Tumour classification Flashcards
Neoplasm vs tumour
Tumour is any abnormal swelling (due to neoplasm, inflammation, hypertrophy, hyperplasia.) Often used interchangeably
Lesion
Localised abnormality
Viscous
An organ
Definition of neoplasm
A lesion resulting from the autonomous or relatively autonomous abnormal growth of cells which persists after the initiating stimulus has been removed. A new growth.
Neoplasms consist of neoplastic cells and s___
stroma
Neoplastic cells derive from n_____ cells, are usually m_______, and their growth pattern and synthetic activity related to parent cell
nucleated, monoclonal (are cells same - true at start but could continue to acquire genetic mutations)
Stroma is the c_____ t____ framework providing mechanical support and nutrition
connective tissue
What is the process of a neoplasms getting its own blood supply?
Tumour angiogenesis
Central necrosis shows that…
The tumour is growing quickly, faster than it can grow its own blood supply
What are the 2 ways to classify neoplasms?
Behavioural (benign/malignant/borderline) and Histogenetic (cell of origin)
Characteristics of benign neoplasms
Localised, non-invasive, slow growing, low mitotic activity, close resemblance to normal tissue, circumscribed or encapsulated
True or false: nuclear morphometry is not normal in benign neoplasms?
False
Is necrosis rare in benign neoplasms?
Yes
Is ulceration rare in benign neoplasms?
Yes
For benign neoplasms, growth on mucosal surfaces usually e________ (grow outward beyond the surface epithelium)
exophytic
How can benign neoplasms cause death?
Pressure on surrounding structures, obstruct flow, produce hormones, transform to malignant neoplasm, also can cause anxiety
Characteristics of malignant neoplasms
Invasive, metastases, rapid growth rate, variable resemblance to normal tissue, poorly defined or irregular border
Ture or false: malignant neoplasms have hyperchromatic nuclei and pleomorphic nuclei (variability in shape, size, staining)
True
Malignant neoplasms have increased m____ activity
mitotic
True or false: necrosis and ulceration is common in malignant neoplasms
Ture
In malignant neoplasm, growth on mucosal surface and skin is often e_____
endophytic
Malignant neoplasms destroy adjacent tissue, cause blood loss from u____, can obstruct flow, produce hormones
ulcers
Malignant neoplasms can give paraneoplastic effects and cause anxiety and p___
pain
Histogenesis
The specific cell of origin of a neoplasm
What 3 things may neoplasms may arise from?
Epithelial cells, connective tissues, lymphoid/haematopoietic organs
Non-glandular and non-secretion neoplasms are c____.
common
Benign epithelial neoplasms (non-secretory) are called
Papilloma
Benign epithelial neoplasms (secretory) neoplasms are called
Adenoma
Carcinoma
Malignant epithelial neoplasm
Malignant epithelial neoplasms of glandular epithelium are called…
adenocarcinomas
Benign connective tissue neoplasms that look like adipocytes are called
lipoma
Benign connective tissue neoplasms that look like cartilage are called
chondroma
Benign connective tissue neoplasms that look like bone are called
osteoma
Benign connective tissue neoplasms that look like angioma are called
vascular
Benign connective tissue neoplasms that look like striated muscle are called
rhabdomyoma
Benign connective tissue neoplasms that look like smooth muscle are called
leiomyoma
Benign connective tissue neoplasms that look like nerves are called
neuroma
Malignant connective tissue neoplasms that resemble adipose tissue are called
liposarcoma
Malignant connective tissue neoplasms that resemble striated muscle are called
rhabdomyosarcoma
Malignant connective tissue neoplasms that resemble smooth muscle are called
leiomyosarcoma
Malignant connective tissue neoplasms that resemble cartilage are called
chondrosarcoma
Malignant connective tissue neoplasms that resemble bone are called
osteosarcoma
Malignant connective tissue neoplasms that resemble blood vessels are called
angiosarcoma
Where cell type of origin cannot be determined, the neoplasm is said to be a______
anaplastic
Name some ‘-omas’ that aren’t neoplasms
Granuloma, mycetoma, tuberculoma
Melanoma
malignant neoplasm of melanocytes
What is malignant neoplasms of mesothelial cells called?
mesothelioma
What is a lymphoma?
Malignant neoplasms of lymphoid cells