Tumour Classification and Staging Flashcards

1
Q

What are the 3 cell types?

A

Continuously dividing
Quiescent
Permanently non-dividing

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2
Q

What maintains genomic integrity?

A

Strict cell cycle control

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3
Q

What is a neoplasm?

A

Formation of a new growing mass of tissue

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4
Q

What is neoplasia?

A

Pathological process that results in the formation of a neoplasm

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5
Q

What are features of benign tumours?

A

Localized
Surgically removable
Total resection/eradication = cure
Grows slowly - expansible growth
Do not usually recur
Well-circumscribed borders
+/- capsule
Necrosis is uncommon
Respect histogenesis

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6
Q

What are features of malignant tumours?

A

Invasive
Able to metastasis
Local resection/eradication may not be curative
Grow rapidly
Recur at same and different location
Poorly circumscribed
Not encapsulated
Necrosis and mitotic features common
Cross tissue planes
Highly variable, disorganised and bizarre cells

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7
Q

Define metastasis

A

Spread of tumour cells to sites that are physically discontinuous with primary tumour

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8
Q

What is anaplasia?

A

Lack of differentiation - malignant tumours

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9
Q

What is metaplasia?

A

Replacement of a differentiated cell type with another differentiated cell type in the same tissue

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10
Q

What is dysplasia?

A

Disordered growth

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11
Q

What is Carcinoma in Situ?

A

Severe dysplasia with abnormal cells growing in their normal place
Have not penetrated basement membrane

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12
Q

How can dysplastic cells be recognized?

A

Increased proliferation
Decreased differentiation
Cellular atypia

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13
Q

When does Carcinoma in Situ occur?

A

When dysplasia is severe and involves the entire thickness of the epithelium

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14
Q

What does tumour grading refer to/

A

Process of determining degree of differentiation

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15
Q

What are three grading factors for breast cancer?

A

Tubule formation
Nuclear pleomorphism
Mitotic figures

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16
Q

What is tumour staging?

A

Process of determining extent of cancer spread in the body

17
Q

What are the three factors of tumour staging?

A

Size of primary tumours
If tumour has spread to regional lymphnodes
Presence or absence of metastasis

18
Q

How is grading determined?

A

Cytological appearance

19
Q

How is staging determined?

A

Surgical exploration or imaging

20
Q

What are the two components of tumours?

A

Parenchyma
Supporting stroma