outline of disease process Flashcards

1
Q

whats the definition of cancer

A

mass, tumour growth

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2
Q

whats the differece between cancer and normal cells

A
cancer cells:
loss of contact inhibition
increase in growth factor
increase in oncogene expression
loss of tumour supressor gene

normal:
oncogene expression is rare
intermittent or co-ordinated growth factor secretion
prescence of tumour suprreswsent gene

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3
Q

whats the progression to cancer?

A

carcinogen, initiation, promotion, tumor, growth, progression

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4
Q

what are the causes of initiation

A

chemical, physical, viral

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5
Q

what are the causes of promotion

A

growth factors, oncogenes

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6
Q

what is the factor of progression

A

metastasis

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7
Q

what are examples of chemical carcinogens

A

bladder cancer, liver, leukemia

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8
Q

what are physical carcinogens

A

chromosome translocation, gene amplification, oncogene activation

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9
Q

what is oncogenes

A

transforming genes, positive regulators of growth and represent a gain in function to transformed cells

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10
Q

what are growth factors

A

polypeptide molecules, regulate growth and function, bind to cell membrane receptors

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11
Q

whats the most commonly altered gene in human tumours

A

p53

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12
Q

what are characteristics of metastasis

A

not random
cascade of limited sequential steps
involves tumour host interaction
survival of the fittest

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13
Q

where does the tumour invade through

A

basement membrane

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14
Q

what is angiogenesis

A

formation of new blood vessels

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15
Q

what kind of tumour is maintained and progressed in angiogenesis

A

malignant

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16
Q

what does VEGF stand for

A

vascular endothelial growth factor

17
Q

what does anti VEGF prevent?

A

interaction with receptors, activation of downstream signalling pathways

18
Q

Why does our immune system not recognise ‘foreign’ cancer cells

A

Cancer cells can ‘hide’ from T cells

interaction of PDL-1 supresses T cell action