Cancer Flashcards

1
Q

What is a tumour?

A

Any kind of mass forming a lesion.

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2
Q

What is neoplasm?

A

Autonomous growth of tissue that has escaped normal constraints of cell proliferation.

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3
Q

What can neoplasm be divided into?

A

Benign (remains localised) and malignant(invades locally or spreads to distant sites).

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4
Q

What are cancers?

A

Malignant neoplasms - Escaped normal constraints of cell proliferation and can invade locally or spread to distant sites.

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5
Q

What is a hamartoma?

A

Benign overgrowth. Disorganised mass and is slow growing.

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6
Q

What is a heterotopia?

A

Normal tissue in the wrong place.

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7
Q

What is a teratoma?

A

Tumours derived from germ cells. Can contain tissue from 3 germ cell layers and can contain cancers.

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8
Q

What is the general rule for tumour suffixes?

A

oma = benign and sarcoma = malignant soft tissue tumour.

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9
Q

What malignant tumours end in ‘oma’?

A

Lymphoma, Melanoma, Hepatoma and Teratoma (not all malignant).

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10
Q

What does cancer grade refer to?

A

Tissue architecture. How much does it look like compared to the normal physiological state.

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11
Q

What may you see if you look at cancer cells?

A

High nucleo-cytoplasmic ratio. Abnormal mitosis (tripolar - 3 daughter cells).

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12
Q

How do malignant tumours spread?

A

Direct extension - invasion
Blood vessels - usually veins and capillaries as they have thinner walls
Lymphatic system
Transcoelomic - Metastasis across a cavity
Perineural - Spread around a nerve.

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13
Q

How do cancer cells spread by direct extension?

A

Desmoplastic response - fibroblast proliferation. Angiogenesis.

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14
Q

What does cancer stage mean?

A

How much tumour has spread.

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15
Q

TNM system breakdown

A

T = Tumour size or local invasion
N = Number of lymph nodes involved
M = Presence of metastases

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16
Q

For tumour prognosis what is worse? Stage or grade.

A

Stage.

17
Q

How do most epithelial cancers metastasise first?

A

Via lymphatics.

18
Q

Malignant vs benign tumour differences?

A

Malignant tumours metastasise to distant sites whereas benign tumours do not. Malignant tumours have a less well defined architecture than benign tumours.