Tumour Pathology 2 Flashcards
What are physical properties of cancer
Pleomorphic - alter morphology, biological function, reproductive model in response to EF
Hyperchromatic - darker nucleus
Coarse chromatin - Clumpy large mass of Chromatins
Highly mitotic and abnormal forms - unregulated division, quicker
Disorganised structure
What are the behavioural changes of cancer cells
Unregulated growth
Loss of cohesion
Immaturity
Immortality
Describe formation of cancer 1
Avoid immune destruction - not present antigens
Describe formation of cancer 2
Replicative immortality - avoid mechanisms for senescence
(Telomeres)
Describe formation of cancer 3
Activate invasion and metastasis - Loss of cell to cell cohesion in order to invade dense CT
Describe formation of cancer 4
Induce angiogenesis - formation of new blood vessels
Describe formation of cancer 5
Resist cell death - anti apoptosis
Describe formation of cancer 6
Deregulate cellular energetics
Anaerobic glycolysis - less efficient, protects against low O2 environment
Describe formation of cancer 7
Sustain proliferated signalling - Constitutive activation (ligand independent activity) of growth factor mechanisms
Describe formation of cancer 8
Evade growth suppressors - evade negative feedback
Describe formation of cancer 9
Genome instability and mutations - favours mutations accumulating and multiple mutations
Describe formation of cancer 10
Mediate tumour-associated inflammatory response - may release tumour promoting molecules
What are the tumour biomarkers?
Tumour-related proteins
What is the clinical utility of tumour biomarkers?
Screening
Diagnosis
Prognostic - identifying patients with specific outcome
Predictive - identifying patients who will respond to particular therapy
What is the biomarker for Teratoma of testis and hepatocellular carcinoma?
Alpha-fetoprotein