Neoplasia Flashcards
What is the highest new cancer rates for men?
Prostate
Lung and bronchus
Colon and rectum
What is the highest new cancer rates for women?
Breast cancer
Lung and bronchus
Colon and rectum
What are the most common cancers in children?
Acute lymphocytic leukemia
CNS malignancy
Neuroblastoma
Non-Hodgkin lymphoma
What does nitrosamines cause?
Gastric cancer
What does cigarette smoke cause?
Multiple malignancies
What does polycyclic aromatic hydrocarbons cause?
Bronchogenic carcinoma
What does asbestos cause?
Bronchogenic carcinoma and mesothelioma
What does chromium and nickel cause?
Bronchogenic carcinoma
What does arsenic cause?
Squamous cell carcinoma of skin and lung
Angiosarcoma of liver
What does vinyl chloride cause?
Angiosarcoma of liver
What does aromatic amines and azo dyes cause?
Hepatocellular carcinoma
What does alkylating agents cause?
Leukemia
Lymphoma
Other cancers
What does benzene cause?
Leukemia
What does naphthylamine cause?
Bladder cancer
What does exposure to radon cause and who does it effect?
- Lung cancer
2. Uranium miners
What types of viruses cause neoplasm?
RNA oncogenic viruses
DNA oncogenic virus
What virus is a RNA oncogenic virus?
Human T-cell leukemia virus (HTLV-1)
What does HTLV-1 cause?
Adult T-cell leukemia/lymphoma
What viruses are DNA oncogenic viruses?
Hepatitis B virus
Epstein-Barr virus (EBV)
Human papilloma virus (HPV)
Kaposi-sarcoma-associated herpesvirus (HHV8)
What does hepatitis B virus cause?
Hepatocellular carcinoma
What does epstein-barr virus (EBV) cause?
Implicated in:
Burkitt lymphoma
B cell lymphomas in immunosuppressed patients
Nasopharyngeal carcinoma
What does the human papilloma virus (HPV) cause?
Benign squamous papillomas (warts-condyloma acuminatum) Cervical carcinoma Vulvar carcinoma Vaginal carcinoma Penile carcinoma Anal carcinoma
What does kaposi-sarcoma-associated herpesvirus (HHV8) cause?
Kaposi sarcoma
Easy answer don’t get wrong
What does oncogenes FGF3 and FGF4 cause?
Cancer of the stomach, breast, bladder, and Kaposi sarcoma
What is the gene product of FGF3 and FGF4?
Fibroblast growth factors
What is the mechanism of action of FGF3 and FGF4?
Overexpression
What does oncogene PGDFRA cause?
Astrocytoma
What is the gene product of PGDFRA?
Platelet derived growth factor
What is the mechanism of activation of PGDFRA?
Overexpression
What does the oncogene ERBB1 cause?
Squamous cell carcinoma of lung
What is the gene product of ERBB1?
Epidermal growth factor receptor
What is the mechanism of activation of ERBB1?
Overexpression
What does the oncogene ERBB2 cause?
Breast, ovary and lung tumors
What is the gene product of ERBB2?
Epidermal growth factor receptor
What is the mechanism of activation of ERBB2?
Amplification
What does oncogene ERBB3 cause?
Breast tumors
What is the gene product of ERBB3?
Epidermal growth factor receptor
What is the mechanism of activation of ERBB3?
Overexpression
What does oncogene RET cause?
MEN 2A and 2B, familial thyroid (medullary) cancer
What is the gene product of RET?
Glial neurotrophic factor receptor
What is the mechanism of activation of RET?
Point mutation
What does oncogene ABL cause?
Chronic myeloid leukemia (CML) and Acute Lymphoblastic Leukemia (ALL)
What is the gene product of ABL?
bcr-abl fusion protein with tyrosine kinase activity
What is the mechanism of activation of ABL?
Translocation
What does the oncogene KRAS cause?
Lung pancreas and colon tumors
What is the gene product of KRAS?
GTP binding protein
What is the mechanism of activation of KRAS?
Point mutation
What does the oncogene MYC cause?
Burkitt lymphoma
What is the gene product of MYC?
Nuclear regulatory protein
What is the mechanism of activation of MYC?
Translocation t(8;14)
What does the oncogene MYCL cause?
Small cell lung carcinoma
What is the gene product of MYCL?
Nuclear regulatory protein
What is the mechanism of activation of MYCL?
Amplification
What does the oncogene MYCN cause?
Neuroblastoma
What is the gene product of MYCN?
Nuclear regulatory protein
What is the mechanism of activation of MYCN?
Amplification
What does the oncogene CCND1 cause?
Mantle cell lymphoma
What is the gene product of CCND1?
Cyclin D protein
What is the mechanism of activation of CCND1?
Translocation t(11;14)
What does the oncogene CDK4 cause?
Melanoma and glioblastoma multiforme (GBM)
What is the gene product of CDK4?
Cyclin dependent kinase
What is the mechanism of activation of CDK4?
Amplification
What does the tumor suppressor gene VHL cause?
von Hippel-Lindau disease and renal cell carcinoma
What does the tumor suppressor genes WT1 and WT2 cause?
Wilms tumor
What does the tumor suppressor gene RB1 cause?
Retinoblastoma and osteosarcoma
What does the tumor suppressor gene TP53 cause?
Lung, breast, colon and others
What does the tumor suppressor gene BRCA1 cause?
Hereditary breast and ovary cancer
What does the tumor suppressor gene BRCA2 cause?
Hereditary breast cancer
What does the tumor suppressor gene APC cause?
Adenomatous polyps and colon cancer
What does the tumor suppressor gene DCC cause?
Colon cancer
What does the tumor suppressor gene NF1 cause?
Neurofibromas
What does the tumor suppressor gene NF2 cause?
Acoustic neuromas and meningiomas
What are the gross features of a benign tumor?
Small size
Slow growing
Encapsulated or well-demarcated borders
What are the gross features of a malignant tumor?
Larger in size
Rapid growth
Necrosis and hemorrhage are commonly seen
Poorly demarcated
What is the microscopic features of a benign tumor?
- Expansile growth with well-circumscribed borders
- Tend to be well differentiated
- Resemble the normal tissue counterpart from which they arise
- Noninvasive and never metastasize
What is the microscopic features of a malignant tumor?
- Vary from well to poorly (anaplastic) differentiated
- Tumor cells vary in size and shape (pleomorphism)
- Increased nuclear to cytoplasmic ratios
- Nuclear hyperchromasia and prominent nucleoli
- High mitotic activity with abnormal mitotic figures
- Invasive growth pattern
- Has potential to metastasize
What is the intermediate filament involved in carcinomas?
Keratin (expressed in all epithelial cells)
What is the intermediate filament involved in sarcomas?
Vimentin (expressed in mesenchymal cells)
What is the intermediate filament involved in uterine leimyoma and rhabdomyosarcoma?
Desmin (expressed in muscle cells)
What is the intermediate filament involved in pheochromocytoma and neuroblastoma?
Neurofilament (expressed in CNS and PNS neurons, neural crest derivatives)
What is the intermediate filament involved in astrocytomas and ependymomas?
Glial fibrillary acidic protein (GFAP)
expressed in glial cells