Pathology Flashcards

1
Q

What is cancer

A

uncontrolled cell proliferation and growth that can invade other tissues

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2
Q

What is a tumour

A

swelling, can be benign or malignant (could even be inflammatory or a foreign body

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3
Q

What is neoplasia

A

new growth thich is not in response to a stimulus

can be benign, premalignant, or malignant

can occur in any cell in any organ

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4
Q

What is hyperplasia

A

more cells

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5
Q

What is hypertrophy

A

cells get bigger

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6
Q

What is metastatic potential

A

Can spread to other sites (metastases)

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7
Q

Where does malignancy go in epithelium

A

beyond the basement membrane (access to blood vessels, lymph nodes etc.)

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8
Q

What is dysplasia

A

abnormal cells growing without a stimulus

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9
Q

Is there invasion with dysplasia

A

no

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10
Q

Tell me about the nucleic to cytoplasm ratio in dysplasia

A

High nucleic to cytoplasm ratio

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11
Q

What is carcinoma in situ (CIS)

A

Dysplasia affecting the whole epithelium

Last stage before becoming malignant

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12
Q

What is metaplasia

A

reversible change from one mature cell type to another mature cell type due to a change in the demand placed on the tissue

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13
Q

Where does metaplasia occur often

A

skin and stomach

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14
Q

Tell me about the origin site of metaplasia

A

often cell or origin is uncertain

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15
Q

Tell me about the double hit hypothesis

A

One working gene is enough

One faulty gene puts person at increased risk

Two faulty mutated genes will result in a functional problem

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16
Q

What is a carcinogen

A

Consistently cause mutations

should cause the same mutation and therefore predispose to the same type of cancers

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17
Q

What does an initiator do

A

cause long lasting genetic damage, not sufficient to cause cancer

must be followed by a promoter

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18
Q

What do promoters do

A

require initiators to have caused damage

time period can vary after initiation

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19
Q

What are weinberg’s hallmarks of cancer

A

resisting apoptosis
sustained proliferative signaling
evading growth suppressors
activating invasion and metastasis
inducing angiogenesis

20
Q

What are oncogenes

A

Turn up genes that promote growth

21
Q

What are tumour suppressors

A

They stop growth

Cells with malignant ambitions must remove them to survive and proliferate

22
Q

What is angiogenesis

A

formation of new, abnormal blood vessels

23
Q

What do successful cancers need to create

A

their own blood supply

24
Q

Is cancer clonal

A

no, single parent but not all cells are identical

25
Q

What are the features of benign tumours

A

Macro - round
Symmetrical, organised
Homogenous - cut surface is uniform
Encapsulated - means legion is slow growing
Normal nucleus to cytoplasm ratio

26
Q

What does pleomorphism mean (malignant)

A

Cells grow in multiple shapes and sizes

27
Q

What does hyperchromatia mean (malignant)

A

Darkly stained nuclei, usually due to increased DNA content

28
Q

What are the features of malignant tumours

A

Look nasty / not natural
Irregular
Infiltrative
Destructive
High nuclear cytoplasmic ratio

29
Q

What is a cancer arising in the epithelium called

A

Carcinomas

30
Q

What are the types of epithelium tumours

A

Glandular, squamous and bladder

31
Q

What are the classifications of glandular tumours

A

Benign - adenoma

Malignant - adenocarcinoma

32
Q

What are the classifications of squamous tumours

A

Benign - papilloma

Malignant - SCC

33
Q

What are the classifications of bladder tumours

A

Transitional cell carcinoma (TCC)

34
Q

What is mesenchyme

A

connective tissues

35
Q

What is a malignant mesenchyme called

A

sarcomas

36
Q

What are the classifications of fat tumours

A

benign - lipoma

malignant - liposarcoma

37
Q

What are the classifications of bone tumours

A

benign - osteoma

malignant - osteosarcoma

38
Q

What are the classifications of cartilage tumours

A

benign - enchondroma

malignant - chondrosarcoma

39
Q

What are the classifications of skeletal muscle

A

benign - rhabdomyoma

malignant - rhabdomyosarcoma

40
Q

What are the classifications of smooth muscle tumours

A

benign - leiomyoma

malignant - leiomyosarcoma

41
Q

What are the classifications of nerve tumours

A

benign - neurofirboma, schwannoma

malignant - malignant peripheral nerve sheath tumour

42
Q

What are the classifications of blood vessel tumours

A

benign - haemangioma

malignant - angiosarcoma, Kaposi’s sarcoma

43
Q

What are the classifications of CNS

A

Gliomas - range from benign version of a tumour to a malignant version

44
Q

What are the classifications of melanocytic tumours

A

freckle - ephelis

mole - naevus

malignant - melanoma

45
Q

What are the classifications of blood tumours

A

all malignant - already systemic

leukaemias, lymphomas