Oncology 101

Oncology 1011CancerInvasive or Infiltrative CancerCarcinoma in situMetastasisHow does Cancer Spread?Locally advancedDistant spread (ONC 30)Cell TypeLymphomaLarge B cellAnaplastic T cellMALTMantle CellFollicular Low GradeNon Small Cell Lung CancerAdenocarcinomaSquamous Cell CarcinomaPoorly Differentiated CarcinomaDifferentiation and Grade

Cancer and ImagingMetastatic DiseaseRegional Metastatic Lymph Nodes

Points to Remember:Review Primary GL firstSome ONC GL specify cell typeSome Onc/Heme diseases do not have GLLymphoma is systemic diseaseConventional imaging first for metastatic disease (generally)CT contrast in Cancer clientExceptionsHPContraindicationsCommon Blood Tumor Markers and ChemistriesTumor MarkersOther useful Blood Chemistries

ChemotherapyNeoadjuvantAdjuvant

Maintenance

Targeted Oncology DrugsMonoclonal antibodiesSmall molecule inhibitors

Pediatric Oncology GL TipsPhases:* Screening* Initial Staging* Treatment Response* Surveillance* Recurrence** Imaging prior to bx and following histologic confirmationMeaningful ContactPediatric Onc vs Adult OncArachnoid Cyst for pediaFollicular Lymphoma for pediaAdult RetinoblastomaEwings SarcomaAdult Oncology Guideline TipsOnc GL are cell specificOnc GL are categorized according to primary site of CA

Oncology Member Medical HistoryDODCell TypeLocationStaging: Initial and CurrentTNM system

Continuation: Onc Member HxTreatment and Treatment DatesType of TreatmentSurgeryChemoRadiation Therapy (XRT)Concurrent chemo and RT (chemoXRT)Concurrent chemoRT followed by chemo (chemoXRT, chemoEndocrine drug therapy (hormonal)Radiofrequency Ablation (RFA)Chemotherapy embolization (chemoembolization) also Trans Arterial Chemo Embolization (TACE)Continuation: Onc Member HxRecurrence/MetastasisImagingONC 1.1 CT Neck, Chest, PelvisLung Nodules in Client with Cancer History

Node ImagingCardiac Imaging in Oncology

Specific CancersContinuation:

ONC 2.2 Special Consideration SRS & Metastatic Disease

ONC 12 Breast CancerONC 13 Sarcoma and Kaposis SarcomaSubtypes:ClassicEndemicIatrogenicAIDS associatedONC 26 Multiple Myeloma

ONC 28 LymphomaONC 1.1 PET SCANONC 29.1 Medicare FDG PET RequestsPearls

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