lung cancer Flashcards
pathogenesis of lung cancer: recall the pathogenesis of lung cancer and summarise risk factors
bronchus histology
ciliated epithelium, goblet cells, supported by cartilage
bronchioles histology
ciliated epithelium, goblet cells, no cartilage
where does lung cancer arise
anywhere in lung (large airways, terminal airways, alveoli)
why does lung cancer arise
smoking (75%), asbestos exposure, radiation (radon/therapeutic), genetic predisposition, heavy metals (chromates, arsenic, nickel)
development of carcinomas
multistep accumulation of mutations resulting in disordered growth, loss of cell adhesion, invasion of tissue by tumour, angiogenesis
what cell types do carcinomas occur in
epithelial and stem cells (different pathways for different tumours, with some early stages being reversible)
what gene suppresses cell proliferation in tumours
p53
what does smoking do to p53 gene
prevents it from working, allowing uncontrolled proliferation