Neoplasia I Flashcards

1
Q

Define neoplasia

A

New tissue growth which is unregulated and monoclonal

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2
Q

Define tumors

A

Abnormal growths of tissue; benign or malignant neoplasm can be implied

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3
Q

Define benign neoplasms

A

Tumors that remain localized and do not metastasize, but may still produce deleterious effects

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4
Q

Malignant tumors

A

Referred to as “cancers,” invade locally and have the potential to metastasize.

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5
Q

Two components of neoplasms

A

Parenchyma and stroma

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6
Q

Define parenchyma

A

Neoplastic cells; determines biological behavior. Name of tumor is derived from this

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7
Q

Define stroma

A

The supporting structures including connective tissue and blood vessels. Plays and important role in the growth of the neoplasm

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8
Q

Define differentiation

A

The extent to which parenchymal tumor cells resemble their normal tissue counterpart

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9
Q

Define anaplasia

A

“Backward differentiation” - loss of the structural and functional differentiation of the cells from which a neoplasm is derived

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10
Q

Pleomorphism

A

Variation in the size and shape of cells. Anaplastic neoplasms generally display marked pleomorphism

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11
Q

N:C ratio

A

Nuclear-to-cytoplasmic ratio - normal cells have 1:4 or 1:6 N:C ratios, but this may approach 1:1 in malignant cells

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12
Q

Define dysplasia

A

Disorderly architecture and altered cytology of cells, principally found in the epithelium.

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13
Q

Do dysplastic growths penetrate the basement membrane?

A

NO.

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14
Q

What may be found in dysplastic growths?

A

Pleomorphism, hyperchromatic nuclei, high N:C ratios, disorderly maturation, mitoses above basal layer

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15
Q

Is dysplasia reversible?

A

It can be, particularly if factors contributing to this change are removed (e.g., tobacco smoke)

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16
Q

Carcinoma in-situ

A

When dysplastic cells involve the entire thickness of an epithelial surface

17
Q

Define metastasis

A

Secondary implants of a malignant tumor that are discontinuous with the primary tumor and may be in remote tissues

18
Q

Three pathways of dissemination

A

Seeding, lymphatics, and blood vessels

19
Q

Seeding

A

Within body cavities; seen in ovarian carcinoma

20
Q

Lymphatic spread

A

More typical of carcinomas. Initial spread is to regional draining lymph nodes

21
Q

Hematogenous spread

A

More typical of sarcomas, but also seen in carcinomas. Cell carcinoma invades nearby veins