abnormal cell growth Flashcards
what is agenesis?
complete absence of an organ primordium like a kidney, absence of part of an organ or absence of the cells within an organ
what is aplasia?
absence of an organ coupled with the persistence of an organ anlage or a rudiment that never developed such as a lung where the bronchus ends blindly
what is hypoplasia? give an example and what this is
reduced size owing to the incomplete development of all or part of an organ e.g. microphlamia which is where the eyes are small
what is dysgraphics? Give an example of what it ius
defects caused by the failiure of apposed structures to fuse e.g. spina bifida which is incpmplete closure of the neural tube causing the spinal cord to remain exposed
what is atrophy? what can it occur as a result of? give an example of a physical atrophy
-shrinkage in size of cells by loss of cell substance causing loss of tissue or reduced cell division
-decreased workload, diminshed blood supply, loss of innervation and inadequate nutrition e.g. when a broken leg is in a cast and doesnt get used
-decreased synthesis/ increased metabolism
-ovary post menopause
what is hypertrophy, what does it often occur with?
-an increrase in the size of cells and hence increase in the size of an organ for example the uterus in pregnancy undergoes hypertrophy
-hyperplasia
what is hyperplasia? what causes it? give an example of hyperplasia
the increase in the number of cells in an organ or tissue
-hormonal stimulation
-increased functi0onal demand like chronic inflammation
-persistent cell injury
-example is breast epithelium in pregnancy or while lactating
what is metaplasia? how might it occur? what might it lead to? what is the most common type?
the conversion of one differentiated cell type to another
-replacement of glandular epithelium with squamous
-response to persistent injury
-may lead to neoplastic transformation in dysplasia
-most common type is squamous metaplasia
what is dysplasia? what is it associated with? what could it lead to the development of?
an alteration in the size, shape and organization of the cellular components of a tissue in the superbasal layers and is often subsequent to metaplasia
-commonly associated with squamous epithelium
-usually the lesion that is present before a carcinoma develops
how is a carcinoma in situ differnet to a carcinoma that is invasive?
it still has an intact basal membrane
what are the characteristics of a carcinoma in situ?
-thick, disorderly arrangement of cells
-mitoses above the basal layer
-individual cells form keratin beneath the surface
-pleomorphism
-increased nuclear-cytoplasmic ratio
what are the stages in the development of invasive cervical cancer?
- start as normal columnar epithelium and normal squamous epithelium
- metaplastic squamous epithelium
- dysplastic squamous epithelium
- carcinoma in situ
- invasion through underlying basement membrane
- metastases
- establishes new growth at new site
when does a carcinoma become invasive?
once it’s broken through the basement membrane
what are the stages of development of an invasive carcinoma?
- invasion of the basement membrane through binding and degradation
- this is by expressing surface adhesion molecules where tumour cell adehsion molecules bind to the underlying extracellular matrix
- tumour cells disrupt and invade the extracellular matrix
- tumour cells metastasize by way of blood vessels or lymphatics
- they then exit from circulation by adhering to the epithelial cells and emigrating through the blood vessel to form a secondary deposit
- angiogenesis is needed for survival and growth of the tumour so growth factors are secreted
- a new blood supply is established for the growing tissue
what is the scientific term of a cancer?
neoplasm
what are the different types of cancers?
-carcinomas (most common) and are epithelial
-sarcomas which occur in connective tissue, muscle and bone
-leukemias and lymphomas occur in circulatory or lymphatic systems
-blastoma occurs in precoursor stem cells ( in foetus)
-teratoma which may contain immature or fully formed tissue not normally present at the site
what are the classifications of cancer by cell type
-adenomatous which are carcinomas derived from ductal or glandular cells
-squamous - derived from squamous epithelial cells
-myeloid derived from blood cells
-lymphoid derived from lymphocytes