Cancer (13) Flashcards
What is a tumour?
- any kind of mass forming lesion
- may be neoplastic, hamartomatous, or inflammatory e.g. nasal polyps
What is a neoplasm?
- autonomous growth of tissue which has escaped normal constraints on cell proliferation
- may be benign (remain localised) or malignant (invade locally and/or spread to distant sites)
- cancers= malignant neoplasms
What are hamartomas?
- localised, benign overgrowths of 1 or more mature cell type e.g. in lung, hamartomas composed of cartilage and bronchial tissue
- architectural, not cytological abnormalities
What are heterotopias?
- normal tissue found in wrong part of body
- e.g. pancreas in wall of large intestine
How do we classify neoplasms?
- 1y based on cell origin
- 2y whether it is benign or malignant
How are squamous epithelial neoplasms classified?
- benign: squamous epithelioma or papilloma
- malignant: squamous cell carcinoma
- skin, oesophagus, cervix, vagina
How are glandular epithelial neoplasms classified?
- benign: adenoma
- malignant: adenocarcinoma
- breast, colon, pancreas, thyroid, small bowel
How are transitional epithelial neoplasms classified?
- benign: transitional papilloma
- malignant: transitional cell carcinoma
- e.g. bladder
How are smooth muscle neoplasms classified?
- benign: leiomyoma
- malignant: leiomyosarcoma
- e.g. uterus, colon
How are bone neoplasms classified?
- benign: osteoma
- malignant: osteosarcoma (or osteogenic sarcoma)
- e.g. arm, leg
What do we call malignant tumours of lymphocytes?
lymphomas
What do we call malignant tumours of bone marrow?
leukaemias
- e.g. acute lymphoblastic leukaemia
What are teratomas?
- tumours derived from germ cells
- contain tissue from all 3 germ cell layers e.g. teeth, hair
- likely to form where there are germ cells e.g. ovaries
- mature or immature tissue, sometimes cancers
What are examples of malignant tumours with the suffix ‘oma’ instead of ‘sarcoma’?
- malignant lymphoma
- malignant melanoma
- hepatoma
- teratoma (rarely malignant)
What are the differences between benign and malignant tumours?
- invasion: direct extension into the adjacent connective tissue and/or other structures e.g. blood vessels–> cancer
- metastasis: spread via blood vessels to other parts of body–> all malignant tumours can metastasise
- differentiation: how much the cells of the tumour resemble the cells of the tissue it is derived from e.g. higher nuclear-cytoplasmic ratio and more mitoses in tumour cells
- growth pattern: tumours have less well-defined architecture than the tissue they are derived from