Neoplasms and Cysts (Oncology) Flashcards
Growth is regulated by genetic program and growth-promoting and/or growth-inhibiting factors.
Limited by contact with other cells.
Once cells are formed, they perform specialized functions.
Normal cells
Permanent cellular changes triggered by adverse conditions.
- Non-neoplastic changes
- Neoplastic changes
Cellular Alterations
New growth
Neoplastic
- Atrophy
- Hypertrophy
- Hyperplasia
- Dysplasia
- Metaplasia
Non-neoplastic changes
Abnormal development of tissue - altered size, shape and organization of cells; usually follows hyperplasia
Dysplasia
Replacement of one type of tissue into a form that is not normally found there. (Cell changes into another cell type).
Metaplasia
Wasting, decrease in size of an organ or tissue
Atrophy
The enlargement of an organ or part due to the increase in the size of cells composing it.
Hypertrophy
The increased size of an organ or part due to the excessive, but regulated, increase in the number of cells.
Hyperplasia
The abnormal, excessive and uncontrolled multiplication of cells with the formation of a mass or new growth of tissue.
Neoplasm (Tumor)
- Genetic mutation due to exposure to carcinogens, this exposure may increase or promote abnormality of the cell.
Cause of neoplasms
Cancer-causing agent or substance.
Carcinogen
Present in the genes, cancer in the colon, breast, and prostate.
Genetic predisposition (carcinogen)
Fungal toxins (on grains, nuts, peanut butter), viruses (HPV, hepatitis B).
Microbial carcinogen
UV rays, X-rays, alpha, beta, gamma rays.
Radioactive factors (carcinogen)
Asbestos, nickel, arsenic (insecticides), formaldehyde (hazard in embalming and making plastics), vinyl chloride (PVC).
Chemical carcinogen
Estrogen and/pr progesterone (breast, uterus), testosterone (prostate).
Hormones (carcinogen)
Acrylamide (generated in fried or overheated carbohydrate foods- french fries, potato chips) residue on barbecued meats.
Animal carcinogen
Smoking and tobacco (lungs), diet (colon cancer: fat, saccharin, nitrates- preservatives in meat and fish), alcohol use, sexual behavior (cervical, penile cancer).
Personal risk behaviors
-Based on appearance and growth pattern.
Benign
Malignant
Clinical classification of neoplasms
Type of body tissue from which they arise.
Histological classification of neoplasms
Not recurrent or progressive; nonmalignant.
- Oma e.g. lipoma
Benign
Tending or threatening to produce death; harmful. Concerning cancerous growths: growing worse, resisting treatment.
- carcinoma or sarcoma
Malignant
- Trauma - e.g. spinal column, ligaments, fractures
- Infections
- Degenerative disorders- herniated disc
- Inflammatory diseases- osteroporosis
Causes of Benign Tumors
- Grow by expansion
- Resemble tissue of origin
- Encapsulated (covered with capsule), makes removal or excision easier
- Do not migrate (do not metastasize)
- Generally do not return after surgical removal
- Do not cause extensive tissue damage
- Do not cause whole body changes
- Generally are not fatal
Benign neoplasm (BN) Characteristics
The spread of cancer from its primary site to a distant location in the body.
Metastasis
A group of closely packed cell that cover surfaces, line body cavities, and form secretory parts of glands.
Epithelial tissue
Adenoma
Papilloma
Nevus
Polyp
Types of epithelial tissue benign neoplams
A neoplasm formed by glandular (gland) epithelium.
e.g.- Pituitary or adrenal glands
Adenoma
Circumscribed overgrowth or hypertrophy of the papillae of a cutaneous or mucous surface; caused by HPV.
e.g.- genital warts
Papilloma
Circumscribed vascular tumor of the skin or other body organs due to hyperplasia of the blood vessels.
e.g.- angioma
Nevus
Growth or mass of tissue that protrudes from a mucous membrane.
e.g.- of the nose, uterus, rectum, vocal cords
Polyp
When growing in passageways > blockage
e.g.- digestive system (difficulty in eating), respiratory system (difficulty in breathing).
When growing in enclosed area, may press on normal tissue > tissue death > potentially death of the individual.
e.g.- brain, nerves (pain, loss of sensation or movement)
Consequences of benign neoplasms in epithelial tissue
Loosely arranged cells and fibers that have nerve and blood supply; they connect, support, protect, transport, and insulate.
Connective tissue
Bone tumor.
Osteoma
Cartilage tumor.
Chondroma
Adipose tissue tumor.
Lipoma
Blood vessel or lymph vessel tumor.
Angioma
Benign blood vascular tissue.
Hemangioma
Tumor-like swelling filled with blood.
Hematoma