Squamous Cell Neoplasia Flashcards
What is Cervical Intraepithelial Neoplasia a precursor of?
Invasive squamous cell carcinoma
What is the critical factor that can lead to cervical cancer?
HPV infection
What is the cellular morphology that is used to identify cells with HPV infection?
Koilocytes
What proteins are endoded by HPV and what proteins do these proteins inhibit?
E6/E7 proteins that bind and inactivate p53 and Rb
What two types of HPV are found in 70% of invasive cancers?
HPV 16 and 18
What determines the distribution of cervical intraepithelial neoplasia and cervical cancer?
The transformation zone on the exposed portion of the cervix
What is CIN-1?
Mild dysplasia
What is CIN-2?
Moderate dysplasia
What is CIN-3?
Severe dysplasia
What is the earliest stage of Invasive Cervical Cancer?
Microinvasive Squamous Cell Carcinoma
What is the most common type of cervical cancer?
Squamous Cell Carcinoma
What is the most common means of spread of cervical cancer?
Direct extension thru the lymphatic vessels
What is the grade of of the following cervical intraepithelial neoplasia? Typical characteristics?
CIN-1; Pronounced cellular atypia in the basal third
What is the grade of cervical intraepithelial neoplasia? Typical characteristics?
CIN-2; Pronounced cellular atypia in basal third
What is the grade of cervical intraepithelial neoplasia? Typical characteristics?
CIN-3; Neoplastic cells are present thruout the entire epithelium