Benign and malignant tumours: Tumour classification Flashcards
Define tumour
Any abnormal swelling (e.g. neoplasm, inflammation, hypertrophy and hyperplasia)
Define neoplasm
A lesion resulting from the autonomous or relatively autonomous abnormal growth of cells which persists after the initiating stimulus has been removed:
Autonomous -> Abnormal -> PERSISTENT -> new growth
What is a lesion
A localised abnormality
Why should we study neoplasia
- 25% of the population
- All ages
- Increased risk with age
- Mortality rate high
- 20% of all deaths (malignant neoplasia)
What is the most common form of cancer in males
Prostate cancer
What is the most common cancer that men die of
LUNG cancer
Where do neoplastic cells derive from
Nucleated cells that are monoclonal
What is the growth pattern of neoplastic cells
SImilar to parent cells
What does the neoplastic cell produce
The same products as the parent cells
What is the role of a neoplatic cell’s stromas
Connective tissue framework
Mechanical support
Nutrition
Is every cell in a neoplastic tissue a neoplast
No
How long can a tumour grow
2mm in diamterer
Outline the stages of tumour development
- Avascular tumour nodule forms
- Tumour becomes vascularised
- Vascularised tumour has central necrosis
Why is the centre of a neoplastic tumour dead
Because it’s not vascularised
What is needed for neoplastic tumour growth
Angiogenesis
Define angiogenesis
Production of new blood vessels
Why do we classify neoplasms (2)
- Determine appropriate treatment
2. Provide prognostic information
What are the two methods of neoplasm classification
Behavioural (benign/malignant/borderline)
Histogenetic (cell origin)
Where are borderline neoplasms found
Ovary (they look benign, not malignant)
5 characteristics of benign neoplasms
- Localised, non-invasive
- Slow growth rate
- Low mitotic figures
- Close resemblance to normal tissue
- Circumscribed or encapsulated
How common is necrosis and ulceration in benign neoplasms
rare
Define adenoma
Benign tissue formed from glands in epithelium
Why do we worry about benign neoplasms
- Pressure on adjacent structures
- Obstruct flow
- Production of horses
- Transformation to malignant neoplasm
- Anxiety
What are 5 characteristics of a malignant neoplasm
- Invasive
- Metastases
- Rapid growth rate
- Variable resemblance to normal tissue
- Poorly defined or irregular border
Why are malignant neoplasms poorly defined
Because the cells are all invading each other and the matrix
How can we identify a malignant neoplasm under a slide
- Common necrosis
- Ulceration common
- Growth on mucosal surfaces
4 Endophytic - Hyperchromatic and pleomorphic nuclei
Why do we worry about malignant neoplasms
- Destroy tissue
- Metastases
- Blood loss from ulcers
- Obstruction of flow
- Hormone production
- Anxiety and pain
Define histogenesis
Specific cell of origin of a tumour
Where do neoplasms in general arise from (3)
Epithelial cells
Connective tissues
Lymphoid/haemopoietic organs
What is the nomenclature of a neoplasm
Has suffix - oma
Prefix is cased on behavioural classification and cell of origin
What is a papilloma
Benign tumour of the epithelium that is non-glandular
What is an adenoma
Benign tumour of the epithelium that is GLANDULAR
What is a carcinoma of an epithelium
Malignant neoplastic tumour of epithelial cells
^all you need dos ay for the exam
What is an adenocarcinoma
Malignant tumour of epithelial cells with glandular structures
What is a lipoma
Adipocyte benign neoplasm
What is a chondroma
Cartilage benign neoplasm
What is an osteoma
Bone benign neoplasm
What is an angioma
Vascular benign neoplasm
What is rhabdomyoma
Benign striated muscle neoplasm
What is a leiomyoma
Smooth muscle benign neoplasm
What if I had a liposarcoma
This is a MALIGNANT adipose neoplasm
What suffix is added to the name to indicate its malignant
SARCOMA (e.g. angiosarcoma)
What is anapaestic
Cell type origin is unknown
Is a granuloma a type of neoplasm
No
Is mycetoma and tuberculoma a type of neoplasm
No
What malignant tumours are an exception to the carcinoma and sarcoma nomenclature
- Melanoma
- Mesothelioma
- Lymphoma
- Embryonal tumours
- Teratoma
- Mixed tumours
- Named after people tumours
What are teratomas
Combination of the trilaminar disc layers
What is a carcinosarcoma
Malignant epithelium AND