P.COLOGY1: Cancer Physiology Flashcards

1
Q

What is cancer?

A

Group of diseases

Characterised by abnormal cell growth through which cells can spread from site of origin (primary tumour) to other sites in the body (2ndary tumours)

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2
Q

What is tumour growth dependent on?

A
  • Delivery of nutrients
  • O2 via increased vascular supply (angiogenesis)
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3
Q

Name the types of tumours

A
  • Benign
  • Malignant
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4
Q

Describe a benign tumour

A
  • Cells well-differentiated
  • Slow-growing
  • Encapsulated (grow in a contained area)
  • Does not metastasize (spread)
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5
Q

Describe a malignant tumour

A
  • Cells poorly-differentiated
  • Fast-growing (frequent cell division)
  • Intravasation (cancer cells entering bloodstream), stop @ distant size + spreads
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6
Q

Name the classes of cancer

A
  • Carcinoma
  • Sarcoma
  • Lymphoma
  • Leukaemia
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7
Q

List the causes of caner

A
  • Diet
  • Weight
  • Sunlight
  • Physical activity
  • Body weight
  • Tobacco
  • Hormones
  • Occupational carcinogens
  • Medical treatment
  • Pollution
  • Genetic factors
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8
Q

What are the symptoms of lung cancer?

A
  • Cough haemotysis
  • Chest pain
  • Breathlessness
  • Tiredness
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9
Q

What are the symptoms of pancreatic cancer?

A
  • Weight loss
  • Stomach/back pain
  • Jaundice
  • Diabetes development
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10
Q

What are the symptoms of breast cancer?

A
  • Lump
  • Breast size changes
  • Discharge
  • Bleeding
  • Weight loss
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11
Q

What makes a cell metastatic?

A
  • Mutagenic initiation
  • Point mutations
  • Chromosomal mutations
  • Epigenetic alterations
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12
Q

Outline the metastatic cascade

A
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13
Q

Describe characteristics of cancer cells

A
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14
Q

Outline normal angiogenesis

A
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15
Q

Outline properties of metastatic cells

A
  • local invasion into vasculature
    • loss of cell adhesion
    • gain of alternate adhesion
  • survival in a vessel
    • selectins
    • plateletW-enhanced metastatic spread
  • arrest @ distant size
  • extravasation
  • growth of 2ndary tumour + angiogenesis
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16
Q

Why is vessel formation important?

A
  • Gas exchange
  • Nutrient delivery
  • Disposal of metabolic waste
17
Q

What is vasculogenesis?

A

Differentiation + activation of endothelial cells with proliferation, migration, alignment, tube formation, branching + remodelling

  • confined to embryogenesis
18
Q

What is angiogenesis?

A

Formation of new vessels from pre-existing vasculature enabling vascularisation of an avascular region

  • Normal process
    • development
    • menstrual cycle
    • wound healing
    • response to disease

Highjacked in cancer (required for tumour growth beyond 1 mm)

19
Q

What is the difference between normal angiogenesis + pathological angiogenesis?

A
20
Q

What are the main goals of cancer therapy?

A

Curative

Maintenance

Palliative

21
Q

Describe characteristics of cancer cells

A
  • Stop depending on external signals for growth
  • Ignore signals telling them not to grow
  • Avoid cell suicide
  • Grow indefinitely
  • Stimulate angiogenesis
  • Disturbs normal metabolism
  • Promote inflammation + activation of immune response
  • Initiate metastasis