3- pathology review Flashcards

1
Q

what are features of soft tissue tumours

A

may present as a lump or swelling

  • may be associated pain or discomfort
  • wide range of lesions
  • superficial lesions less likely to be malignant
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2
Q

what is a ganglion cyst

A

Lump near a joint capsule or tendon sheath which commonly arise around the wrist. It is due to a degenerative change within connective tissue

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3
Q

what is a ganglion cyst histologically

A

space within myxoid material

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4
Q

how are synovial cysts formed

A

they can result from herniation of synovial or bursal enlargement

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5
Q

what is nodular fasciitis

A

Nodular fasciitis is a fast-growing lump in your soft tissue. It is caused by cellular proliferation of fibroblastic and myofibroblastic cells.

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6
Q

who is nodular fasciitis found in

A

young adults , upper extremity

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7
Q

what is the pathology of nodular fasciitis

A
  • superficial or deep
  • usually less than 5cm
  • circumscribed - usually
  • very cellular
  • plump cells; stellate and spindle
  • mature towards the periphery
  • haemorrhage
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8
Q

what is myositis ossificans

A

Myositis ossificans is a condition where bone tissue forms inside muscle or other soft tissue after an injury.

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9
Q

what is superficial fibromatoses

A

Superficial fibromatosis is a non-cancerous tumour made up of a specialized type of connective tissue called fibrous tissue

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10
Q

what are features of superficial fibromatoses

A
  • common
  • M>F
  • average age 60
  • idiopathic
  • recognised associations: alcohol, anticonvulsants
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11
Q

what is Dupuytrens pathology

A
  • firm grey and white tissue
  • nodules and fascicles
  • bland fibroblasts
  • dense collagen
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12
Q

what is deep fibromatosis

A

Deep fibromatosis or desmoid tumor (DF/DT) is a low-grade, soft tissue lesion that is notable for its infiltration and local recurrence and its inability to metastasize.

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13
Q

who often gets deep fibrzomatosis

A
  • young adults (teenage to 30)
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14
Q

where is deep fibrzomatosis usually found

A

sites:
- musculo-aponeurotic tissue of abdominal wall
- mesenteric tissue
- limb girdles

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15
Q

what is tenosynovitis

A

giant cell tumour of tendon sheath

  • digits and wrist
  • reactive proliferation
  • excise and rarely occur

pigmented villonodular synovitis

  • similar histology
  • large joints
  • more likely to occur
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16
Q

can cells be grown from fresh tissue

A

yes

17
Q

what are the tumours derived from adipose tissue called (malignant/benign)

A

malignant - liposarcoma

benign - lipoma

18
Q

what are the features in the grading of sarcomas

A
  • degree of differentiation
  • degree of proliferation: mitotic count
  • prescience of coagulative necrosis
19
Q

what is a tumour of smooth muscle called

A

leiomyoma

leiomyosarcoma

20
Q

what are tumours that are derived from skeletal muscle

A

rhabdomyoma

rhabdomyosarcoma