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Normal Dysplasia (cell change) Cancer |
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Malignant -when a basement membrane is breached by cells |
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Hyperplasia Metaplasia Dysplasia Neoplasia |
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neoplasitc cells stroma and blood vessels Other cells: Dendritic cells, lymphocytes |
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What is used to predict behaviour |
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Definition
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transformation growth (proliferation < death) invasion(cell grows and then spreads) metastasis (spread from one location to another) |
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Somatic mutation theory Tissue organization field theory |
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Genome instability DNA mutation changes cell |
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Tissue organization field theory |
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Definition
Alteration in interactions among cells and between cells and their extra cellular matrix -due to envrio |
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needs 30 divisions (1g)[doesn't need a blood supply] -only 10 more division = 1 kg (catching it early doesn't help) |
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Name based on Phenotype Epithelial |
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Definition
Adenoma Epithelioma carcinoma |
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Name base on Phenotype Mesenchymal |
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Definition
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Name base on phenotype Round cell & other |
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Effect of neoplasia on host |
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Definition
local effect (where it is grown) and hormonal effect(the whole body) Cancer cachexia paraneoplastic syndromes(group of clinical signs that have been felt) Treatment |
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How long do you have to live Determined by certain criteria |
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-Phenotype (what kind of neoplasm it is) -Grade (determined by histological assessment of mass) -Surgical Margins (end of surgical wound is studied) -Stage (how far it has spread) |
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Based on Histological features features of malignancy -feature show it might spread Growth rate -cell cycle time -percentage of proliferating cells -amount of cell loss |
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-local invasion: has it invaded the cells around it? -Vascular invasion: invaded blood vessels -Lymph node Metastases: only to tell if spread - look in diff places -Distant Metastases |
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Cytology (lymph nodes) Histopathology (lymph nodes) Medical imaging |
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Spread of neoplasm to a diff location from the original Heamatogenous: having to do w/blood veseels Lymphatic: spreads through the lymph nodes mesothelioma: is one of the other ones -malignant |
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-Surgery: debulk or excise -Radiotherapy Chemotherapy -Immune Stimulation: -Alternatives -Targeted therapy |
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trying to kill all rapidly dividing cells |
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taking and culturing the neoplasis, and injecting them back into patients |
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Just target the neoplasm tissue, w/o causing side effects |
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-DNA damage - mutation -Tumour suppressor genes -control -Oncogenes -Defects in DNA repair |
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-cell cycle -apoptosis -DNA repair |
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being prominent in some neoplasms -derived from proto-oncogenes |
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