T5 Abnormal growth Flashcards

1
Q

why do fibroblasts not need to adapt?

A

survive severe metabolic stress

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2
Q

why do epithelials adapt easily?

A
  • liable
  • active stem cell
  • adaptive function
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3
Q

why can’t cerebral neurons adapt?

A
  • terminally differentiated
  • permanent
  • specialised function
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4
Q

hypertrophy vs hyperplasia?

A

+++ cell size vs +++ cell no.

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5
Q

example of subcellular hypertrophy in smooth ER hepatocytes

A
  • P450 oxidases

- +++ drug metabolism

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6
Q

mechanisms of atrophy

A
  • reduction in cells volume

- death of cells

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7
Q

developmental causes of reduced cell mass

A
  • agenesis
  • aplasia
  • dysgenesis
  • hypoplasia
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8
Q

metaplasia

A

change from one cell type to another

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9
Q

what is the metaplastic tissue of pseudostratified ciliated bronchial epithelium upon exposure to smoking?

A
  • squamous epithelium
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10
Q

what is the metaplastic tissue of transitional epithelium of bladder upon experiencing bladder calcus, schistomosiasis & longstanding catheter?

A
  • squamous epithelium
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11
Q

what is the metaplastic tissue of oesophageal squamous epithelium upon acid reflux?

A

columnar

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12
Q

what does glandular metaplasia in oesophagus lead to?

A

adenocarcinoma

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13
Q

what does squamous metaplasia in cervix lead to?

A
  • CIN

- squamous cell carcinoma

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14
Q

what does endometrial hyperplasia due to increased oestrogens lead to?

A

adenocarcinoma

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15
Q

what does squamous metaplasia in bronchus lead to?

A
  • dysplasia

- squamous cell carcinoma

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16
Q

what does squamous metaplasia in bladder lead to?

A

squamous cell carcinoma

17
Q

what does parathyroid hyperplasia due to chronic renal failure lead to?

A

adenoma

18
Q

features of dysplasia

A
  • in-situ
  • non-invasive
  • irreversible
  • earliest manifestation of neoplasia
19
Q

how severe is dysplasia in each of the following:

  • CIN1
  • CIN2
  • CIN3
  • SCCA
A
  • very mild/mild
  • mild
  • severe; in situ
  • invasive carcinoma