Nuclear Medicine · MU Sofia

7. Targeted therapy. Classes, mechanisms of action, representatives and common toxicities.

Walks through the typical pathway of a patient with oncological disease, from urgent referral and initial imaging and blood tests through histology, staging and the start of treatment. It then describes choosing a treatment method, repeated treatment rounds with imaging to check progression, and the switch to second-line therapy when there is no response. It ends with post-remission monitoring for relapse.

Inside: 1 section · 11 flashcards · 1 min

Topic 40 of 50 in the MU Sofia syllabus for Nuclear Medicine (Medicine, Year 4). The free AceMed note covers it in 1 section, about 96 words (1 min of reading), with 11 flashcards.

In this note

  1. Patient pathway with oncological disease

Patient pathway with oncological disease

The pathway looks something like this:

  • Suspicion of symptoms - urgent referral
  • Initial imaging and blood tests
  • Histology
  • Diagnosis
  • More detail scanning for staging
  • Initiation of treatment

The treatment pathway looks like this:

  • Decide on prefered treatment method (e.g Surgery/chemotherapy/radiotherapy or combination)
  • Multiple rounds of treatment
  • Imaging to detect progression of treatment
  • If improved, continue treatment. If no change or tumor growth, consider moving to second line treatment.

When patient is declared as being in remission, they are then monitored for a period of time (varies based on type of cancer) in order to detect relapse.

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