Neoplasia I Flashcards

1
Q

Characteristics of dysplasia

A

Pathologic alteration of cell size, shape, and organization
Loss of cellular uniformity, architecture
May be reversible

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2
Q

What is carcinoma in situ?

A

Marked dysplastic change involving the entire thickness of the epithelium
“Pre-invasive malignant”

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3
Q

Neoplasms are typically composed of two things. What are they?

A

Parenchyma (proliferating neoplastic cells) and stroma (supporting tissue).

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4
Q

What determines the biological behavior of a tumor?

A

Parenchymal cell type

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5
Q

What is neoplasm stroma comprised of?

A

Connective tissue, BV, Lymphatics

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6
Q

Two types of parenchymal cells

A

Mesenchymal and Epithelial

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7
Q

Two examples of cancers not from a single parenchymal cell type. How many germ cell layers do they come from?

A

Mixed Cell Neoplasms (1)

Teratoma (multiple)

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8
Q

How to name a benign mesenchymal tumor?

A

Cell of Origin + oma

ex. fibroma, osteoma, rhabdomyoma

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9
Q

How to name a benign epithelial tumor?

A

Cell of origin + adenoma

ex. mammary gland adenoma, ovarian cystadenoma

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10
Q

What are papillomas?

A

Neoplasms tht form microscopic papilla (ex. squamous papilloma)

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11
Q

What are polyps?

A

Neoplasms which project above a mucosal surface into a lumen

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12
Q

How to name a malignant mesenchymal tumor?

A

Cell of Origin + Sarcoma

ex. fibrosarcoma, osteosarcoma, rhabdomyosarcoma

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13
Q

How to name a malignant epithelial tumor derived from or forming glandular patterns?

A

Cell of Origin + Adenosarcoma

ex. mammary adenosarcoma, ovarian cystadenocarcinoma

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14
Q

How to name a malignant epithelial tumor that isn’t glandular?

A

Cell of Origin + Carcinoma

ex. Squamous cell carcinoma, basal cell carcinoma

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15
Q

Five neoplasm exceptions to the neoplasm naming rules

A
  1. Melanoma - Carcinoma of Melanocytes
  2. Seminoma - Carcinoma of Spermatogenic epithelium
  3. Lymphompa - Malignant lymphoid neoplasms
  4. Multiple Myeloma – Neoplasm of plasma cells
  5. Leukemia – Neoplasms of stem cell in the bone marrow
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16
Q

Differentiation refers to…

A

Extent to which parenchymal cell of a neoplasm resemble comparable normal cells in morphology and function

17
Q

What is anaplasia

A

lack of differentiation

18
Q

True or false. Lack of differentiation if the consequence of dedifferentiation.

A

False

19
Q

Characteristics of anaplastic cells

A

Pleomorphism, Basophilic cytoplasm
Nuclei – hyperchromatic, clumping of chromatin
Increased Nuc:Cytoplasm Ratio
Bizarre mitotic figures

20
Q

Best criteria for distinguishing malignant from benign neoplasms

A

Metastasis

21
Q

Two types of malignant cancers that cannot metastasize

A

Glial Cell tumors (gliomas)

Basal cell carcinomas

22
Q

Most common route for carcinoma dissemination?

A

Lymphatics

23
Q

Most common route for sarcoma dissemination?

A

Hematogenous

24
Q

Most common sites of 2ndary metastasis?

A

Lung and Liver

25
Q

Seeding of body cavities/surfaces is characteristic of…

A

Ovarian carcinoma