Pathology Malignancy Flashcards
BCL-2
Antiapoptotic molecule
Follicular [t(18:14)] and undifferentiated lymphomas
BRAF
Serine/ threonine kinase
Melanoma, nonHodgkins lymphoma
c-Kit
Cytokine receptor
Gastrointestinal stromatolites tumor (GIST)
c-myc
Transcription factor
Burkitt lymphoma t(8:14)
HER2/neu
Tyrosine kinase
Breast, ovarian, and gastric carcinoma
L-myc
Transcription factor
Lung tumor
N-myc
Transcription factor
Neuroblastoma
RAS
GTPase
Colon cancer, lung cancer, pancreatic cancer
RET
Tyrosine kinase
MEN 2A and 2B, medullary thyroid cancer
Oncogenes
Gain function, inc risk of cancer
Need damage to only one allele
Tumor suppression genes
Loss of function, inc risk of cancer. Both alleles must be lost for expression of disease.
APC
Colorectal cancer (ass. with FAP) Risk: diet high in cholesterol, carbs, and low fiber.
BRCA1/BRCA2
DNA repair protein
Breast cancer and ovarian cancer
DCC
“DCC- Deleted in Colon Cancer”
Colon cancer
DPC4/SMAD4
“DPC- Deleted in Pancreatic Cancer”
Pancreatic cancer
MEN1
MEN1- parathyroid, pituitary tumors, pancreatic endocrine tumor
Menin
NF1
Neurofibromatosis type 1
Ras GTPase activating protein
NF2
Neurofibromatosis type 2
Merlin (schwannomin) protein
p16
Cyclic dependent kinase inhibitor 2A
Melanoma
p53
Transcription factor for p21, blocks G1-S phase
Most human cancers, Li-Fraumeni syndrome
Liver and colon cancer
PTEN
Breast cancer, prostate cancer, endometrial cancer
Rb
Retinoblastoma, osteosarcoma
Inhibits E2F; blocks G1- S phase
TSC1
Tuberous sclerosis
Hamartin protein
TSC2
Tuberous sclerosis
Tuberin protein
VHL
von Hipple Lindau disease (hamangioblastomas), renal cell carcinoma
Inhibits hypoxia inducible fx 1a
WT1/WT2
Wilms Tumor- common renal malignancy of early childhood. Chromosome 11, smooth unilateral
Alkaline phosphatase
Metastases to bone or liver, Paget disease of bone, seminoma.
Tumor markers
Monitor tumor recurrence and response to therapy
Alpha- fetoprotein
Hepatocellular carcinoma, heptoblastoma, yolk sac (endodermal sinus) tumor, mixed germ cell tumor
Beta-hCG
Hydatidform moles and choriocarcinoma, testicular cancer, mixed germ cell tumor
CA 15-3/ CA27-29
Breast cancer
CA 19-9
Pancreatic adenocarcinoma
CA 125
Ovarian cancer
Calcitonin
Medullary thyroid carcinoma
CEA
Carcinoembryonic antigen. Very nonspecific but produced by 70% of colorectal and pancreatic cancers! also produced by gastric, breast, and medullary thyroid carcinoma
Chromogranin
Neuro endocrine tumors, carcinoid
PSA
Prostatic specific antigen. Prostate cancer
Can be elevated in BPH, and prostatitis
Aflatoxins (Aspergillus)
Liver
Hepatocellular carcinoma
Alkylating agents
Blood
Leukemia/ lymphoma
Aromatic amines
Bladder
Transitional cell carcinoma
Arsenic
Liver- angiosarcoma
Lung- lung cancer
Skin- squamous cell carcinoma
Asbestos
Lung
Bronchogenic carcinoma, mesothelioma
Carbon tetrachloride
Liver
Centrilobular necrosis, fatty change
Cigarette smoke
Bladder- transitional cell carcinoma
Cervix-cervical carcinoma
Esophagus- squamous cell carcinoma/ adenocarcinoma
Kidney- renal cell carcinoma
Larynx- squamous cell carcinoma
Lung- squamous cell carcinoma and small cell
Lung
Pancreas
Pancreatic thyroid carcinoma
Ethanol
Esophagus- squamous cell carcinoma
Liver- hepatocellular carcinoma
Ionizing radiation
Thyroid- papillary thyroid carcinoma
Nitrosamines ( smoked foods)
Stomach- gastric cancer
Radon
Lung- lung cancer
Vinyl chloride
Liver- angiosarcoma
BCR-ABL
Gene product: tyrosine kinase
Associated Tumor: CML, ALL