Neoplasia Flashcards
BENIGN or MALIGNANT:
well differentiated
BENIGN
BENIGN or MALIGNANT:
typical structure
BENIGN
BENIGN or MALIGNANT:
slowly progressive rate of growth
BENIGN
BENIGN or MALIGNANT:
Mitotic figures: Rare
BENIGN
BENIGN or MALIGNANT:
well demarcated borders
BENIGN
BENIGN or MALIGNANT:
non-invasive
BENIGN
BENIGN or MALIGNANT:
No metastasis
BENIGN
BENIGN or MALIGNANT:
lack of differentiation with anaplasia
MALIGNANT
BENIGN or MALIGNANT:
atypical structure
MALIGNANT
BENIGN or MALIGNANT:
erratic growth
MALIGNANT
BENIGN or MALIGNANT:
numerous mitotic figures
MALIGNANT
BENIGN or MALIGNANT:
Infiltrating border
MALIGNANT
BENIGN or MALIGNANT:
locally invasive
MALIGNANT
BENIGN or MALIGNANT:
Metastasis frequently present
MALIGNANT
Hallmark of malignancy
METASTASIS
TUMOR LIKE CONDITION:
non-neoplastic overgrowth of disorganized tissue INDIGENOUS to a particular site
HAMARTOMA
TUMOR LIKE CONDITION:
Peutz - Jeghers polyp
HAMARTOMA
TUMOR LIKE CONDITION
non-neoplastic NORMAL TISSUE in a FOREIGN location
CHORISTOMA
HYPERPLASIA, METAPLASIA or DYPLASIA
NEOPLASIA, ANAPLASIA, or DESMOPLASIA
increase in number of cells
HYPERPLASIA
HYPERPLASIA, METAPLASIA or DYPLASIA
NEOPLASIA, ANAPLASIA, or DESMOPLASIA
replacement of 1 cell type to another
(secondary to irritation or environment)
METAPLASIA
HYPERPLASIA, METAPLASIA or DYPLASIA
NEOPLASIA, ANAPLASIA, or DESMOPLASIA
abnormal growth with loss of cellular orientation
often PRENEOPLASTIC
DYSPLASIA
HYPERPLASIA, METAPLASIA or DYPLASIA
NEOPLASIA, ANAPLASIA, or DESMOPLASIA
abnormal cells lacking differentiation
ANAPLASIA
HYPERPLASIA, METAPLASIA or DYPLASIA
NEOPLASIA, ANAPLASIA, or DESMOPLASIA
uncontrolled and excessive clonal proliferation of cells
NEOPLASIA
HYPERPLASIA, METAPLASIA or DYPLASIA
NEOPLASIA, ANAPLASIA, or DESMOPLASIA
fibrous tissue formation in response to neoplasm
DESMOPLASIA
PROTO-ONCOGENES
abl (bc3-abl)
CML
Chronic Myelogenous Leukemia
PROTO-ONCOGENES
c-myc
Burkitt’s Lymphoma
PROTO-ONCOGENES
bcl-2
Follicular and undifferentiated lymphomas
PROTO-ONCOGENES
erb-B2
Breast, ovarian and gastric CA
PROTO-ONCOGENES
ras
Colon Carcinoma
PROTO-ONCOGENES
L-myc
Lung Cancer
PROTO-ONCOGENES
N-myc
Neuroblastoma
PROTO-ONCOGENES
ret
MEN 2 and 3
PROTO-ONCOGENES
c-kit
GIST
Gastrointestinal Stromal Tumor
TUMOR SUPPRESSOR GENES
Rb 13q
Retinoblastoma, Osteosarcoma
TUMOR SUPPRESSOR GENES
BRCA 1 17q
BRCA 2 13q
Breast and Ovarian Ca
TUMOR SUPPRESSOR GENES
p53 17p
Li Fraumeni Syndrome
and most human cancers
TUMOR SUPPRESSOR GENES
p16 9p
Melanoma, Pancreatic Carcinoma
TUMOR SUPPRESSOR GENES
APC 5q
Colorectal Cancer
TUMOR SUPPRESSOR GENES
WT1 11p
Wilm’s tumor
TUMOR SUPPRESSOR GENES
NF1 17q
Neurofibromatosis type 1
TUMOR SUPPRESSOR GENES
NF2 22q
Neurofibromatosis type 2
TUMOR SUPPRESSOR GENES
DPC 18q
Pancreatic Cancer
TUMOR SUPPRESSOR GENES
DCC 18q
Colon Cancer
tumor cells are monoclonal
high NC ratio and clumped chromatin
encompasses entire thickness
does not invade basement membrane
Carcinoma in situ
invades basement membrane using COLLAGENASES and HYDROLASES
Invasion
seed and soil theory angiogenesis DECREASE Cadherin INCREASE Laminin Spread to distant organ
Metastasis
PARANEOPLASTIC DISEASES:MALIGNANCY
Down Syndrome
ALL and AML
PARANEOPLASTIC DISEASES:MALIGNANCY
Xeroderma Pigmentosums
Albinism
Melanoma
Basal Cell CA
Squamous Cell CA of Skin
PARANEOPLASTIC DISEASES:MALIGNANCY
Chronic Atrophic Gastritis
Pernicious Anemia
Postsurgical Gastric Remnants
Type B Gastritis
Gastric AdenoCA
PARANEOPLASTIC DISEASES:MALIGNANCY
Tuberous Sclerosis
Astrocytoma
Angiomyolipoma
Cardiac Rhabdomyoma
PARANEOPLASTIC DISEASES:MALIGNANCY
Actinic Keratosis
Squamous cell CA of Skin
PARANEOPLASTIC DISEASES:MALIGNANCY
Barrett esophagus
Esophageal AdenoCA
PARANEOPLASTIC DISEASES:MALIGNANCY
Plummer-Vinson Syndrome
Squamous Cell of ESOPHAGUS
PARANEOPLASTIC DISEASES:MALIGNANCY
Cirrhosis
Hepatocellular CA
PARANEOPLASTIC DISEASES:MALIGNANCY
Ulcerative Colitis
Colonic AdenoCa
PARANEOPLASTIC DISEASES:MALIGNANCY
Paget’s disease of bone
Secondary Osteosarcoma
Fibrosarcoma
PARANEOPLASTIC DISEASES:MALIGNANCY
Immunodeficiency states
Malignant Lymphoma
PARANEOPLASTIC DISEASES:MALIGNANCY
AIDS
Aggressive malignant lymphoma (Non-hodgkins)
PARANEOPLASTIC DISEASES:MALIGNANCY
Autoimmune diseases
Lymphoma
PARANEOPLASTIC DISEASES:MALIGNANCY
Acanthosis nigricans
Visceral malignancy
PARANEOPLASTIC DISEASES:MALIGNANCY
Dysplastic nevus
Malignant melanoma
PARANEOPLASTIC DISEASES:MALIGNANCY
Radiation exposure
Sarcoma
Papillary Thyroid CA
CARCINOGENS
Aflatoxin
Hepatocellular CA
CARCINOGENS
Vinyl Chloride
Liver angiosarcoma
CARCINOGENS
CCl4
Centrilobular necrosis, fatty liver
CARCINOGENS
Nitrosamines
Esophagus, stomach
CARCINOGENS
Cigarette smoke
Squamous cell CA of larynx, lung
Small Cell CA of Lung
Renal Cell CA
Bladder/ Transitional Cell CA
CARCINOGENS
Asbestos
Mesothelioma
Bronchogenic CA
CARCINOGENS
Arsenic
Squamous Cell CA of skin
Angiosarcoma (liver)
CARCINOGENS
Naphthalene dyes
Urothelial cell CA (Bladder/transitional Cell CA)
CARCINOGENS
Alkylating agents (cyclophosphamide
Leukemia
ONCOGENIC INFECTIONS
Clonorchis sinensis
Opistorchis viverrini
Hepatocellular CA
ONCOGENIC INFECTIONS
Helicobacter pylori
Gastric AdenoCA
MALT Lymphoma
ONCOGENIC INFECTIONS
HBV
HCV
Hepatocellular CA
ONCOGENIC INFECTIONS
EBV (4 types)
- B-cell non-hodgkin lymphoma
- Hodgkin lymphoma
- Burkitt’s lymphoma
- Nasopharyngeal CA
ONCOGENIC INFECTIONS
HTLV - 1
Adult T-Cell Leukemia
ONCOGENIC INFECTIONS
HIV
HHV 8
(2 types)
- Primary CNS lymphoma
2. Kaposi Sarcoma
ONCOGENIC INFECTIONS
Schistosoma haematobium
Squamous cell Carcinoma of the bladder
ENDOCRINOPATHIES: Underlying Cancer
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Cushing Syndrome
3 types
~~~
- Small cell carcinoma of lung
- Pancreatic Carcinoma
- Neural Tumors
ENDOCRINOPATHIES: Underlying Cancer
SIADH
Small cell carcinoma of the lung
ENDOCRINOPATHIES: Underlying Cancer
Hypercalcemia
3 types
- Squamous Cell CA of lung
- Breast CA
- Renal CA
ENDOCRINOPATHIES: Underlying Cancer
Hypoglycemia
Ovarian Carcinoma
Fibrosarcoma
ENDOCRINOPATHIES: Underlying Cancer
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Carcinoid Syndrome
3 types
~~~
- Hepatocellular CA
- Bronchial Adenoma
- Pancreatic Ca.
ENDOCRINOPATHIES: Underlying Cancer
Polycythemia
3 types
- Gastric CA
- Renal CA
- Cerebellar hemangioma
most common cancer in CHINA
due to EBV
Nasopharyngeal Cancer
ENDOCRINOPATHIES: Underlying Cancer
Lambert-Eaton Myasthenia
Lung CA
ENDOCRINOPATHIES: Underlying Cancer
Acanthosis Nigricans
Visceral malignancies
ENDOCRINOPATHIES: Underlying Cancer
Hypertrophic osteoarthropathy
Lung Ca
ENDOCRINOPATHIES: Underlying Cancer
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Trousseau syndrome
2 types
~~~
- Pancreatic CA
2. Lung CA
ENDOCRINOPATHIES: Underlying Cancer
Nonbacterial thrombotic endocarditis
S. bovis
Colon Cancer
ENDOCRINOPATHIES: Underlying Cancer
Red Cell Aplasia
Thymoma
ENDOCRINOPATHIES: Underlying Cancer
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Nephrotic Syndrome
2 types
~~~
- Hodgkin’s lymphoma
2. Lung Carcinoma
Most common cancer in JAPAN
Gastric adenoCA
chemotherapy causes release of break-down products of dying cancer cells causing multiple elecrolyte abnormalities
Presents as:
Acute Uric Acid Nephropathy
Acute Renal Failure
Tumor Lysis Syndrome
Treatment for TUMOR LYSIS SYNDROME
Sodium Bicarbonate
Allopurinol
Hydration
TUMOR MARKERS
PSA
prostate cancer
(organ specific, not cancer specific)
may also indicate BPH
PSA DENSITY more predicitive of cancer
TUMOR MARKER
Prostatic acid phosphatase
Prostate Cancer
TUMOR MARKER
CEA
- Colorectal Cancer
- Pancreatic Cancer
- Gastric Cancer
- Breast Cancer
TUMOR MARKER
AFP
Hepatocellular CA, Nonseminomatous GCTs (yolk sac)
TUMOR MARKER
b-HCG
HCG
- Hydatidiform mole
- Choriocarcinoma
- Gestational Trophoblastic tumor
TUMOR MARKER
CA - 125
- Ovarian Cancer
2. Malignant Epithelial tumors
TUMOR MARKER
S-100
- Melanoma
- Neural Tumors
- Astrocytoma
TUMOR MARKER
Alkaline phosphatase
- Bone Mets
- Paget’s disease of BONE
- Obstructive biliary disease
TUMOR MARKER
Bombesin
- Neuroblastoma
- Lung Cancer
- Gastric Cancer
TUMOR MARKER
TRAP
Tartrate Resistant Acid Phosphatase
Hairy cell leukemia
TRAP the HAIRY ANIMAL) (TOPNOTCH p29
TUMOR MARKER
CA 19-9
- Pancreatic adenocarcinoma
2. Mucinous adenocarcinoma
BRAIN METASTASES come from
- Lung
- Breast
- Skin (Melanoma)
- Kidney (Renal Cell CA)
- Gastrointestinal CA
LIVER METASTASES come from
- Colon
- Stomach
- Pancreas
- Breast
- Lung
BONE METASTASES come from
- Prostate (blastic)
- Thyroid (follicular)
- Testes
- Breast (lytic and blastic)
- Lung (lytic)
- Kidney