Ch 7: Neoplasia (Part 1: Nomenclature; Benign vs. Malignant) Flashcards

1
Q

Define Cancer, Neoplasia, Tumor, Oncology and Clonal.

A

Cancer = generic term for all malignant neoplasms

Neoplasia/tumor = New growth or form

Oncology = study of tumors

Clonal = entire population of neoplasm arises form single sell hat incurs genetic change

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2
Q

Define Benign vs. Malignant.

A

BTs stay local, while MTs metastasize.

BTs circumscribed, MTs not

Benign is well differentiated, MT poorly differentiated

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3
Q

What is -oma?

A

a benign tumor

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4
Q

What is a carcinoma?

A

Malignant neoplasm of epithelial cell origin derived form any 3 germ layers

ex: squamous cell carcinoma

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5
Q

What is a sarcoma?

A

Malignant tumor arising from solid mesenchymal tissue

ex: Leiomyosarcoma, rhabdomyosarcoma

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6
Q

Which is the most common general category of malignant tumor in adults? Is this the same in children>

A

Carcinoma

This neoplasm type is rare in children

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7
Q

What are the most common type of lung cancer? What are some others?

A

Most common = adenocarcinoma

Others (in order):
Squamous cell carcinoma
Small cell
Large cell

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8
Q

Parenchyma is associated with? Stroma is associated with?

A

Parenchyma = carcinoma

Stroma = sarcoma

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9
Q

Define metaplasia.

A

Replacement as one type of cell with another type

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10
Q

Define dysplasia.

A

Disordered growth

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11
Q

How do you grade cancer?

A

CIN 1-4

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12
Q

Name the -oma that ARE malignant.

A

Mesothelioma
Meningioma
Lymphoma
Melanoma

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13
Q

What gene are the EGF-receptor family? What tumors are associated? How are they caused?

A

Proto-oncogenes

ERBB1 = EGFR - mutation causes lung andenocarcinoma

ERBB2 = HER - Amplifications leads to great carcinoma

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14
Q

Describe ALK. What tumors are associated? How are they caused?

A

Proto-oncogene

Translocation leads to Lung adenocarcinoma and certain lymphomas

Point mutation leads to neuroblastoma

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15
Q

Describe ABL. What tumors are associated? How are they caused?

A

Proto-oncogne

Translocation leads to chronic myelogenous leukemia

Point mutation leads to acute lymphoblastic leukemia

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16
Q

Describe BRAF. What tumors are associated? How are they caused?

A

Proto-oncogne
Comes from RAS signal transduction

Point mutations and translocation will lead to melanoma, hairy cell leukemia, colon adenocarcinoma, papillary thyroid carcinoma, langerhans cell histiocytosis etc.

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17
Q

Describe Myc. What tumors are associated? How are they caused?

A

Proto-oncogene
Transcriptional activator

Translocation –> Burkitt lymphoma

Amplification –> Neuroblastoma

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18
Q

Describe CCND1. What tumors are associated? How are they caused?

A

Cell cycle regulator proto-oncogene

Mantle cell lymphoma, multiple myeloma, Breast and esophageal cancer

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19
Q

Describe CDK4. What tumors are associated? How are they caused?

A

Cell cycle regulator proto-oncogene

Glioblastoma, melanoma, sarcoma

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20
Q

Describe APC. Function? Cancers?

A

Inhibits WNT signaling

Stomach/colon/pancreas carcinomas, melanoma

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21
Q

Describe NF1. Function? Cancers?

A

Inhibitor of RAS/MAPK signaling

Neuroblastoma
Juvenile myeloid leukemia

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22
Q

Describe NF2. Function? Cancers?

A

Cytoskeletal stability, Hippo pathway

Swannoma, meningioma

23
Q

Describe PTCH. Function? Cancers?

A

inhibitor of hedgehog

Basal cell carcinoma
Medulloblastoma

24
Q

Describe RB. Function? Cancers?

A

Inhibitor og G1/S transition

Retinoblastoma
Osteosarcoma
Carcinomas of breast, colon, and lung

25
Q

Describe VHL. Function? Cancers?

A

Inhibitor of HIF

Familial = von Hippel Lindau syndrome (cerebellar hemangioblastoma, retinal angioma, renal cell carcinoma)

Sporadic = renal cell carcinoma

26
Q

Describe CDH1. Function? Cancers?

A

Prob with E-cadherin leading to probs in cell adhesion and inhibition of cell motility

Gastric carcinoma, lobular breast carcinoma

27
Q

Describe TP53. Function? Cancers?

A

Normal: Cell cycle arrest and apoptosis in response to DNA damage

Most human cancers

28
Q

Describe BRCA1/BRCA2. Function? Cancers?

A

Normal: double stranded breaks in DNA

Familial breast and ovarian cancer, male breast cancer

Chronic lymphocytic leukemia (BRCA2)

29
Q

Describe MSH/MLH. Function? Cancers?

A

Normal: DNA mismatch repair

Colonic and endometrial carcinoma

30
Q

Describe WT1. Function? Cancers?

A

Transcription factor

Wilms tumor (kidney), certain leukemias

31
Q

Name CML translocation and gene involved.

A

9:22

ABL/BCR

32
Q

Name AML translocation.

A

8:21 or 15:17

33
Q

Name Burkitt lymphoma translocation.

A

8:14

34
Q

Name mantle cell lymphoma translocation.

A

11:14

35
Q

Name follicular lymphoma translocation.

A

14:18

36
Q

DNMT3A. Function? Associated tumor?

A

DNA methylation

AML

37
Q

MLL1 and MLL2. Function? Associated tumor?

A

Histone methylation

1 = Acute leukemia in infants

2 = follicular lymphoma

38
Q

CREBBP/EP300. Function? Associated tumor?

A

Histone acetylation

Diffuse large B-cell lymphoma

39
Q

ARID1A. Function? Associated tumor?

A

Nucleosome positioning/chromatin remodeling

Ovarial clear cell carcinoma
Endometrial carcinoma

40
Q

SNF5. Function? Associated tumor?

A

Nucleosome positioning/chromatin remodeling

Malignant rhabdoid tumor

41
Q

PBRM1. Function? Associated tumor?

A

Nucleosome positioning/chromatin remodeling

Renal carcinoma

42
Q

Tumors associated with HCG serum marker?

A

Trophoblastic tumors

Testicular tumors

43
Q

Tumors associated with Calcitonin serum marker?

A

Medullary carcinoma of thyroid

44
Q

Tumors associated with Catecholamine and metabolites serum marker?

A

Pheochromocytoma

45
Q

Tumors associated with a-Fetoprotein serum marker?

A

Liver cell cancer

Germ cell tumors of testis

46
Q

Tumors associated with Carcinoembryonic antigen serum marker?

A

Carcinomas of: colon, lung, pancreas, heart, stomach

47
Q

Tumors associated with Prostatic Acid Phosphatase serum marker?

A

Prostate cancer

48
Q

Tumors associated with Neuron-specific enolase serum marker?

A

Small cell lung cancer

Neuroblastoma

49
Q

Tumors associated with Immunoglobulins serum marker?

A

Multiple myeloma and other gammopathies

50
Q

Tumors associated with PSA serum marker?

A

Prostate cancer

51
Q

Tumors associated with Ca-125 serum marker?

A

Ovarian cancer

52
Q

Tumors associated with Ca-19-9 serum marker?

A

Colon cancer

Pancreatic cancer

53
Q

Tumors associated with Ca-15-3 serum marker?

A

Breast cancer