GENERAL PATHOLOGY OF CANCER Flashcards

1
Q

what is a tumour?

A

an abnormal mass of cells resulting from poorly regulated cell proliferation and growth in absence of initiate event

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2
Q

what is metaplasia?

A

cell adaptation to changes in environment by altering their morphological appearance so its better equipped
this can be reversible if stimulus is removed

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3
Q

what is dysplasia?

A

the presence of abnormal cells within a tissue or organ.

removal of adverse stimulus can make it reversible but this can also progress to a neoplasm

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4
Q

what is neoplasia?

A

the uncontrolled, abnormal growth of cells or tissues in the body

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5
Q

what is a hamartoma?

A

A noncancerous tumor made of an abnormal mixture of normal tissues and cells from the area in which it grows.

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6
Q

what is a choristoma?

A

developmental tumor-like growth (benign) of microscopically normal tissue in an abnormal location.

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7
Q

what is carcinoma?

A

a cancer arising in the epithelial tissues of the skin or the lining of internal organs

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8
Q

what is a sarcoma?

A

a type of cancer that begins in bone or soft tissues of the body

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9
Q

what is a teratoma?

A

a type of germ cell tumour that may contain several types of tissue e.g. hair, muscle, bone

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10
Q

what is lymphoma?

A

cancer of the lymphatic system

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11
Q

what is leukaemia?

A

A malignant progressive disease in which the bone marrow and other blood-forming organs produce increased numbers of immature or abnormal leucocytes

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12
Q

what is a carcinogen?

A

agents that cause genetic damage and induce neoplastic transformation

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13
Q

what is metastasis?

A

the distant spread of neoplastic cells away from the primary neoplasm to form subpopulations of cells not in continuity with primary neoplasm

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14
Q

what are some key features of malignant tumours?

A

sustained proliferation
ability to evade cell death, apoptosis, host immunity and growth suppression
ability to induce angiogenesis and metastasise

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15
Q

what is cell growth/inhibition regulated by?

A

cyclin-dependant kinases and their inhibitors

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16
Q

what induces apoptosis?

A

P53

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17
Q

what are some examples of regulatory genes?

A
proto-oncogenes
tumour suppressor genes
P53
bcl-2
genes that repair DNA
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18
Q

what do proto-oncogenes do?

A

function to stimulate cell division, inhibit cell differentiation, and halt cell death.

19
Q

what does bcl-2 do?

A

controls cell death primarily by direct binding interactions that regulate mitochondrial outer membrane permeabilization

20
Q

how many cancers are hereditary?

21
Q

what does oncogenic mean?

A

it can cause the development of a tumour

22
Q

outline the mechanism of HPV?

A

the E6 protein binds to P53 and promotes its degradation = no cell death
E7 protein inactivates pRb= this is a tumour suppressor protein so we get excessive cell growth

23
Q

outline the simple steps to a neoplasm?

A

normal tissue -> chronic exposure to stimulus -> metaplasia -> dysplasia -> neoplasia

24
Q

what is a papilloma?

A

a benign epithelial tumour of surface epithelium

25
what is an adenoma?
a benign tumour of a gland
26
what is a cystadenoma?
rare cystic tumors of epithelial origin that arise in the liver, the majority in the right lobe, or less commonly in the extrahepatic biliary system.
27
what is a carcinoma?
a malignant neoplasm of any epithlial origin | prefixed by tissue of origin e.g. squamous cell carcinoma
28
how do we name tumours of connective tissue?
tissue of origin with suffix of -oma if benign and -sarcoma if malignant
29
how do we name a benign and a malignant tumour of bone origin?
osteoma | osteosarcoma
30
what are the types of lymphoid malignancies?
Hodgkin lymphoma non-hodgkin lymphoma lymphoid leukaemia
31
what is anaplasia?
A condition of cells with poor cellular differentiation,
32
what are the key features of benign tumours?
they're slow growing, localised, expansile, have a fibrous capsule, resemble normal cells and have no capacity to metastasise
33
what are the key features of malignant tumours?
rapid growth, ill defined borders, infiltrative margins, invades surrounding tissue, ability to metastasise, have a degree of differentiation related to its behaviour, different tu surrounding cells
34
what are 4 routes of metastasis?
haematogeneous : along blood vessels - -lymphatic : via lymphatic vessels - transcoelomic : spreads across a body cavity - along nerve fibres
35
what is cachexia?
a wasting disorder that causes extreme weight loss and muscle wasting, and can include loss of body fat. caused by increased metabolic rate and energy expenditure and decreased nutrient intake
36
what is paraneoplastic syndrome?
a group of rare disorders that are triggered by neoplasms | 10% of cancer patients develop this
37
what is a tumour 'grade'?
a level of differentiation
38
what is tumour 'stage'?
the extent of the spread e.g. size and spread
39
what is the most widely used cancer staging system?
the Tumour Node Metastasis (TNM) staging
40
what does the TNM staging refer to?
T- size and extent of primary tumour N- number of affected nearby lymph nodes M- metastasised
41
how do we measure primary tumour (T) in the TNM staging?
Tx- tumour cant be measured T0- tumour cant be found T1-4 refers to the size with 1 being the smallest and 4 the largest
42
how do we measure lymph nodes (N) in TNM staging?
Nx- cancer in nearby lymph nodes cant be measured N0- no cancer in nearby lymph nodes N1-4- refers to the number and location of lymph nodes that have cancer
43
how do we measure metastasis (M) in TNM staging?
Mx- metastasis cant be measured M0- no metastasis M1- cancer has spread