Cancer Dr. Rana Flashcards

1
Q

cancer

A

uncontrolled cell growth

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2
Q

neoplasia

A

abnormal accumulation of cells , imbalance between cellular prolifteration and cellular attrition

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3
Q

tumor

A

swelling caused by abnormal growth of a tissue. Develops from a SINGLE CELL / They RETAIN the characterisistics of the cell. but have altered hiistological features

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4
Q

The 2 tumor types

A

benign- do not spread, round

malignant- invade , irregular shaped

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5
Q

familiy cancer

A

heriditary cancers, a specific gene is passed down. It is inherited thru germline cells

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6
Q

sporadic cancers

A

no identifiable inherited gene involved

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7
Q

what are the 3 main forms of cancer

A

sarcoma
carcinoma
hematopoitic/lymphodneoplasms

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8
Q

sarcoma

A

tumor of mesenchymal tissue such as bone , muscle, connective or nervous system

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9
Q

carcinoma

A

originate in epithelial tissue such as cells in large intestine , bronchi or mammary ducts

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10
Q

what are the 2 kinds of mutations involved in cancer

A

driver- invovled in development of cancer itself

passenger- RANDOM, not recurrent , does not directly cause neoplasia

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11
Q

for driver mutations what are the 2 broad catorgories of genes

A

oncogenes

tumor supressor genes

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12
Q

What is an oncogene? What is the normal gene called?

A

oncogene = mutant version of protooncogene.

protooncogenes are important for growth and survival . But when mutated they turn into oncogene and they keep growing without any apoptosis being able to occur

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13
Q

what are the 3 genes that oncogenes encode

A
  1. proteins for signaling pathways for cell proliferation
  2. transcription factors that control expression of grwoth promotoing genes
  3. inhibitors of programmed cell death machinary
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14
Q

what are the 4 kinds of gain of function mutations on oncogenes

A
  1. point mutation-one codon can get switched out for another
  2. Translocation - movement of the protoocogene to a new location
  3. Amplification of the gene
  4. Virus infection
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15
Q

What are the 2 main functions of tumor suppressor genes? What kind of mutation can occur?

A

they are the gate keepers/ care takers. Their main functions are to:

  1. control the cell growth by blocking tumor development.
  2. promote apoptosis

Loss of function mutations can occur

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16
Q

What does the 2 hit origin of cancer refer to

A

There is damage on both of the chromosomes leading to cancer

1st hit: DNA damage or inherited

2nd hit: Mutation , loss of heterozygosity, methylation

17
Q

if someone has an inherited predisposition to cancer that means they have a …

A

familial cancer

18
Q

how does sporadic cancer develop later in age

A

you inherit 2 normal alleles. 1 get damaged and then the other gets damaged during second hit leading to tumor development

19
Q

how does heriditary cancer develop

A

you inherit one damaged and one normal allele leading to cancer development

20
Q

What are some characteristics of familial cancers

A
  1. multiple generations affected
  2. Transmitted thru mom and dad
  3. increased risk of developing one or 2 tumors
  4. earlier age of onset
  5. multiple bilateral tumors
  6. variable penetrance
21
Q

What mutation causes retinoblastoma

A

mutation in a TSG (tumor suppressor gene)

22
Q

What are the key features of retinoblastoma

A

caused by: mutation in TSG

Malignant tumor of the retina in infants

usually have to remove the eye

40% of the cases are heritable