classification of tumours Flashcards

1
Q

what is meant by neoplasm

A

literal definition - new growth

in clinical practice = cancer

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2
Q

what is a cancer

A

a malignant tumour not otherwise specified

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3
Q

what is meant by -oma

A

a suffix applied to a lump

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4
Q

what is meant by -carcinoma

A

a suffix applied to malignant epithelial tumours

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5
Q

what is meant by -sarcoma

A

suffix applied to malignant connective tissue tumours

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6
Q

when does a tumour occur

A

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

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7
Q

characteristics of benign tumours

A

expansile growth, well defined edges, slow growth, homogenous appearance, no lymph or vascular invasion, may be encapsulated

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8
Q

typical features of a malignant tumour

A

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

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9
Q

microscopic features of a benign tumour

A

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

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10
Q

microscopic features of malignant tumours

A

little resemblance to original tissue, high cellularity, high nucleus-cytoplasm ratio, atypical nuclei, numerous/atypical mitosos, dysplasia in adjacent tissue, vascular invasion often present

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11
Q

what are three main types of epithelium

A

squamous epithelium
glandular epithelium
transitional epithelium

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12
Q

what is a benign tumour on squamous epithelium called

A

squamous papilloma

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13
Q

what is a malignant tumour on squamous epithelium called

A

squamous cell carcinoma

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14
Q

what is a benign tumour on glandular epithelium called

A

adenoma

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15
Q

what is a malignant tumour on glandular epithelium called

A

adenocarcinoma

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16
Q

what is a benign tumour on transitional epithelium called

A

transitional papilloma

17
Q

what is a malignant tumour on transitional epithelium called

A

transitional papilloma

18
Q

what is squamous epithelium

A

is what covers most of our outer surfaces (skin, oropharynx, oesophagus, anal canal, vagina, external auditory canal etc.

19
Q

what is glandular epithelium

A

covers GI tract from stomach to rectum. lines ducts and acini of glands as well as forming tubular structures such as renal tubules.

20
Q

what is uroepithelium

A

covers the urothelial tract

21
Q

what is a fibroma

A

benign tumour of fibrous tissue

22
Q

what is a fibrosarcoma

A

malignant tumour of fibrous tissue

23
Q

what is a lipoma

A

benign tumour of adipose tissue

24
Q

what is a liposarcoma

A

malignant tumour of adipose tissue

25
what is a neurofibroma
benign tumour of nerve tissue
26
what us a neurofibrosarcoma
malignant tumour of nerve tissue
27
what is a chondroma
benign tumour of cartilage tissue
28
what is a chondrosarcoma
malignant tumour of cartilage tissue
29
what is an osteoma
benign tumour of bone
30
what is osteosarcoma
malignant tumour of bone
31
what is leimyoma
benign tumour of smooth muscle
32
what is leimyosarcoma
malignant tumour of smooth muscle
33
what is rhabdomyoma
benign tumour of striated muscle
34
what is rhabdomyosarcoma
malignant tumour of striated muscle
35
what are gliomas
malignant brain tumours
36
what does tamoxifen do
block oestrogen receptors in tumours of the breast
37
what dos hermceptin do
targets EGF receptor in certain tumours of the breast
38
what factors may influence the prognosis of a patient
grade of the tumour, stage of the tumour, site of the tumour, host reaction to the tumour, production of ECM (this ennhances tumor spread and limits access of chemothrerapeutic agents`