lung cancer Flashcards

pathogenesis of lung cancer: recall the pathogenesis of lung cancer and summarise risk factors

1
Q

bronchus histology

A

ciliated epithelium, goblet cells, supported by cartilage

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2
Q

bronchioles histology

A

ciliated epithelium, goblet cells, no cartilage

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3
Q

where does lung cancer arise

A

anywhere in lung (large airways, terminal airways, alveoli)

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4
Q

why does lung cancer arise

A

smoking (75%), asbestos exposure, radiation (radon/therapeutic), genetic predisposition, heavy metals (chromates, arsenic, nickel)

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5
Q

development of carcinomas

A

multistep accumulation of mutations resulting in disordered growth, loss of cell adhesion, invasion of tissue by tumour, angiogenesis

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6
Q

what cell types do carcinomas occur in

A

epithelial and stem cells (different pathways for different tumours, with some early stages being reversible)

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7
Q

what gene suppresses cell proliferation in tumours

A

p53

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8
Q

what does smoking do to p53 gene

A

prevents it from working, allowing uncontrolled proliferation

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