Cancer Flashcards
What are the most common cancers?
Bowel,prostate,breast and lung
Define cancer?
Highly invasive and destructive neoplasms
What is oncology?
The study of neoplasms
What is a neoplasm?
Cells formed from irreversible deviant cell division
What is a tumour?
Collection of neoplasms that have lost genetic control of proliferation and differentiation
What is a benign tumour?
A localised tumour that has lost control of proliferation but the cells closely resemble the origin (still function how they should normally).
What is a malignant tumour?
A destructive and invasive tumour, which doesn’t resemble the cells of origin
Melon ant tumours usually end with what suffix’s?
Carcinoma or sarcoma
Features of a benign tumour?
Differentiated cells Similar to normal cell Fairly normal mitosis Relatively slow growth Expanding mass Normally encapsulated Localised Systemic effects are rare
Features of a malignant tumour?
Cells vary in size,shape and nucleus Undifferentiated cells Increased mitosis Rapid growth Non adhesive cells, infiltrate tissue No capsule Invades nearby tissue, and metastasis via blood or lymph Systemic effects Life threatening
Why does cancer occur?
Due to carcinogenic agents damaging cell genes(DNA) and then the repair of these genes malfunctioning .
Therefore the cells DNA is altered meaning it doesn’t reproduce normally (increased growth and reproduction/ proliferation), doesn’t carry out its normal function (differentiation) and doesn’t die (apoptosis) when it’s supposed to.
Characteristics of cancer cells?
- Antigens on the surface causing chronic inflammatory response
- large nucleus meaning they can rapidly divide
- Secrete substances that affect other body systems
- Slippery so can travel easily
- Increased energy expenditure so deprives surrounding cells of nutrients
- Rapid angiogenesis (forming of blood vessels) so can travel easily
What are mutator genes? Give names and functions of two?
Genes that repair mutated DNA,
Pronto oncogenes regulate cell function.
Tumor suppressor genes prohibit over proliferation of cells and regulate apoptosis
What are the 3 stages of developing cancer?
Initiation-
carcinogenic agent that damages the Cells DNA
Promotion-
expansion of the mutated gene, where promotors cause further changed to the DNA resulting in reduced function of cells and increased growth.
Progression-
Malignant tumour forms
Give examples of carcinogens including: Ionising Hormones Chemicals Viruses and bacteria?
X-rays, uv rays
Oestrogen
Tobacco, asbestos, insecticides
HPV, hepatitis B and C
What are the 4 ways of cancer spreading?
Local spread-
Proliferation of neoplasms within the tissue of origin
Direct extension-
Tumour moves into the adjacent tissue and organs
Seeding-
Malignant tumour moves along the membranes of peritoneal and pleural cavities, accessing organs within
Metastases-
Neoplasms spread to distant sites via the lymphatic and blood vessels
How is cancer classified?
Size, extent, spread and nodes
TNM staging system:
T =primary tumor
N= lymph nodes
M= metastasis
What is are the characteristics of a grade I or II tumour?
Resembles the size,shape,structure and mitigation activity of the tissue origin.
And still holds some of its function ( well differentiated)
What’s the characteristics of a grade ||| or |V tumour?
Highly undifferentiated and shows little or no resemblance to the tissue of origin
What are the warning signs of cancer?
Unusual bleeding or discharge Change in bowl or bladder habits Change in wart or mole Sore that doesn’t heal Unexplained weight loss Anaemia Persistent fatigue Persistent Cough without reason Lumps
What the manifestations of cancer
Systemic inflammatory and immune response eg. Fever,anorexia,weight loss
Increased metabolism
Paraneoplastic symptoms (indirect changes in the body function) eg.sweating
Pain in tumour region
And changes in blood
What are the 3 possible goals of cancer treatment?
- Completely eradicate neoplasm
- Control continued growth and spread
- Reduce symptoms but cancer isn’t cured
Name 6 initiation agents?
Oestrogen Red and processed meat Smoking Alcohol Obesity UV Rays
What are the Oestrogen risk factors and potential initiation processes?
- Early menarche (early periods),
- Late menopause,
- no/limited breast feeding,
- Contraceptive pill,
- HRT (hormone replacement therapy),
- Obesity,
Oestrogen increases the activation-induced deaminase (AID) in b-cells. AID causes hyper mutation in B-cells as part of antibody production, as well as cancer causing mutations is B-cells.