What is Cancer? Flashcards

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1
Q

What is cancer?

A

Group of diseases characterised by uncontrolled proliferation and spread of abnormal cells

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2
Q

The abnormal cancerous cells do 3 things, which are what?

A
  • Proliferate to form tumours
  • Invade neighbouring tissues
  • Spread through body to form distant tumours
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3
Q

What is a tumour?

A

Mass of tissue formed by growth of new cells

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4
Q

What are the classified terms for cancer according to the following tissues of origin?

  • epithelial
  • connective
  • lymphoid
  • blood
A
  • epithelial = carcinoma
  • connective = sarcoma
  • lymphoid = lymphoma
  • blood cells + blood forming cells = leukaemia
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5
Q

What is the commonest type of human cancer and why?

A
  • Carcinomas
  • Bc actively dividing cells
  • Most exposed to external “insult”
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6
Q

What is the (4 stage) process that normal cells undergo, which is under tight control?

A
  1. Growth
  2. Maturation
  3. Perform function
  4. Cell death
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7
Q

What is different in cancer cells in terms of the normal cell life process?

A
  • Increased cell growth + proliferation (in absence of stimuli)
  • Decreased cell death
  • Decreased cell maturation (“decreased differentiation”)
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8
Q

What is an adenoma?

A

Non-malignant tumour of glandular epithelium

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9
Q

What is a benign tumour?

A
  • non-invase
  • growth usually self-limiting
  • some can develop into malignant cancers (most don’t)
  • can be dangerous if it presses on a vital structure
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10
Q

What is the difference between benign and malignant?

A
  • BENIGN = margins of tumour well-defined, growth entirely local
  • MALIGNANT = margins poorly defined, cancerous cells extend into/invade/destroy surrounding tissues
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11
Q

What 3 characteristics are looked into when diagnosing cancer, in terms of histopathology?

A
  • abormalities of cells (cytology)
  • abnormalities of tissue structure
  • evidence of invasiveness
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12
Q

What is meant by ‘metastases’?

A
  • cancer becomes invasive, eats way through basement membrane
  • local spread via lymphatic system to regional lymph nodes
  • distant spread via blood circulation
  • cancer cells establish new tumours in other parts of body called metastases
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13
Q

What are the commonest cancers diagnosied in the UK in men and women?

A

MEN = prostate, lung, colorectal, bladder

WOMEN = breast, colorectal, lung, ovary, uterus

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14
Q

What are the commonest causes of cancer death in the UK in 2010 in men and women?

A

MEN = lung, prostate, large bowel, oeseophageal

WOMEN = lung, breast, large bowel, ovary

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15
Q

What are risk factors for cancer?

A
  • Age - inc # of mutations over time
  • Chemical factors - cause mutations
  • Physical factors - cause mutations
  • Viral factors
  • Hormonal factors - inc cell turnover -> inc mutation rate
  • Genetics - defect in DNA repair
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16
Q

Smoking is a ‘chemical’ risk factor for cancer - which cancers in particular?

A
  • Lung
  • Oral cavity
  • Larynx
  • Bladder
  • Oesophageal
17
Q

Name 2 physical risk factors for cancer

A
  • Ionizing radiation
  • Solar radiation
18
Q

What are 2 viral risk factors for cancer?

A
  • HPV
  • HIV
19
Q

What causes cancer?

A
  • mutations in genes within cancer cells
  • dysregulation of genes within cancer cells
  • genetic - but mostly somatic mutation, not inherited
  • several mutations needed for full malignancy