Growth Disorders Flashcards

1
Q

What does agenesis mean?

A

An organ does not develop at all (genetic defect)

- Pretty rare - on occasion person might be born with no salivary glands at all

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2
Q

What does aplasia mean?

A

An organ fails to develop normal structure from primitive embryonic structure
- Tissues present but don’t get development of normal structure

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3
Q

What does hypoplasia mean?

A

Less tissue formed than normal structure

- Tissue is there but amount formed is much less than it normally should be

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4
Q

What does hamartoma mean?

A
  • Normal tissue but size and structure much greater than normally would be
  • Tumour-like growth
  • Only grows in patient’s growth period, but excessive - will stop at a certain age
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5
Q

What are examples of hamartomas?

A
  • Pigmented naevi (moles)
  • Haemangioma - arises in blood vessels
  • Lymphangioma - arises in lymphatic tissues
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6
Q

What does a haemangioma look like under a microscope?

A
  • Does not have a fibrous tissue capsule - a benign tumour does
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7
Q

What types of lymphangioma are there?

A
  • Most are cavernous
  • Tongue
  • Cystic hygroma
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8
Q

What is a naevus?

A

A mole

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9
Q

What does ‘ectopia’ mean?

A

Normal tissue in an abnormal site

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10
Q

What is an example of ectopia (normal tissue in an abnormal place)?

A

Mickel’s diverticulum - an outpouching of the small intestine. Can contain gastric type mucosa (should not have this in the small intestine)

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11
Q

What is meant by ‘atrophy’?

A

When cells become smaller than normal - decrease in size or number of cells

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12
Q

What is meant by ‘hypertrophy’?

A

Much larger cell than normally would be

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13
Q

What is meant by ‘hyperplasia’?

A

Many more cells than should be but same size

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14
Q

What is meant by ‘metaplasia’?

A

Change of tissue from one type to another type as long as it is the same group - epithelial tissue cannot change into connective tissue

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15
Q

What is meant by ‘dysplasia’?

A

Abnormal change in cells which makes them become more susceptible to become malignant

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16
Q

What are the 2 types of atrophy?

A
  1. Physiological - normal growth and development; under normal influence
  2. Pathological - As part of a certain disease process
17
Q

What are the mechanisms of atrophy?

A
  • Reduction in structural components of the cell (organelles)
  • Imbalance of cell loss and production
  • May involve apoptosis (atrophy of an organ)
18
Q

Atrophy may be localised. What are the possible reasons for this?

A
  • Ischaemic: Inadequate blood supply to an organ or part of the body
  • Pressure (tumours)
  • Disuse/denervation
  • Autoimmune
  • Idiopathic: Do not know the reason why tissue is becoming smaller
19
Q

Atrophy may be generalised. What are the possible reasons for this?

A
  • Nutritional: malabsorption
  • Senile: atrophy occurring due to advanced aging
  • Endocrine
20
Q

How is an atrophic mandible produced?

A

If a person has no teeth then the transmission of forces is lost so the bone of the mandible is lost over a period of time
- The younger a person is when they get their teeth extracted, the more of the mandible they will lose as they get older

21
Q

What is osteoporosis and what is it related to?

A
  • Bones become brittle and fragile from loss of tissue (affecting most of the bones of the skeleton)
  • Related to physical activity, aging, hormones - oestrogen has inhibitory effect on osteoclasts
22
Q

What are the causes of pathological hyperplasia?

A
  • Endocrine (hormonal) stimulation by hormone producing organs
    Chronic injury and inflammation - stimulated by cytokines; growth factors hyperplasia of bone marrow and lymphoid tissue HPV can induce hyperplasia of epithelium
23
Q

What are the mechanisms of hyperplasia?

A
  • Growth factor driven proliferation of cells

- Increased output of cells from stem cells

24
Q

What is liver regeneration?

A

Not actually regeneration - stem cells start to divide and start to produce more liver cells

25
Q

Which cells have pure hypertrophy?

A
  • Cells with limited mitotic ability
26
Q

What is Goitre?

A
  • Result of dietary iodine deficiency
  • decreased synthesis of thyroid hormone
  • Compensatory increase in TSH
  • Thyroid follicular cell hypertrophy and hyperplasia together
27
Q

What are the 2 epithelial types of metaplasia?

A
  • Squamous

- Mucous

28
Q

What is mesenchymal metaplasia?

A
  • Osseous: consisting of or turned into bone
29
Q

What happens to the epithelium in smokers with metaplasia?

A
  • Ciliated columnar epithelium to squamous metaplasia
30
Q

What happens to the epithelium in Barrett’s oesophagus?

A
  • From squamous to columnar
31
Q

Where is dysplasia mostly seen?

A

In epithelia

- Severity may indicate that there is a potential for malignant change

32
Q

What is ‘neoplasia’?

A

An abnormal mass of a tissue

  • A growth that is excessive AND is uncoordinated with that of normal tissues AND persists after the provoking stimulus is removed
  • Includes both benign and malignant tumours