Term
Who has a higher rate of cancer: dogs, cats, or humans? |
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Definition
- Dog (1,110:100,000 per year)
- Cats are fewer but most are malignant (70-80%)
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Term
What are 5 general cancer treatment options? |
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Definition
- Sharp surgery
- Cryotherapy
- Radiation therapy
- External beam
- Radioisotope
- Radioactive implants
- Chemotherapy
- Immunotherapy
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Term
What are 5 mechanisms of carcinogenesis? |
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Definition
- Tumor initiating- DNA altering genome
- One or more promotional events that develop the mass
- Mutations (usually p53)- affects cell division
- Apoptosis signaling
- Failure in immune surveillance mechanisms
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Term
Cancer is not one disease. What are 5 factors that contribute to cancer? |
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Definition
- Breed predisposition
- Infectious causes
- Environmental factors
- Chronic inflammation or infection
- Behavioral factors
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Term
What are 3 general risk factors for neoplasia? |
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Definition
- Age
- Heredity/Breed
- Sex/Reproductive status
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Term
How is age a risk factor for neoplasia? |
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Definition
- Most frequent in latter 1/3 of life
- Accumulations of mutations over time, diminishe immune system, lag time between initial transformation & clinical detection
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Term
How is sex/reproductive status a risk factor of neoplasia? |
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Definition
- Females (esp. older, intact) have a higher incidence of tumors than males due to high incidence of mammary tumors
- Intact male dogs have a higher incidence of perianal gland tumors (related to testosterone stimulation)
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Term
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Definition
- An abnormal growth that exceeds & is uncoordinated with that of normal tissue (serves no useful function) & persists without stimulation
- Cells free of normal growth control mechanisms and persists after cessation of the evoking stimulus
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Term
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Definition
- Any type of localized swelling
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Term
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Definition
- Synonymous with malignant neoplasia
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Term
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Definition
- Study of neoplasia (oncos= tumor)
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Term
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Definition
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Term
What are the 2 basic classifications of neoplasia? |
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Definition
- Epithelial origin (oma vs. carcinoma)
- Mesenchymal origin (oma vs. sarcoma)
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Term
What are 12 differentiating morphological features of a benign neoplasm? |
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Definition
- Encapsulated or circumscribed
- Grow by expansion
- Slow rate of growth
- No metastases
- Well differentiated
- Low mitotic index
- Nuclear uniformity
- nucleoli normal
- Normal chromatin content
- Cells polarized
- Necrosis uncommon
- Hemorrhage uncommon
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Term
What are 12 differentiating morphological features of a malignant neoplasm? |
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Definition
- Non-encapsulated
- Grow by expansion and invasion
- Rapid rate of growth
- Metastases frequent
- Undifferentiated or anaplastic
- Increased mitotic index
- Nuclear pleomorphism
- Nucleoli prominent
- Increased nuclear/cytoplasmic ratio
- Cellular disorientation
- Necrosis common
- Hemorrhage uncommon
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Term
What are the 3 morphological hallmarks of malignancy? |
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Definition
- Invasion
- Metastases
- Anaplasia
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Term
What 2 factors determine growth rate of a tumor? |
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Definition
- Number of cells within the proliferating pool
- Rate of cell death (highly variable)
- *** REMEMBER: high mitotic rate alone is not indicative of malignancy. It onlyo determines the degree of proliferative activity of neoplastic cells! ***
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Term
What is the single most important criterion of malignancy? |
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Definition
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Term
What are 3 mechanisms of neoplastic spread? |
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Definition
- Expansion
- Local invasion/infiltration
- Metastasis
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Term
How do tumors spread through expansion? |
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Definition
- Usually a benign form of growth
- Slowly compressive (so it can compensate)
- Can be life threatening if it occurs in a confined space (i.e. brain tumors)
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Term
How do tumors spread through invasion/infiltration? |
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Definition
- Malignant tumors posses the ability to invade & destroy the surrounding normal tissue
- Not well circumscribed
- Typical of sarcomas
- Can be life-threatening if large & not easily resectable
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Term
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Definition
- Spread of neoplastic cells from a primary site to other body organs or tissues
- 3 methods:
- Dissemination via lymphatic vessels
- Dissemination via blood vessels
- Implantation or seeding- esp. serosal surface (least common)
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Term
What is the most common pathway of spread for carcinomas? |
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Definition
- Lymphatic spread
- Metastasis usually develops first in regional lymph nodes (follows natural lymphatic drainage route from primary site)
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Term
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Definition
- When local regional lymph nodes are bypassed & metastases occur further away
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Term
What is the most common pathway for sarcomas to spread? |
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Definition
- Hematogenous spread
- Most neoplastic emboli stop in the first downstream capillary bed
- Organ tropism also plays a factor in metastatic sites
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Term
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Definition
- Factors that enhance the ability of metastases to grow that may be absent in filtering fields
- Ex: oxygen tension, basement membrane type, extracellular matrix, bound ligands or receptors, or local chemokine concentrations
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Term
How can neoplasis metastasize through implantation?
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Definition
- Involves individualization of cells that arise within or penetrate a body cavity
- Separate from primary neoplasia --> float within body cavity (requires fluid) --> attach at a distant site with in the cavity --> neoplastic cells proliferate
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Term
How do neoplastic cells home to target organs? |
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Definition
- Anatomic factors
- Selectivity
- Adhesion molecules/cell surface feceptors
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Term
What are the 2 selectivity theories of metastasis? |
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Definition
- Fertile Soil Theory
- Suitable soil (favored sites) is due to the prescence of specific growth factors or lack of growth inhibiting factors in the target organs
- Mechanical Theory
- Grows wherever it lodges
- Mechanical factors & chance influence success
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Term
What are 5 factors that influence tumor progression? |
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Definition
- Growth rate
- Invasiveness
- Metastatic capability
- Hormonal responsiveness
- Resistance to chemotherapeutic agents
- Tumor cells are genetically unstable & multiple mutations accumulate, resulting in a more malignant subpopulation
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