changes in cells morphology, can be seen through a microscope
extracorporeal radiotherapy
infectedarea is resected and irradiatedoutside of the body, then replaced. over time, the irradiatedareafuses with normalbone and metalsupports can be removed
proliferation
how quickly the cancerouscellcopies its DNA and divides into 2 cells
metastasis
the tumour's ability to migrate via blood or lymphvessels
chronic
slow
acute
fast
carcinoma
mostcommontypeofcancer. most develop in organs or glands.derives from either epithelium or endothelium. can metasiseviabloodorlymph
sarcoma
mostraretypeofcancer.mostcommon in children. derived from mesoderm. usually metasise via blood
leukaemia -haemopoietic cancer
begins in bone marrow.derived from immaturemyeloid or lymphoiccells.
lymphoma- haemopoietic cancers
commence in lymph nodes. spleen, tonsils or thymus
CT scan (computerised tomography)
finestreams of x-rays from manyangles, visualiseanatomical details within 'slice'. - produce 3dimages
MRI (scan) Magnetic resonance imaging
detectsdensity of protons, when 'relaxed', protonsemitradiation: detected and measured. relativelysafe - noionisingradiation
PET scan (positron emission tomography)
images tissue function (not density). detects radiation given off by sugar
lung cancer
tumours reduce gas exchange, either directly or through haemorrhage
leukaemia
fewerred blood cells, altering the production of platelets and blood cells (haemopoiesis) - anaemia
gastrointestinalcancers
can perforateintestinal wall, may enable access to bloodstream or organs by foodmicrobes
cachexia
metabolic syndrome characterized by muscle mass loss with or without fat mass loss
cause of most deaths
metastasis
brain tumour
headache due to compression of neurons and vessels
stomachcancer
malnutrition due to reducedbreakdown of food
epidemiology
the study of occurrence and determinants of health and disease in population
mortality
number ofdeaths
cancers with worst prognosis
mesothelioma 2. other digestive organs 3. pancreas 4. unknown primary site 5. lung
cancer accounts for the high totalburden of disease in Australia
experiments where people are randomly put into groups to testtreatments.pros: good for provingcause and effect, lessbias.cons: can be expensive, not always ethical
prospective design
individuals are followedovertime and data about them is collected as their characteristics or circumstanceschange - noissue of recall bias
retrospectivedesign
individuals are sampled and information is collected about their past - possiblesubstantial recall bias, systematic error that occurs when participantsdo not rememberpreviousevents or experiencesaccurately
confounders
a variable that influences both the dependent variable and independent variable
relative risk
if its 1, nodifference.Above1 means higherrisk, below1 means lowerrisk
confidence intervals
if it includes1, not a bigdifference. If it doesn’t, there’s likely a significantdifference
cut - surgery
burn - radiotherapy
posion - chemotherapy
metastasis process
tumourcells become motile, secretingproteases that degradeextracellular matrix
invadesurroundingtissue
force through gapsbetweenliningblood or lymphvessels
force out through gapsbetweencells
degradeextracellularmatrix in newsite
enternewtissue and startproliferating
invadopodia
degradeextracellular matrix (ECM) and enableentry into vessels - secreteproteases
total body irradiation
radiation given to entire body, used with high dose anticancer drugs - patients with leukaemia, lymphoma, myeloma