multidrug resistance

Some dogs have a mutation in the ______ (MDR1) gene that results in an increased sensitivity to certain medications, including select chemotherapeutic agents.

anaphylaxis

______ is a serious and life-threatening allergic reaction to chemotherapy that may include difficulty breathing, hypersalivation, increased heart rate add blood pressure, vomiting, abdominal pain, diarrhea, hyperemic mucous membranes with increased capillary refill time, and swelling of the face, tongue, or throat.

cachexia

______ is a metabolic derangement seen in cancer patients with advanced disease. The syndrome involves muscle wasting and loss of the body's fat stores.

sarcoids

______ are the most common type of skin tumor in horses.

proto-oncogenes

Genes that promote cancer growth are called

carcinoma

What term is used to represent a tumor that arises from an epithelial tissue?

early detection

In addition to choosing the appropriate treatment, what is the most important factor for long-term treatment success when faced with a cancer diagnosis?

thorax

Radiography of the ______ is most commonly used initially to evaluate the presence or absence of metastasis?

the patient's age

What is not considered one of the four aspects of oncologic disease that allow for accurate staging of the cancer's progression?

surgery

What is the most likely treatment to provide a positive, long-term outcome in a cancerous animal?

doses should be as high as possible and delivered for short periods

What is generally true regarding the doses and delivery of chemotherapeutic drugs?

after the first dose

When do signs of acute tumor lysis syndrome (ATLS) occur in relation to chemotherapy administration?

to improve the patient's quality of life

What is the goal of palliative care?

the patient's hair

What would not reasonably pose a risk for chemotherapeutic agent exposure to a client?

squamous cell carcinoma

What type of cancer is found in cattle with pale, nonpigmented areas of a skin that are subject to prolonged exposure to sunlight?

mutagens

Environmental toxins that give rise to DNA mutations are called

after 5 to 7 days

When should you typically expect the neutrophil count to reach its lowest level in relationship to the animal receiving a chemotherapy dose?

hypercalcemia

The most common paraneoplastic syndrome seen in veterinary medicine is

carcinomas

______ arise from epithelial tissues, such as the skin, mucous membranes, and glandular structures, and they usually appear as a discrete mass.

sarcomas

______ arise from mesenchymal tissues, such as bone, cartilage, and other connective tissues.

lymphoma

______ is a cancer of immune system cells in which malignant lymphocytes clonally proliferate in lymph tissues throughout the body.

meningioma

Although a ______ is benign, it can cause severe neurological dysfunction because it localizes in the delicate brain and spinal cord.