Symptoms
& History
Physical
Findings
Stop
& Think
Lab
and X-Ray
Differential
Diagnosis
The
Disease
Treatment
Conclusions
Quiz
& Evaluation |
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Prognostic
factors continued
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Proliferate rate:
tumors with high proliferate rates have a poorer prognosis.
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Increased S-phase fraction by
cytometry.
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Higher mitotic count by cytometry.
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Detection of cell cycle proteins;
cyclins and Ki-67.
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DNA content: aneuploid
and hyperploid tumors have a slightly worse prognosis.
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Gene expression:
tumors with oncogene expression and decreased expression of supressor genes
have a worse prognosis.
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Angiogenesis:
the greater the degree of angiogeneis, the more like a tumor will subsequently
metastasize.
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Proteases:
tumor proteases may be involved in degrading extracellular matrix, thereby
fostering tumor invasion. The higher the level, the worse the prognosis.
Therapeutic
overview
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