cancer Flashcards
Whos law stated that all cells come from other cells? Importance?
Virchow 1858.
Important for stem cells and that cancers must just come from normal cells that have aberrent organisation, lost the ability to assemble and create tissues of normal form and function
Tissue growth containing excess number of cells? E.g.
Hyperplasia- e.g. more cells than space allows so ingress into lumen/ chnage shape e.g. carcoma
Displaced but otherwise normal cells? E.g.
Metaplasia e.g. Barratts oesophagus- squarmous to columnar
Non-Invasive abnormal tissue growth?
Dysplasia- shape/form of cells different
Invasive, abnormal tissue growth?
Neoplasia- agressive, often cannot be well removed as not well defined and may be joined to other tissues
Tumour definition
created by cells that have lost the ability to assemble and create tissues of normal form and function
Major risk factor in cancer development?
AGE
75% of 75yr+ that die have a tumour but just haven’t died from (yet).
e.g. breast cancer during menapause
Example of a cancer that decreases with age?
Testis- highest incidence in 30’s
Brain peaks at 60 then decreases massively at 85 same as at birth
Hodgkin lymphoma peaks at 75- and then risk
decreases
(Cancer in WBCs in lymph system)
Is cancer increasing?
No but life expectancy is, therefore incidences are.
Migration study of cancer?
Japanses to hawaii , 1800’s and early 1900’s
Japanese: Low breast, colon and prostate but high stomach.
Caucasian: High prostate, breast, low stomach
If japanese migrate to hawaii: took to environment.
Why the chimney Sweep act in 1788?
Percival Pott noticed link between chimney sweeps and prostate cancer- epidemiology.
Who came up with the 20 year lag of smoking an cancer paper?
Richard Doll ‘father of epidemiology’
John Hill initially noticed link between snuff and nasopharyngeal cancer
Genetic contribution examples for cancer?
Rb -/+ retinoblastoma- cancer of retina
APC loss, increase wnt which maintains colon crypt stem cells, therefore increase risk of colon cancer (Familial adenomatous polyposis)
PTCH loss- Gorlin syndrome, only 10% dont get BCC
Hereditory breast cancer
Cancer can be …….(cancer predisposition)
monogenetic- so certain alleles of genes can give a predisposition
e.g. Rb, APC, BRCA2
Only need one sponatnous somatic mutation
Breast cancer genetic component?
BRCA2, constitutionally active. 80% risk if have hereditory breast cancer.