O'Connor 2-21 thru 2-24 Flashcards
What 4 factors determine malignancy?
genetic mutations, epigenetic changes (microenvironment), organ, and cell type
3 Types of highly invasive but not usually metastatic cancer
glioblastoma, squamous cell carcenome in neck, basal cell carcinomas in head
3 types of highly metastatic cancers
pancreas, small cell lung cancer, melanoma
Anoikis
apoptosis from losing contact with surrounding cells
Where do tumor cells usually exrtravasate to?
the next capillary bed or to the most conducive organ for growth
2 meachanisms for extravasation
passive (embolism) or active shunting from the capillary by systemic safe-guard reaction
What is the main genetic feature of metastases in sporadic cancers
they are monoclonal
By what 3 routes do metastases travel
lymphatic, hematogenous, across cavities
Dertain genes code for a signal that “homes” cells to a certain site in the body, an adaptation similar to this cell type
leukocytes
virulence genes
cause metastases, acquired active genes, include oncogenes
metastatic niche
tumor cells can condition future metastasis site with factors (remotely)