13- Metastasis Flashcards
What is metastasis?
spreading to other tissues
Which type of tumor (primary or secondary) that is responsible for the death of patients?
secondary
What do cancer patients die of?
organ failure
What (freeway) systems do tumor cells use to travel throughout the body?
lymphatic | circulatory
What are metastatic cells called?
mets
What is parenchyma?
tissue area of an organ that is functional (inner part)
What is stroma?
tissue part of an organ that is structural (outer part)
Which, stroma or parenchyma, do tumor cells originate from?
can be from both
Is the method that tumor cells spread random or systematic (there is a pattern)?
there is a pattern
What are nude mice?
mice with no immune system = allows us to study carcinogenesis
What is intravasation? When does this happen?
tumor cells push through endothelial cells to get into the vessels | after angiogenesis
What is extravasation?
tumor exits vessels »_space;> replicates and grows secondary tumor on another organ
What is Stage I of cancer?
local | no invasion
What is Stage II of cancer?
some invasion | tumor cells not yet seen in lymph nodes (via biopsy)
What is Stage III of cancer?
more invasion | begin to see tumor cells in lymph nodes = may need to resect lymph nodes
What is Stage IV of cancer?
metastasized tumor cells = have invaded other tissues
How do we know it’s metastasis versus a primary tumor?
primary tumor = a lot of disruption of tissue (due to invasion) | mets = more defined orders
Why do tumor cells have a preference? Why do they go to certain areas?
tumors have cell-surface receptors »_space;> when traveling throughout body = areas secreting chemicals that stimulate its receptors = will stay there
What is “metastasis homing”?
dictated by the relative abundance of chemokines and receptors on the tumor cell = the more of both = will stay at that area
What does “SCP” stand for?
single clonal population
What does metastasis homing help explain in oncology?
explains the patterns of secondary tumor formation certain cancers associate with
What are the 3 types of homing mechanisms?
selective growth | selective adhesion | selective chemotaxis
What is the homing mechanism of selective growth?
selectively grow only in organs with appropriate growth environments, but travel aimlessly | no chemokines involved
What is the homing mechanism of selective adhesion?
stick only to endothelial cells at site of organ that it calls home