Benign Vs Malignant Flashcards

1
Q

4 morphological charact. that diff. between benign & malignant tumors

A
  • differentiation
  • local invasion
  • growth of transformed cells
  • growth pattern
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2
Q

Differentiation definition

A
  • when parenchymal cells look like normal cells, morphologically and functionally
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3
Q

Benign tumors are…

A

Well differentiated

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4
Q

Malignant tumors are

A

Well diff-poorly diff

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5
Q

Dysplasia

A
  • disordered growth
  • in epithelia
  • loss of cell uniformity in individual cells and architectural orientation
  • can be preneoplastic
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6
Q

Anaplasia

A
  • loss of cell diff
  • can be called dedifferentiation
  • reversion of cells to more primitive form
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7
Q

Cytologic characteristics of anaplasia

A
  • pleomorphism
  • abnormal nuclear morph
  • lg. nucleoli (incr. protein synthesis)
  • mitotic figures & abnormal incr. in # of mitoses
  • loss of polarity
  • formation of tumor giant cells
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8
Q

Pleomorphism definition

A

Variation in size & shape of cells

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9
Q

Characteristics variations of pleomorphisms

A
  • nuclear:cytoplasmic
  • anisokaryosis & poikilokaryosis
  • anisocytosis & poikilocytosis
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10
Q

Abnormal mitoses

A
  • large #s of mitoses
  • mitotic figures (tripolar, quadripolar, multipolar)
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11
Q

Loss of polarity

A
  • cell orientation disturbed
  • cells grow in disorganized fashion
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12
Q

Tumor giant cells

A
  • lg. polymorph. nucleus or multiple variant nuclei
  • not same as normal giant cells
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13
Q

Functional differentiation

A
  • better diff.= cell will more likely resemble normal cells
  • anaplasia incr.= enzymes and specialized pathways may be lost-> simplification (functional)
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14
Q

Sign of squamous cell carcinomas

A

Keratin pearls

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15
Q

2 types of functional differentiation

A
  • some elaborate fetal proteins not produced. by normal counterpart cells
  • some cancers of non-endocrine origin can secrete endocrine-like hormones
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16
Q

Functional abnormalities can cause…

A

Paraneoplastic syndromes

17
Q

Growth of benign tumors

A
  • expansile, but localized to site of origin
  • no capacity to invade or metastasize
  • develop CT capsule
18
Q

Malignant tumor growth

A
  • grow via progressive infiltration
  • invasion/destruction of surrounding tissue
  • typically not encapsulated
19
Q

Carcinoma in situ

A

Malignant tumor that hasn’t invaded beyond BM

20
Q

Factors involved in tissue’s resistance to tumor invasions

A
  • physiochemical characteristics of matrix
  • stability & low turnover of some tissues
  • elaborate inhibitory substances
21
Q

Metastasis indicates

A

Malignancy

22
Q

Types of metastasis

A
  • seeding of body cavities
  • lymphatic spread
  • hematogenous
23
Q

Lymphatic metastasis is common in

A

carcinomas

24
Q

Hematogenous metastasis

A
  • uses venous flow
  • used by sarcomas
  • if arterial, then can occur in pulmonary capillaries, arterio-venous shunts, or pulmonary mets
25
Q

Metastasis is a hallmark of

A

Malignancy

26
Q

Prereqs for tumor metastasis

A
  • break loose from primary mass
  • CT -> Vessels
  • enter bv or lymphatics
  • 2ndary growth @ new site
27
Q

T or F: only a small fraction can detach from primary tumor site

A

True

28
Q

T or F: Fully evolved cancers are homogenous w/ metastatic potential

A

False; it is heterogenous

29
Q

Components of extracellular matrix

A

BM & Interstitial CT

30
Q

Bm

A
  • Separates CT from ICT
  • made of type 4 collagen, laminin, and proteoglycans
31
Q

Laminin

A

Binds epithelial cells and type 4 collagen

32
Q

Type 1 collagen

A

Most abundant

33
Q

Proteoglycans

A
  • retains h2o in tissues

(Maintains shape and volume of ct)

34
Q

Fibronectin

A

Adhesion protein

35
Q

Invasion

A
  • dissociation of cells
  • degradation of matrix components
  • migration and invasion of tumor cells -> degraded ecm