histopathology of cancer Flashcards
neoplasia means
new growth
monoclonal proliferation to form a tumour
cancer is a
malignant neoplasm
choristoma
tumour composed of normal cells/tissues in abnormal place
harmatoma
tumour composed of disorganised growth of different cell types
teratoma
tumour composed of derivatives of all three embryological layers
dysplasia is
abnormal growth,
dysplasia can also be a precursor for
malignant neoplasms
what do malignant neoplams have potential todo
spread/metastasise
difference between malignant and benign neoplasms
benign tumours cannot metastasise
borderline neoplasms
uncertain malignant neoplasm
difference in resemblance of neoplasms to original cells
malignant cells poor resemblence
benign cells close resemblence
atrchitecture of tumour cells
malignant are irregular/haphazard growth pattern
benign- normal
principles of carciogenesis
initiation
classes of normal genes damaged in carcinogenesis
clonal expression]driver mutations
darwinian selection
initiation is
non lethal genetic damage to a cell e.g: point mutation translocation deletion gene amplifications polysomy
classes of cells damaged in carciogenesis
proto oncogenes- growth promoting
tumour supressor genes (growth inhibiting)
genes regulating apoptosis
genes involved in DNA repair
clonal expansion is
single precursor cell whcih has acquired non lethal damage to dna, divdes to form neoplasm
driver mutations and epigenetic modifications
accumulation of complementary mutations and epigenetic modifications required for carciogenesis.
driver mutations are
loss of function mutations in genes that maintain genomic intenegrity
Darwinian selection
teh tumours who are the fittest cancer cell will outgrow others
mechanisms of cancer spread
local invasion latrogenic implantation metastatic spread- lymphatics bloodstream perineurally by fluid
diagnosis for cancer
history
exam
investigation
investigations
blood test
imaging
cytology/histology
histology samples?
forceps biopsy (skin surface) core biopsy (deeper lesions/ CT) incision (fibre optic endoscopic imaging)
radial surgical resection