Tumour pathology 3 Flashcards

1
Q

What are the local effects malignant tumours

A
Pressure 
Obstruction 
Tissue destruction 
Bleeding 
Pain
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2
Q

What are the two forms of bleeding caused by malignant tumours

A

anaemia - slow blood loss

haemorrhage - major blood loss

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3
Q

What is an indirect effect of anaemia malignant tumours

A

tiredness

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4
Q

How is pain produced in tumours

A

Pressure on nerves

Bone pain from pathological fractures

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5
Q

Pain on nerves is due to perineural infiltration what is this?

A

cancer spreading to the space surrounding a nerve

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6
Q

What are the systemic effects of malignant tumours

A

secretion of hormones

weight loss

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7
Q

What is paraneoplastic syndrome

A

Not direct effect from cancer cells but from humoral factors from tumour cells or by an immune response against the tumour

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8
Q

What is abnormal hormone production in tumours

A

Produced by tumour from an organ that does not normally produce hormone

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9
Q

What is normal hormone production in tumours

A

produced by tumours of endocrine organ

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10
Q

What is dysplasia

A

early stage in the development of cance (pre-malignant)

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11
Q

Where is dysplasia identified

A

in the epithelium

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12
Q

What are the features of dysplasia

A

Increased nuclear size
Increased mitotic activity
Abnormal mitoses
No invasion

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13
Q

Why is it important to detect cancer at early stage

A

Reduce/prevent morbidity/mortality

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14
Q

What does screening do

A

Try and detect dysplastic cells

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15
Q

Carcino - embtyonic antigen biomarker indicates what

A

colorectal cancer

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16
Q

Kras biomarker indicates what cancer

A

colorectal cancer

17
Q

EGFR is a clinical biomarker for what cancer

A

Lung cancer

18
Q

Her2 is a clinical biomarker for what cancer

A

breast and gastric

19
Q

B-raf is a clinical biomarker for what cancer

A

Melanoma

20
Q

For invasion and metastasis what two natural processes need to be altered

A

Matrix degradation by proteolytic enzymes

and loss of cell cell/ cell ECM adhesion

21
Q

Give an example of the presence of onco foetal proteins in an adult and what it can indicate

A

alpha feto protein AFP - testicular teratomas

or heptacellular caricinomas

22
Q

What are the spread of metastasis sites for Breast, prostate and colorectal

A

Breats - bone
Prostate - bone
Colorectal - liver

23
Q

uncommon metastasis sites

A

Kidney, spleen, heart, skeletal muscle

24
Q

Common metastasis sites

A

Lungs, liver, bone, brain, adrenal