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Beknopte samenvatting oncologie inclusief AGHO lijst

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Samenvatting van oncologie. tweedejaars vak op de master farmacie in Leiden. Het is een beknopte samenvatting. Aan bod komt de agho lijst, melanoom, longcarcinoom, prostaatcarcinoom, borstcarcinoom, (orale) oncolytica, klassieke oncolytica (chemo), immuuntherapie en meer

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  • December 21, 2024
  • 34
  • 2024/2025
  • Summary
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Oncologie: beknopte samenvatting




Universiteit Leiden
Farmacie

Oncologie
2024 -
2025

,introductie
oncologie
Solide tumoren

carcinomes/sarcomen/mekomen
adenocarcinoom mamma ,
colon , prostaat
↳ basadelcarcinoom kund

carcinomes-epitheelcellen plaveicelcarcinoom luid , lang blaas
,




Osteosarcoom-bot
↳ sarcomen : bot en weke delen Kaposisacroom-wekdelen -
vaak agu immumdericientie




↳ melanomen :
melocyten ~


Hematologische tumoren
acuut us dronisch

↳ leukemien : bloedvormend weefsel of beenmerg hoge WBC's werdring normale cellen Lymfoblast us
myeloid
hodgkin
↳ Lymfomen :
Lymfocyten nanhodgekin
ziekte v Kahle
↳ plasmacel =
.




afwijkingen :
plasmacellen stapelen in beenmerg
,
- multiple myeloom




Classificatie
TNM - > Tumor 1-4 ,
Node o-2 ,
Metastase 0-1


↳ inmi : beperkt tot slijmvlies/binnenste Spierlaas
L Tami : door spierlaas
↳ Inmi :
uitzaainigen lymfeklieren in de buruut

↳ Thm weefsel/verre lymfeklieren
:
uitzaaiingen ander




pr
originele lokalisatie >
metastase (vaak naar dit weelse


Darmen/maag lever
lever
mamma ,
bot , orofanyx,
Schildklier prostaat , (bij) nie
,
via longaderen , aorta



langen >
-
hersenen ,
bot ,
leer




Doseren op BSA =
mg/m2 m2 =
lengte in cm -


gewicht in leg-mosteller formule
3600

Carboplatin doseer
je op Al en gfr Lockraft-Gaut
Carboplatindose (mg) =
(targetAuc) . (GFR + 25)

↳ gfr aufkappen op
125



↳ 6
All afkoppen op

↳ max
gooms

,Hallmarks



1
2




3
10


Y


9

5

O
6
7




1) tumor maakt zelf egfr an/ geeft Signaal zonder binding
↳ bu HER 2 borstkanker

2) RB en P53 mutaties

L BRACA borstkanker

3) Arti CILAy/PD1

4) onbeperkt delen
5)
ontsteking - angiogenese /
groeifactoren
6) blodban-metastase
veradeing binding cellen - Sneller in


7)
angiogenese - >
graifactoren /wegf
8)
verhoogde mutatie graad
↳ colonconce

9) P53 mutatie

10) meer anaeroob /zur metabolisme

, Belangrijke pathways
HAT en HDAC

HAT :
acetyleet histon -


minderbouwing - > Activeert transcriptie

HDAC :
de-acetyleat historen - >
onder drukt transcriptie



celcyclus :



G1 fase :
replicatie organelle
S Fase : DNA replicate

G Fase :
productie benodigde enzymen
M Fase : Mitose + Cytokinese : delen in 2 cellen




Checkpoint inhibitors :
Cycline + CDK binding , dan pas door na volgend
Fase
cycline D + CD 4/6 -
> door de G1

E + CDr 2 G1 -S
Cycline -


-1
door des
CyclireA + CDk 2


Cyclise A/B + CDk1 - G2 - m




61 checkpoint :



RB is
Zondergroeisignaal :
gehypofosforgleed
-
>
binding Elf en HDAC

↳ anderdrukt transcriptie
P53 Is Pri = (DK RB-onderdrukking transcriptie
met groeisignaal : Cycline DIE + CDK4/6 en 2
fosforgleren RB vrijkomen E2F en HDAL
,

· Pis e RB
zijn tumor supressor genen


G2 checkpoint
D)NA-schade : activatie ART/AT -> activatie (HK1 e 2 >
-
inhibitie (DC25

WEE1 "activeert (DK1-1 apoptose
WEE1 remmers ic carbopl -> drukt de cel mitose in met mutaties v.




Carboplat ->
apoptose
schade : Cycline B + CDK 1 complex - door naar m Fase
geen

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