What is cancer? Flashcards

1
Q

What type of cancers do children get?

A

Blood, brain and bone (not epithelial).

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2
Q

What lymph nodes does testicular cancer spread to and why?

A

Para-aortic nodes due to embryology (starts in abdomen).

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3
Q

Where do breast cancers metastasise to?

A

Bone, brain, adrenal, liver.

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4
Q

Where does prostate cancer metastasise to?

A

Anywhere.

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5
Q

What is the defining feature of sarcomas?

A

Local growth.

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6
Q

Is lymphatic spread common in sarcomas?

A

No, it is very rare.

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7
Q

What types of tumours form spindle cell lesions and what are they?

A

Sarcomas, very long elongated tapered shape to cells.

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8
Q

What patterns do sarcomas tend to follow?

A

The ones in textbooks.

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9
Q

What are the common genetic anomalies in sarcomas?

A

Specific large translocations.

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10
Q

What is the translocation in Ewing’s sarcoma?

A

t(11;22).

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11
Q

What do the nuclei of sarcomas look like?

A

Cigar shaped.

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12
Q

What is the differences between lymphomas and leukaemias?

A

Same cells different locations.

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13
Q

Where do lymphomas tend to pop up?

A

Large lymph nodes (often superficial) across areas that don’t fit with anatomical drainage of an epithelial malignancy.

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14
Q

What organs may lymphomas involve?

A

The liver and spleen (organomegaly).

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15
Q

What are the symptoms of bone marrow involvement of lymphoma?

A

Malignant cells replace everything else so you make less red cells, platelets, granulocytes and normal B cells.

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16
Q

In lymphomas/leukaemias, when would FBC be high and low?

A

High - cells are abnormal.

Low - marrow involvement.

17
Q

What are the B-symptoms of lymphomas/leukaemias?

A

Sweating (particularly night sweats), weight loss.

18
Q

What do lymphomas look down the microscope?

A

Monotonous and clonal in contrast to other tumours.

19
Q

Give an example of a neuroectoderm tumour.

A

Melanoma.

20
Q

What are primary brain tumours often referred to as?

A

Gliomas.

21
Q

Why is nothing really benign in the brain?

A

Enclosed space so an expansion in size will affect surrounding structure.

22
Q

Why do primary brain cancers not metastasise?

A

The BBB.

23
Q

What is the spectrum of primary brain cancers?

A

Grade 1-3.

24
Q

In the future, what will classification of tumours be based on?

A

Molecular abnormalities.