Neoplasia Flashcards
What are the steps involved in the malignant transformation of cells?
Hallmarks of cancer.
How does malignancy alter body function?
There used to be an organ there, the tumor obliterates the organ. Normal homeostasis is interrupted. Either the organ shuts down, or produces material like hormones in excess == pathology.
What are the current modalities used for the treatment of malignancy?
Surgery, chemotherapy, radiation therapy.
What is ‘paraneoplastic syndrome’?
Correlated to ‘Tumor Burden,” which produces endocrine, neurologic, dermatologic and hematologic manifestations.
Chemotherapy can produce a Paraneoplastic-like syndrome.
What does ‘neoplasia’ refer to?
New growth.
What are neoplastic cells described as?
Transformed. Because they continue to replicate, apparently oblivious to the regulatory influences that control normal cell growth.
What is a tumor?
A neoplasm.
What characterizes benign tumors?
Often have the suffix-Oma
Non-problematic microscopic and gross characteristics.
What characterizes malignant tumors?
Capable of invading and destroying tissues.
What is oncology?
The study of tumors.
What is morbidity?
The incidence of a disease in a population.
What is a key characteristic of cancer cells related to cell death?
They evade pro-apoptotic signals.
What is mortality?
The incidence of death due to a disease in a population.
What suffix is often found in benign tumors?
-oma.
How do cancer cells achieve self-sufficiency in growth signals?
By making their own growth factors or using the stroma to produce them.
What are sarcomas?
Malignant tumors from mesenchymal tissues.
What are leukemias or lymphomas?
Malignant tumors from mesenchymal cells of the blood.
What role do oncogenes play in cancer development?
They drive cell proliferation independently of regulatory signals.
What are carcinomas?
Malignant neoplasms of epithelial cells.
What happens when tumor suppressor genes are mutated?
Inhibitory signals are removed, allowing tumors to progress.
How do tumors sustain angiogenesis?
By restructuring vessels to bring blood to them.
What are adenocarcinomas?
Carcinomas in a glandular pattern.
What are squamous cell carcinomas?
Carcinomas producing squamous cells.
What enables cancer cells to have limitless replicative potential?
Activation of the enzyme telomerase to restore shortened telomeres.
What are the two basic components of a tumor?
Parenchymal cells and stroma.
What increases cancer incidence with age?
Accumulation of somatic mutations.
What is the significance of immune evasion in cancer development?
It allows tumors to grow despite the immune system’s presence.
What is involved in the invasion and metastasis of cancer cells?
Loosening of tumor cells, degradation of the basement membrane, and movement through vessels to distant sites.
How do cancer cells evade immune destruction?
By altering immunity or tricking the immune system.
How do tumors trick the immune system?
By producing specific antigens and altering proteins and glycoproteins.
What are some geographical and environmental risk factors for cancer?
Chernobyl, Hiroshima, Nagasaki, arsenic, asbestos, benzene, tobacco, alcohol.
What are some hereditary factors in cancer development?
Oncogenes and tumor suppressor genes.
What role do cytotoxic T lymphocytes (CD8+) play in immune response to tumors?
They are formed to target tumor antigens.
What are some examples of persistent inflammation leading to cancer?
HPV, Hepatitis C, H. pylori.