Extra Neoplasm Info Flashcards

1
Q

neoplasm

A

disorder of cell growth that is triggered by a series of mutations that give the cells a survival and growth advantage that is independent of growth regulation signals (autonomous) and allows clonal cell expansion

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2
Q

“tumor”: then and now

A
  • used to refer to swelling of tissue in inflammation

- now synonymous with neoplasm

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3
Q

Features of neoplasia induction

A
  • stimulus results in changes in the cell/tumor that persist after stimuli are gone
  • genetic alterations occur that are passed down to the progeny of the tumor cells
  • genetic changes allow excessive and unregulated proliferation that becomes autonomous (independent of physiologic growth stimuli)
  • pop of neoplastic cells arise from a single cell that has incurred the genetic changes (clonal expansion)
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4
Q

differentiation

A

the extent to which neoplastic parenchymal cells resemble normal parenchymal cells

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5
Q

histologic chars. of squamous carcinoma in situ

A
  • thickened epithelium
  • persistence of large nuclei throughout epithelial layer
  • not normal squamous differentiation
  • marked dysplasia and anaplasia
  • uneven nuclear size and hyperchromatic due to more nuclei in cells
  • NOT invading BM
  • islands of squamous differentiation and keratinization
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6
Q

Histologic chars. of squamous cell carcinoma

A
  • sheets/cords of pleomorphic/anaplastic epithelial cells invading into surrounding tissue and breaking through BM
  • tumor cells stick together via desmosomes, which can be faintly seen!
  • islands of neoplastic cells below epidermis in dermis/submucosa
  • dysplastic and anaplasmic cells undergoing squamous differentiation and kerratinization (KERATIN PEARLS)
  • clusters of epithelial cells invading stroma and inducing fibrosis
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7
Q

horses commonly have benign thyroid follicular adenomas

A

:)

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8
Q

describe pulmonary adenocarcinoma histologically

A
  • normal alveolar architecture destroyed
  • acinar-like formations of epithelial cells
  • coag necrosis possible
  • cells no longer show polarity and show considerable anaplasia
  • cells undergoing mitosis
  • tumor emboli in lymphatics*
  • tumor cells growing on pleural surface
  • spherous response in mesenteric fat
  • invasion of arteries and veins causing coagulation, platelet aggregation, and thrombosis
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9
Q

most common tumor in rats

A

fibroadenoma

  • driven by hormonal stimulation
  • seen in rats w/ prolactin-producing pituitary adenomas
  • induces angiogenesis
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10
Q

mixed tumor

A

single neoplastic parenchymal clone gives rise to multiple cell types

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11
Q

teratoma

A

neoplasm with multiple germ layers

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12
Q

examples of mesenchymal/hematopoietic neoplasms

A
  • fibrosarcoma
  • hemangioma/hemangiosarcoma
  • mast cell tumor
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13
Q

histo features of fibrosarcoma

A
  • cells arranged in large sheets
  • spindle shaped cells
  • collagen strands
  • invasion via blood vessels*
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14
Q

do fibrosarcomas usually metastisize?

A

no. They usually only invade surrounding structures

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15
Q

how do fibrosarcomas usually invade?

A

via blood vessels

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16
Q

histo features of hemangiosarcoma

A
  • look very bloody

- form channels that fill with blood

17
Q

histo features of mast cell tumor

A
  • dense arrays of relatively normal mast cells that usually have granules
  • induce soft masses due to histamine release
18
Q

most common cause of death in dogs

A

cancer (2nd most common in humans)

19
Q

interactions between what factors determine cancer risk?

A

environmental and genetic.

20
Q

role of reparative proliferation in cancer?

A

tissue inflammation, hyperplasia, immunodeficiency increase risk for cancer

21
Q

common genetic themes in cancer

A

1) nonlethal genetic damage is central
2) tumors are clonal expansions of a single precursor cell that has incurred genetic damage
3) 4 classes of regulatory genes are principal targets in most cancers
4) carcinogenesis results from the accumulation of complementary mutations over time

22
Q

cellular and molecular hallmarks of cancer

A
  1. self sufficiency of growth signals
  2. insensitiviy to growth-inhibitory signals
  3. altered cellular metabolism
  4. evasion of apoptosis
  5. sustained angiogenesis
  6. ability to invade and metastasize
  7. ability to evade host immune defenses
23
Q

Warburg effect

A

upregulates anaerobic glycolysis in cancer cells by switching from oxygen metabolism with mitochondria to a glycoprotein pathway, which allows more intermediates to be shoved into protein/NA/membrane lipid synthesis

24
Q

T/F: VEGF inhibitors can be used in cancer treatment

25
most common neoplasm of the lung
metastatic neoplasm
26
critical steps in cancer development
1. loosening of cell to cell contacts 2. degradation of BM/ECM components 3. Attachment to novel ECM components 4. Migration 5. Intravasation 6. embolic spread 7. adhesion to endothelium 8. extravasation 9. angiogensis 10. growth
27
epithelial tumors often metastisize via:
lymphatics
28
hemangiosarcomas often metastisize via:
blood
29
APC
(adenomatous polyposis coli) - regulates cell turnover and advance of cell cycle - an autosomal gene
30
Direct acting carcinogens
alkylating (cyclophosphamide, beta-propriolactone) and acylating agents (dimethyl chloride)
31
procarcinogens(metabolism required)
- polycyclic, heterocyclic aromatichydrocarbons (PAH) - aromaticamines, amides, Azo dyes - natural plant and microbial products
32
Tax gene
- assoc. with HTLV-1 virus - increases expression of pro-growth signaling and cell survival genes via several mechanisms - increases genomic instability by interfering with DNA repair
33
Describe histo of grade 3 mast cell tumor
- NOT heavily granulated - intermediate populationof eosinophils - lots of anaplasia - bizarre nuclear formation (i.e. MNGCs) - high mitotic index
34
Human papilloma virus
-caused by random DNA integration with over expression of E6 and E7 oncoproteins, which keep cell cycle going
35
common diagnostic methods in cancer
- histologic/cytologic exam. - immunohistochemistry - flow cytometry - molec. analysis (PCR, sequencing)
36
effects of Sertoli cell tumor
- feminization assoc. estrogen secretion - gynecomastia - atrophy of contralateral testicle - squamousmetaplasia of prostatic epithelium - alopecia - bone marrow atrophy and anemia
37
hypertrophic osteoarthropathy
-dogs with pulmonary (or bladder) tumors develop exostosis along long bones of the limbs
38
3 paraneoplastic syndromes
- hypercalcemia - hypertrophic osteoarthropathy - endocrinopathy
39
microbial carcinogenesis char. by:
- chronic tissue damage and inflamm. with increased reparative proliferation of parenchymal cells - high free radical environment and elevated DNA synthesis with enhanced susceptibility to genetic and epigenetic changes - possible causes: Hep B/C virus, H. pylori