CSIM 1.4 Neoplasia 1 and Case 39 Launch Flashcards

1
Q

Which cancer is the most lethal?

A

Lung cancer

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2
Q

Describe colorectal cancer mortality

A

All mortality occurs in the first 5 years. If patient is alive after 5 years since diagnosis, they’re all good.

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3
Q

Recall the adaptations of cells.

Which of these is never physiological

A
  • Atrophy
    • Hypertrophy
    • Hyperplasia
    • Metaplasia
    • Dysplasia

All can be pathological or physiological except for dysplasia, which is always pathological

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4
Q

What are the types of atrophy?

Define each

A

Cell atrophy
• Decrease in cell size
Organ atrophy
• Decrease in organ size due to EITHER a decrease in cell size OR a decrease in cell number

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5
Q

Loss of supply of what can cause atrophy?

A
  • Innervation
    • Oxygen
    • Nutrients
    • Endocrine stimulation
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6
Q

What is hypertrophy and hyperplasia?

What are the types of each?

A

Hypertrophy
• An increase in SIZE of INDIVIDUAL cells

Hyperplasia:
• An increase in NUMBER of cells

Each can be pathological or physiological

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7
Q

Is cancer a type of hyperplasia?

A

No - it is neoplasia

Hyperplasia is the same cell type, e.g. endometrial proliferation in response to oestrogen

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8
Q

What is dysplasia?

A

Abnormal-looking cells and loss of uniformity, characterised by:
• Pleomorphism (varying size and shape)
• Hyperchromasia (darker staining nuclei)
• Increase in nucleus to cytoplasm ratio
• Chaotic, disorderly proliferation which is no longer confined to the basal layer

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9
Q

Is dysplasia reversible?

A

Yes, if the inciting cause is removed and cancer stage has not been reached

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10
Q

How is dysplasia graded?

A

Mild, moderate, severe - depending on likelihood to become a carcinoma

(can also be 2-tiered as well ‘low grade’ and ‘high grade’)

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11
Q

What are the gradings of cervical dysplasia called?

A

Mild is called CIN1
Moderate is called CIN2
Severe is called CIN3

NB: CIN = cervical intra-epithelial neoplasia

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12
Q

Which of the adaptations causes an increased risk of cancer?

A

No increased risk:
• Atrophy
• Hypertrophy

Slight increased risk:
• Hyperplasia
• Metaplasia

Greatly increased risk:
• Dysplasia

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13
Q

Why does hyperplasia cause an increased risk of cancer?

A

Increased number of divisions presents more propensity for some of those divisions to generate errors during copying DNA

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14
Q

Why is metaplastic tissue more likely to generate a carcinoma?

A

The poorly-located cell is more susceptible to insult in the environment it is not designed for

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15
Q

What is the strict definition of a tumour

A

An abnormal swelling (not necessarily a neoplasm, although this is how it is commonly used)

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16
Q

What is the definition of a neoplasm?

A

An abnormal, uncoordinated proliferation of a section of tissue, which persists in the same excessive manner after cessation of the causative stimulus

17
Q

How are neoplasms classified?

A
Classified by behaviour:
1)Benign
  •  Stay in one place and are non-fatal
2)Malignant
  •  Spread around the body and are aggressive in local behaviour
3)Borderline

Also classified by histogenesis (cell of origin):
• Epithelial
• Mesenchymal (CT)
• Lymphoid

18
Q

Describe the differences between benign and malignant neoplasms

A

Malignant (brackets represent benign characteristics):
• Faster growth rate
• Numerous mitotic figures (few)
• Variable differentiation (similar differentiation to parent)
• Hypochromic, pleomorphic nuclei (normal)
• Ill-defined border with no capsule (circumscribed and encapsulated IMG 25)
• Invasive (non-invasive)
• Frequently metastasise (do not metastasise)

19
Q

What are the types of benign neoplasms that affect epithelial cells?

A

Adenoma:
• Benign neoplasm of glandular epithelium

Papilloma:
• Benign neoplasm of non-glandular epithelium

20
Q

What is a localised overgrowth of tissue of benign neoplastic type often called?

21
Q

Why are benign adenomas worth removing?

A

They have a risk of progressing to a malignant neoplasm

22
Q

How can you tell if a benign adenoma of the adrenal gland comes from the medulla or cortex?

A

Because of the colour (IMG 26 = cortex, for example)

23
Q

Benign neoplasms of what can cause hypertension?

A

Adrenal cortex (aldosterone production)

24
Q

What are carcinomas?

What are the types of carcinomas?

A
Malignant neoplasms of EPITHELIA:
  •  Glandular: Adenocarcinoma
  •  Squamous: Squamous cell carcinoma
  •  Transitional: Transitional cell carcinoma
  •  Urothelium: Urothelial carcinoma
25
Describe briefly the cell adaptations in lung cancer caused by cigarette smoke
Metaplasia -> Dysplasia -> Neoplasia
26
Give the name for: 1) A malignant neoplasia of an epithelial tissue 2) A malignant neoplasia of a connective tissue 3) A benign neoplasia of an epithelial tissue 4) A benign neoplasia of a connective tissue
1) Carcinoma 2) Sarcoma 3) Adenoma or papilloma depending on if the tissue is glandular 4) Depends on the specific connective tissue
27
What are the types of benign neoplasms that affect connective tissue?
``` Fat • Lipoma Smooth muscle • Leiomyoma Striated muscle • Rhabdomyoma Blood vessel • Haemangioma Cartilage • Chondroma Bone • Osteoma ```
28
What are the types of malignant neoplasms that affect connective tissue?
``` Fat • Liposarcoma Smooth muscle • Leiomyosarcoma Striated muscle • Rhabdomyosarcoma Blood vessel • Angiosarcoma Cartilage • Chondrosarcoma Bone • Osteosarcoma ```