Cell adaption and necrosis Flashcards
What is cell adaption?
prolonged exposure of cell to pressure or toxin results in change in cell
if pressure: cells get big
If toxin: cells change shape
What are the 6 ways that cells adapt to change?
atrophy, hypertrophy, hyperplasia, metaplasia, dysplasia and anaplasia
Define atrophy
decrease in the size of a tissue, organ or the entire body
can be physiologic v. pathologic atrophy
examples of physiologic atrophy?
thymus undergoing involution
ovaries, uterus and breasts after menopause
atrophic bones and muscles in the elderly become thin and prone to fracture
examples of pathologic atrophy?
alzheimer dementia,
ischemic organs-typically small,
testicular atrophy
Define hypertrophy
increase in the size of tissue due to enlargement of individual cells
can be physiologic or pathologic
examples of physiologic hypertrophy?
enlargement of muscles in body builders
examples of pathologic hypertrophy?
hypertrophy of the heart occurs as an adaption to increase workload
When do we usually see concentric hypertrophy of the left ventricle? why?
in HTN
it is an adaptive response to left ventricular pressure overload
What can be seen in hypertrophy cardiomyopathy?
banana septum
Define hyperplasia
an increase in the number of cells which causes enlargement of tissues
Can hyperplasia and hypertrophy be seen together?
yes, in pregnancy
hyperplastic prostate
Examples of hyperplastic process?
endometrial hyperplasia due to estrogens
Example of a disease where hyperplasia is seen?
hyperplastic polyps of the colon or stomach
Define metaplasia
an adaptive change of one cell type for another cell type to suit the environment
reversible but can also progress to dysplasia
Examples of metaplasia
squamous metaplasia of the bronchial epithelium due to smoking
gastric or glandular metaplasia of GE junction barrett esophagus
Define dysplasia
disordered growth of tissues resulting from chronic irritation or infection
considered a precancerous condition
Example of dysplastic change?
detection of cervical dysplasia on PAP smear
there is an association of dysplasias and cervical cancer with HPV