Neoplasia 1 Flashcards

(42 cards)

1
Q

What is a neoplasm
-what do cells undergo when there is a neoplasm?

A

A new growth
-tumours, cancer

-undergo irreversible genetic change; become unresponsive to normal growth controls

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2
Q

Oncology meaning

A

Study of neoplasia

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3
Q

Is a lump always a tumour?

A

No, can be abscess or puss instead

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4
Q

What is a hamartoma

A

Disorganised tissue but in the correct site (it is where it should be)
-normal
-normal tissue chaotically arranged

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5
Q

What is choristoma

A

Tissue chaotically arranged but in the wrong site

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6
Q

Example of choristoma

A

Dermoid; haired skin on cornea (eye)

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7
Q

What are the 4 preneoplastic changes that can occur before neoplasia does?

A

Hypertrophy
Hyperplasia
Metaplasia
Dysplasia

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8
Q

Are preneoplastic changes reversible?

A

Yes, can regress

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9
Q

Most tumours are a ________ population i.e;

A

Monoclonal; one cell type

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10
Q

What are the 3 basic cell populations that can produce tumour cells

A

Mesenchymal (come from mesoderm)
-CT, fat, cartilage
-muscle

Round cell tumours
-subgroup of mesenchymal, come from mesoderm

Epithelial (come from ectoderm, mesoderm, endoderm)
-ecto; covering epithelium e.g skin
-meso; solid organs eg renal tubules, hepatocytes
-endo; lining epithelium e.g gut

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11
Q

Leukaemia are malignancies derived from;

A

circulating blood cells or their precursors

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12
Q

what is nomenclature

A

Treatment prognosis which tells you cell of origin and tells us whether cells are benign or malignant

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13
Q

Describe the nomenclature for mesenchymal tumours

A

On anki cards

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14
Q

Malignant versus benign tumours

A

Malignant; spread rapidly, cancerous, invade and destroy normal tissue

Benign; grow slowly and don’t spread, non cancerous

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15
Q

Describe the nomenclature for epithelial tumours

A

On anki cards

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16
Q

Histologically,
Mesenchymal cells tend to form…
Epithelial cells tend to form…

A

(Disorganised) sheets
Specific structures

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17
Q

Which 4 important features can we look at to tell whether a tumour is malignant or benign?

A
  1. Differentiation
  2. Rate of growth
  3. Local invasion
  4. Metastitis
18
Q
  1. Differentiation feature of tumours
A

Normal differentiated cells are easily distinguishable due to their features e.g squamous epithelial cells. There is little variation between individuals

Neoplastic cells on the other hand lose these differentiated features i.e dedifferenciate. With loss of Morphological features there is also a loss of functional capacity & there is a development of aggressive behaviour

19
Q

2 types of stem cells and what each does

A

Totipotent; can regenerate all tissues of body

multipotent/pluripotent; give rise to smaller variety of tissue types

20
Q

Most adult stem cells have __________ plasticity

A

Limited (don’t have totipotiness)

21
Q

Tumours are made up of cells that lack what?

A

Fully differentiated features

22
Q

Anaplastic meaning

A

cells which have would dedifferentiated to the point that you cannot tell which cell it used to be

23
Q
  1. Rate of growth feature of tumours
    Normal versus neoplastic
A

Normal; cells are quiescent, stable in G0 but can kick back into dividing mode when needed eg hepatocytes in liver

Neoplastic; have little time in G0, don’t undergo cell cycle arrest, don’t get checked for damage, proliferate continuously

24
Q

What can tumours do apart from continuously dividing non stop?

A

Inactivate death factor signalling pathways; blocks apoptosis and growth rate increased

Activate survival signalling pathways; become independent to bodies needs, not working on common good for rest of body

25
What is function of telomerase -expressed by what cells
Enzyme expressed by stem & germ cells which allows for telomere replication
26
What happens in normal somatic cells when telomerase is expressed? On the other hand, what happens in Neoplastic cells
Extreme ends of DNA templates not duplicated Telomeres that form chromosome ends shortened at each cell division-> cell senescence-> cell death Neoplastic cells regain ability to produce telomerase; Allows for more tel more replication, there is no shortening and therefore no cell death
27
What is the latency period of a solid tumour growth
Period when tumour is not clinically obvious
28
A tumour takes how many doubling to be visible? How many doubling more to become a kg in size, which is fatal?
30 10
29
Important factors in tumour growth
-Blood supply -Extrinsic growth regulating factors -Efficacy of host immune response -Emergence of sub populations of aggressive tumour cells
30
Characteristics of benign tumours
Well differentiated Recogniseable structure Slow progressive expansion Rare mitosis figures No true invasion Often encapsulated Expansive growth No metastitis
31
Characteristics of malignant tumours referring to the 4 features of tumours
Lack of differentiation Atypical structure Variable degree of anaplasia Rapid growth rate Often lots of mitosis figures Local invasion present Infiltrate growth No capsule Frequent metastatis Cause death if untreated!!!
32
Cytological criteria of Malignancy Meaning of Anisocytosis and macrocytosis (Defintion of word split up—> Aniso= Macro= Cyt=)
1. Unlike, inequal 2. Large 3. Cell Therefore anisocytosis means there is variation in cell size Macrocytosis means larger cell than normal
33
anisocytic and macrocytosis cells are features of which type of neoplasia?
Malignant tumour
34
Hypercellularity meaning
Increased exfoliation of cells from a tissue that doesn’t normally exfoliate easily (due to decreased cell adherence) Only applied to certain types of tissue E.g lots of spindle cells found in bone
35
Pleomorphism meaning
Variation in cell size and shape within a given cell population i.e a non uniform or irregular appearance of cell population
36
Macrokaryosis meaning
Enlarged nuclear size
37
Increased nucleus : cytoplasm ratio
An increased amount of nucleus compared to cytoplasm for a given cell type Doesn’t count for cells that normally have a very high N:C ratio e.g lymphoid cells
38
Anisokaryosis
Variation in nucleus size Particularly suggestive of malignancy when it occurs within one cell
39
Multinucleation meaning
Multiple nuclei within one cell
40
Increased mitosis figures meaning
A way to identify how vigorous cell dividing is occurring, e.g if there’s lots of mitosis going on, could indicate that cells are neoplastic
41
What are some exceptions to increased mitosis figures
bone marrow, intestinal crypts Inflamed or reactive tissue Generally most are in low numbers
42
What are the 6 hallmarks of cancer
Sustaining proliferative signalling Resisting cell death Evading growth suppressors Inducing angiogenesis Activation invasion and metastasis Enabling replicative immortality