Thymus And Lymph Node Flashcards
Where is the Thymus located
Anterior Mediastinum
What are the main cell components in the thymus
T Lymphocytes, Epithelial
Where are the epithelial cells located into the body
In the third pharyngeal pouch
In the cortex are the epithelial cells dense or loose
Dense
In the Medulla, are the epithelial cells loose or dense
Loose
What is the name given to the epithelial cells in the medulla
Hassall Corpuscles
What is the main function of the thymus
Development of Self Tolerance
List the types of Developmental diseases of the thymus
Agenisis and hypoplasia
List the type of Acquired diseases of the thymus
Atrophy, Hyperplasia, Neoplasia
What are the names of the combined deficiencies in thymic developmental immunodeficiencies
Bone Marrow Failure
Severe Combined Immunodeficiency
T and B cell Deficiency
2 degree thymic agenesis/ hypoplasia
What is the name of the cellular deficiencies in thymic developmental abnormalities
1st degree thymic ageneis/ hypoplasia
At what age is the thymic mass at its highest
Puberty
What is the normal thymic mass during Birth, Puberty, 25 years, 60 years, 70 years
15, 35, 25, <15, <5
What causes acquired thymic Atrophy
Age, malnutrition, stress, terminal illness, cytotoxic drugs
The presence of lymphoid follicles is a characteristic of what disease
Thymic Hyperplasia
What is the associated disease for Thymic Hyperplasia
Myasthenia Gravis
What areas in the body exhibits weakness due to Myasthenia Gravis
Proximal Girdle and Bulbar Weakness
True or False, In Myasthenia Gravis, An increase in muscle use decrease the muscle’s ability to function
True
In thymic neoplasms, what disease has an epithelial origin
Thymomas
In thymic neoplasms, what disease has a lymphoid origin
Lymphomas
What are germ cell tumors due to thymic neoplasms called
Teratomas
True or False, the most common neoplasms of the thymus is of epithelial origin
True
True or False, majority of thymomas are malignant
False, they are cytologically and biologically benign
What type of Thymoma is cytologically benign but biologically aggressive
Type 1 (invasive thymoma)
What type of Thymoma is rare
Type 2 - Thymic Carcinoma
True or False, thymomas that are cytologically sand biologically malignant are rare
True
What disease usually has an anterior mediastinal mass
Thymoma
What is the average age group for patients with Thymoma
50 year old
What percentage of patients with Thymomas are asymptomatic
10-50%
What percentage of patients with Thymomas have pressure symptoms
10-30%
What percentage of patients with Thymomas have systemic features
30-40%
What disease is usually associated with Myasthenia Gravis (15-45%)
Thymoma
What disease is associated with thymomas (21%)
Cytopenias
What disease is associated with Thymoma (6%)
Acquired hypo gamma-globulinaemia
What is the term given to a lymph node enlargement
Lymphadenopathy
What 3 substances can cause Reactive Hyperplasia of the Lymph nodes
Microbes
Cell Debris
Foreign Material
True or False, Reactive Hyperplasia is non-specific
True
In reactive Hyperplasia, what cells process antigens
Macrophages
In reactive Hyperplasia, what cell is activated by the lymph nodes
Resting/memory lymphocytes
What morphological change occurs to the lymph nodes in reactive Hyperplasia
Size/cytoplasm
Pallor
Nucleoli and mitosis
What does the the lymph node secrete in reactive Hyperplasia
Cytokines
In reactive Hyperplasia, antigenic stimulation for < 8days, results in ____
Diffuse Hyperplasia (T cell)
In reactive Hyperplasia, antigenic stimulation for > 15 days, results in ____
Follicular Hyperplasia (B cell)
What lymphadenopathy is usually microbial with localized and direct drainage of infection
Acute Reactive Hyperplasia
What are the localized direct drainage of infection
Tonsils
Inguinal
Enteric
What are the generalized drainage of infection
Viral infections
Bacteraemia
Septicaemia
True or False, acute reactive Hyperplasia is asymptomatic
False, it is painfully tender
What is the gross display of lymph nodes in acute reactive Hyperplasia
Red-grey
Intact capsule - perinodal extension
What is the microscopic display of lymph nodes in acute reactive Hyperplasia
Sinusoidal congestion
Polymorphs - necrosis
Follicular Hyperplasia
What histologic appearance varies in reactive Hyperplasia
Age, immune capability, past exposure, inciting factor, duration
A 1st degree lymphoma is referred to as ________
Leukemia
In chronic reactive Hyperplasia, what cell is associated with an increase in antibody production
Follicular (B cell)
In Chronic Reactive Hyperplasia, what cell is associated with viral infections and cytotoxicity
Paracortical/ diffuse (t cell)
What cell is associated with cytokine effect in lymph nodes draining tumors
Sinus histocytosis