Neoplasia (7) Flashcards
Clonal process initiated by a genetic mutation conferring growth advantage on involved cells
Neoplasia
2 types of neoplasia?
Benign
Malignant
What is the main way to distinguish a benign neoplasia from a malignant neoplasia?
Benign = LOCALIZED Malignant = invasive and metastasizes
Cancer is considered what type of neoplasia?
Malignant neoplasia
Benign and Malignant neoplasias - edge type
Benign - Intact and encapsulated edge
Malignant - irregular, heterogenous and infiltrative edge
Benign and Malignant neoplasias - growth
Benign - Exophytic growth (above surface)
Malignant - Endophytic growth (into surface)
Benign neoplasias usually end in what suffix?
“oma”
Through what mechanisms do benign neoplasias do harm?
Compression of structures
Hemorrhage
Hormone secretion
Malignant neoplasias from mesenchyme suffix?
Sarcoma
Sarcoma
Malignant mesenchymal derived neoplasia
Malignant neoplasias from epithelium suffix?
Carcinoma
Carcinoma
Malignant epithelial derived neoplasia
Malignant neoplasias from blood cells?
Leukemia
Lymphoma
Myeloma
Melanoma, Mesothelioma and Seminoma - benign or malignant?
Malignant
- Exceptions to the naming conventions
Mesenchymal tissue examples
Bone, muscle, fat, tendons, blood vessels
- sarcomas
Epithelial tissue examples
Skin, mucous, glandular, lining epithelium
- carcinomas
Cell are responsible for invasion and spread. What surrounds them?
Stroma - forms tumor friendly micro-environment
Teratoma forms from?
Totipotent stem cells
A Teratoma includes?
Elements derived from epithelial AND mesenchymal elements
= More than 1 germ cell layer present
Hamartoma
Overgrowth of mature tissues but with disorganization and often 1 dominating element
What is an example of a hamartoma?
Large polyp in the bowel – normal elements just weirdly organized
Hamartomas as what type of neoplasm?
Benign
Choristoma
Mass of tissues from another part of the body in the wrong location
What is an example of a Choristoma?
Pancreatic tissue in the stomach
What are the morphologic changes that lead to cancer?
- Metaplasia
- Dysplasia
- Carcinoma in situ
Metaplasia
1 cell type is replaced with another
Metaplasia leads to?
Dysplasia
Dysplasia
Disordered growth
Dysplasia leads to?
Carcinoma in situ