Patho 2 Flashcards
Cancer definition
Highly invasive and destructive neoplasms
Neoplasm
Tumour
Benign
Malignant
Cells formed from irreversible deviant cell division
Collection of cells that have lost genetic control of proliferation and differentiation
Localised and closely resembling cells of origin, lost control of proliferation
Invasive and destructive cells that dont resemble cell of origin
Cell proliferation
Cell differentiation
Normal cell
Over proliferation
Undifferentiated
Cancer cell
Due to unrepaired gene malfunction, alters genes that control
Reproduction
Growth
Differentiation
Death
Impact of cancer on tissues, organs, organ systems
Loss of cell communication Increased energy expenditure Increased mortality Rapid angiogenesis Substance secretion Present foreign antigens
Categories of cancer genes
Mutator genes- repair mutated DNA, protect genome
Protooncogens- regulate cell function
Tumour suppressor cells- prohibit over proliferation, regulate apoptosis
High energy ionizing radiation
Hormones
Chemicals
Viruses and bacteria
Carcinogens
Spread of cancer
Local- proliferation of neoplasm in tissue of origin
Direct extension- tumour cells move into adjacent tissues and organs
Seeding- malignant tumours move along membranes of peritoneal and pleaural cavities
Metastases- neoplasms spread to distant sites by lymphatics or blood vessels
Colon——> liver Breast ——> bone Lung ——> brain Prostate ——> bone Malignant melatoma- lung, liver, brain, lymph nodes
Organ tropism of cancer
Well differentiated
Resemble origin tissue
Grade 1-2 cancer
Highly differentiated
Little to no resemblence
Grade 3-4 cancer
Cancer warning signs
Unusual bleeding Change bowl/bladder habits Change in wart/mole Sore that doesnt heal Unexplained weight loss Anaemia, low Hb, fatigue Persistent cough or hoarseness Solid lump
General manifestations of cancer
Systemic and Immune response- fever, anorexia, weight loss
Increase metabolic rate
Paraneoplastic symptoms
Local effects of tumour on neighbouring cells
Diagnostic tests of cancer
Complete history Physical examination Imaging studies Biopsy and cytology Tumour markers Blood, urine, tissues test
Cancer treatment
Eradicate neoplasm
Control growth and spread
Reduce symptoms no cure
Types of cancer treatment
Surgery Chemotherapy Radiotherapy Hormones Immunotherapy Bone marrow transplant Stem cell transplant Adjuvant therapy
Cancer Prevention
Screening Exercise Balance healthy lifestyle Maintain healthy weight Vaccinations Skin protection Avoid tobacco Avoid heavy alcohol use Protect against carcinogens
Diabetes definition
Metabolic disorder
The absence, deficit or resistance to insulin resulting in hyperglycaemia