cancer pathology Flashcards
What are the 3 types of cancer cells
epithelial cells (squamous)
mesoderm
glandular
what is gene silencing
interruption of gene expression at translational or transcritpional level
what feature of cancer cells allow them to have unlimited replicative potential?
they maintain telomere length
what system do cancer cells get energy from?
AEROBIC glycolysis
what is the difference between somatic mutation and germline mutation?
somatic mutation= acquired
germline =heriditary
(think germ cells)
what protein is the basement membrane made of? and what muscle
made up of extracellular matrix proteins
(smooth muscle cells )
what cell is involved in cell-cell adhesion ?
e-cadherin
what type of cancer would usually be indicated by mutation or deregulation of e-cadherin?
epithelial cancer
what are the 2 different mechanisms of metastasis?
polyclonal
monoclonal
name 2 different patterns of metastasis?
branched
linear
what is epithelial mesenchymal transition?(EMT)
epithelial cells loose their cell-cell adhesion and gain invasive/migratory properties
what is angiogenic switch?
when the pro-angiogenic out way the anti-angiogenic causing angiogenesis
what is angiogenic switch controlled by?
hypoxia
what is the aim of chemotherapy ?
to induce apoptosis
be familiar with the 3 main types of chemotherapy
antimetabolites
alkylating agents and platinum
drugs
organic drugs
be familiar with the 3 main personalised systemic cancer therapies
hormonal therapies
targeted therapies
immunotherapy
give an example of an hormonal therapy used in cancer
anti-oestrogen
give example of targeted therapy used in cancer
tyrosine kinase inhibitors
give an example of immunotherapy used in cancer
pem..
what can be given to block progression of cells through cell cycle?
CDK inhibitors
what do immune checkpoints ensure?
self tolerance is maintained
2 vaccines used in cancer prevention
HEP B and HPV
give an example of local therapeutic cancer treatment
radiotherapy (use anatomical coverage)
surgery
what % of cancer is cured by radiotherapy vs chemo?
40% radiotherapy
5% chemotherapy