Rubins Neoplasia Flashcards
Work through inactivation of tumor suppressor proteins
HPV and pathogenesis of neoplasia
Reduced in most carcinomas
Expression of E-cadherin
Describes frond-like structures
Papillomatosis
Signifies a soft cellular tumor
Medullary
Implies dense fibrous stroma
Desmoplastic
Secrete abundant mucus
Colloid carcinomas
Intraductal neoplasm in which necrotic material can be expressed from the ducts
Comedocarcinoma
Cancers may produce remote effects
-secretion of coricotropin by a tumor leads to clinical features of cushing syndrome including hyperglycemia and HTN
Paraneoplastic syndrome
Expressed by carcinomas
Cytokertins
Marker for yolk sac carcinoma and hepatocellular carcinoma
a-fetoprotein
Marker for mesothelioma
Calretinin
Marker for colon carcinoma
Carcinoembryonic antigen
Marker for neuroendocrine tumors–small cell carcinoma of the lungs
Synaptophysin
Tumor suppressor proteins involved in checkpoint functions related to progression of the cell cycle into S phase
–also promote DNA repair by binding to RAD51
BRCA 1 and 2
Increased risk of transitional cel carcinoma of the urinary bladder
Aniline dye exposure
Increased expression of proteins that degrade BM–Urokinase-type plasminogen activator–degrades laminin and activates type 4 procollagenase
Matrix metalloproteinase
Metastatic potential enhancement
Most common neoplasm associated with AIDS–Neoplastic cells contain sequences of a novel virus–HHV-8–interfere with p53 and pRb tumor suppressor pathways
Kaposi sarcoma
Ectopic islands of normal tissue
Choristomas
Localized, disordered differentiation during development
Hamartoma
Paraneoplastic syndrome
small cell carcinoma
neuroendocrine granules
Small cell carcinoma of lung
Chromosomal translocation–BCL-2 gene brought under transcriptional control of the immunoglobin light chain gene promotor—overexpression of BCL-2–antiapoptotic properties
B-cell lymphomas
Suggests metastatic cancer
Secretions of tumor cells–such as mucin/serous fluid–expected in the pancreas
Metastatic cancer with canon ball lesions in the liver or lung
Cutaneous disorder marked by hyperkeratosis and pigmentation of the axilla/neck/flexures/anogenital region
more than 1/2 of pts have cancer–most of them are stomach
Acanthosis nigricans
marker seen with Adenocarcinomas of the colon–also pancreatic/lung/ovary
Carcinoembryonic antigen (CEA)