Disorders of Growth & Neoplasia Flashcards

1
Q

what si the size of the cell population determined by

A

rates of cell proliferation, diff and death by apoptosis

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2
Q

what is tissue homeostasis between

A

cell loss and cell division

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3
Q

cell numbers can be altered by increase or decrease rates of…..

A

stem cell input by cell death due to apoptosis/prolif/diff

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4
Q

what is the cll cycle controlled by

A

stimulators and inhibitors

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5
Q

what can growth result from in the cell cycle

A

shortening cell cycle time

recruit cells from rest or quiescent pops

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6
Q

the cell cycle stages

A

G1
S
G2
M

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7
Q

what is the principle task of cell div

A

replicate DNA and segregate the duplicated chromosomal DNA equally to two daughter cells

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8
Q

what causes the cell cycle initiation response

A

response to growth stimulation commitment and restriction in G1

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9
Q

terminally diff cells are not capable of

A

replicating

eg myocytes

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10
Q

where are cells diff normally quiescent and prolif when needed

A

liver/kidney

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11
Q

where are ells terminally diff, short lived and incapable of replicating but may be replaced by stem cells

A

epithelia of mouth
gut
skin

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12
Q

how is apoptosis controlled

A

inhibitors
inducers
molecular mediators and regulators

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13
Q

where is increased apoptosis seen

A

AIDS

neurodegen disorder

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14
Q

when is there a decreased apoptosis

A

neoplasia

auto immune disease

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15
Q

name some disorders of growth and neoplasia

A
hypertrophy 
hyperplasia
atrophy
hypoplasia
metaplasia
dysplasia
neoplasia
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16
Q

what is hypertrophy

A

increase cell size
physiological and pathological
in muscle - skeletal and cardiac

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17
Q

what is hyperplasia

A

increase cell num
physic and patho
hormonally sensitive organs - endometrium,breast and thyroid

18
Q

what is hyperplasia like in th mouth

A

enlarge gingival tissues
repsond in epi and underly CT
causes - drugs and other

19
Q

what is atrophy

A

reduce cell size by loss cell substance
many cause
physic and patho

20
Q

what is thought to have an effect on atrophy

A

ageing

lack use and stimulation - mechanical and functional

21
Q

what is hypoplasia

A

reduced size of organ that never fully developed to normal size
development defect

22
Q

what is an example of hypoplasia

A

pulmonary hypoplaia

23
Q

what is a metaplasia

A

reversible change which adult cell type replaced by another adult cel type

24
Q

what can metaplasia be a response to

A

adaptive response to stress

25
what does metaplasia do to stem cells
reprogram
26
give some examples of sites where there is metaplasia
barretts oesophagus, cervix, bronchus salivary ducts mesenchymal tissues
27
except for hypoplasa what are the rest of the disorders
potentially reversible
28
what is dysplasia
disordered grwoth
29
explain dysplasia features
pre-malignant process | squamous and glandular epi
30
with dysplasia what are the alteration
architecture maturation differentiation
31
what is the pre invasive disease
diff degree of dysplasia (mild, mod, severe) | progress to malignancy
32
when is the dysplasia classified as malignant
increase nuclear size and into base mem
33
what is neoplasia
new growth | abnormal mass persists excessive manner after cessation of stimuli that evoked change
34
what does neoplasia result from
abberation of the normal mech that control cell number | cell prod and prolif
35
what are most tumour
monoclonal - all cells in tumour arise form one parent cell produce progeny
36
what are the two types of tumour
benign | malignant
37
what is epidemiology
study of distribution of diseases in diff pops over time
38
what is incidence
number of new case
39
what is prevalence
number of existing cases
40
what are some epidemiology linked to cancer
``` age sex culture hobbies geographical location family history medical history diet smoking ```
41
what are some major risk factors of oral cancer
``` smoking alcohol betel/areca nut immunosuppression previous oral cancer ```
42
what are some other risk factors of oral cancer
``` oral lesion - leukoplakia diet sun expo unknown ```