Tumour Pathology 3 Flashcards
What are local effects of benign tumours?
Pressure
Obstruction
What are local effects of malignant tumours?
Pressure
Obstruction
Tissue destruction
Bleeding
Pain
Effects on treatment
What tissue destruction may malignant tumours cause?
Ulceration
Infection
What bleeding may malignant tumours cause?
Anaemia
Haemorrhage
What pain may malignant tumours cause?
Pressure on nerves
Perineural infiltration
Bone pain from pathological fractures
What are systematic effects of malignant tumours?
Weight loss
Secretion of hormones
Paraneoplastic syndromes (altered immune response to a neoplasm)
Effects of treatment
What are the possible kinds of hormone secretion due to a malignant tumour?
Normal
Abnormal/inappropiate
What is normal horome secretion due to a malignant tumour?
Normal hormones are produced but abnormal control
What is abnormal hormone secretion due to a malignant tumour?
Produced by a tumour from an organ that does not normally produce that hormone
What is an example of a cancer producing abnormal hormones?
Lung cancer producing ACTH and ADH
What are paraneoplastic syndromes?
Ones that cannot be explained by local or metastasis effects, such as neuropathy (damge to peripheral nerves) or myopathy (disease in muscles where fibres do not function properly)
What is neopathy?
Damage to peripheral nerves
What is myopathy?
Disease in the muscle where fibres do not function properly
What does detecting cancer at an early stage do?
Reduces mortility
What is detected to detect cancer at an early stage?
Dysplasia
Intraepithelial neoplasia
What is dysplasia?
Abnormal development of growth and differentiation
What is intraepithelial neoplasia?
Development of benign neoplasia or high grade dysplasia in an epithelium
What are properties of dysplasia?
Pre-malignant change
Identified in epithelium
No invasion
Can progress to cancer so patient needs to be monitored
May be high or low grade
What could features of a dysplasia be?
Increased nuclear size
Increased metabolic activity
Abnormal mitosis
What does the early detection of cancer require?
Effective screening
What must effective screening be?
Specific
Acceptable
What are the 3 NHS screening programs?
Breast
Cervical
Colon