classification of tumours Flashcards
what is meant by neoplasm
literal definition - new growth
in clinical practice = cancer
what is a cancer
a malignant tumour not otherwise specified
what is meant by -oma
a suffix applied to a lump
what is meant by -carcinoma
a suffix applied to malignant epithelial tumours
what is meant by -sarcoma
suffix applied to malignant connective tissue tumours
when does a tumour occur
when a cell accumulates enough mutations that over-ride the normal mechanisms that control the cells proliferation
this is when oncogenes get switched on or TSG to switched off
= expression of proteins that drive the cell to proliferate or lack of expression of a protein .’. uncontrolled division
characteristics of benign tumours
expansile growth, well defined edges, slow growth, homogenous appearance, no lymph or vascular invasion, may be encapsulated
typical features of a malignant tumour
ill-defined margins, infiltratrating edges, rapid growth, foci of necrosis/haemorrhage, no capsule, heterogenous cut surface, capacity to spread to adjacent organs, lymph nodes via blood
microscopic features of a benign tumour
resembles original tissue, low tumour cellularity, cells have low nucleus-cytoplasm ratio, round/oval nuclei with well-dispersed chromatin, no dyplasia in adjacent tissue, no vascular invasion
microscopic features of malignant tumours
little resemblance to original tissue, high cellularity, high nucleus-cytoplasm ratio, atypical nuclei, numerous/atypical mitosos, dysplasia in adjacent tissue, vascular invasion often present
what are three main types of epithelium
squamous epithelium
glandular epithelium
transitional epithelium
what is a benign tumour on squamous epithelium called
squamous papilloma
what is a malignant tumour on squamous epithelium called
squamous cell carcinoma
what is a benign tumour on glandular epithelium called
adenoma
what is a malignant tumour on glandular epithelium called
adenocarcinoma