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pathology 1 part 2
tumor and after
62
Medical
Graduate
10/10/2009

Additional Medical Flashcards

 


 

Cards

Term

disorganized mass of normal tissue component

 

neoplasm?

 

where is most common location

Definition

hamartoma

 

lung

Term

benign vs. malignant?

 

adenoma

papilloma

polyp

cystadenoma

papillary cystadenoma

Definition
all benign
Term

teratoma origin?

 

bone

muscle

bronchial tissue

intestinal

nervous

skin

Definition

mesoderm

mesoderm

endoderm

endoderm

ectoderm

ectoderm

Term
lack of differentiation
Definition
anaplasia
Term
disordered growth, reversible, premalignant change often in epithelium
Definition
dysplagia
Term

malignant neoplasm stroma:

 

abundant fibrous stroma, may be stony hard

Definition
desmoplasia
Term
variation in size, shape, and appearance of cells and nuclei
Definition
pleomorphism
Term

malignant neoplasm: stroma:

 

scant stroma - soft and fleshy

Definition
medullary
Term
what is the central feature in cytodiagnosis of malignancy.
Definition
nucleus
Term

tumor giant cell

 

vs.

 

reactive foreign body giant cell

Definition

large cell with one or more abnormal nuclei by nuclear division w/o cytoplasmic division

 

have bland nuclei

Term

the most reliable feature of malignancy

 

2nd most reliable feature

Definition

metastasis

 

invasiveness

Term
contiguous invasive spread of tumor to adjacent structure by direct continuous tumor growth
Definition
breast ca infiltrating skin
Term
tumor reach peritoneal, pleural spread by direct extension or carry to new location within serous cavity by cavity fluid
Definition
seeding or implantation
Term
2 cancer do not metastasize
Definition

basal cell carcinoma

 

malignant glial tumor of CNS

Term
discontinuous spread of neoplasm to produce secondary tumor growth distant from primary tumor
Definition
metastasis
Term

most common way for initial spread of carcinoma

 

 

Definition
lymphatic metastasis
Term
why is small lym invade easier than small blood vessel
Definition
no asement membrane
Term
what is area of lymph node first involved by metastatic tumor
Definition
supcapsular
Term
supraclavicular lymph node with metastasis from abdominal malignancy
Definition
virchow-Troisier node
Term

hematogenous metastasis

 

spread by what type of tumor

Definition
carcinoma + sarcoma
Term
whats the 2 most frequent hematogenous metastasis
Definition
liver, lung
Term

what is severe weight loss and loss of lean body mass, anemia and weakness in late stage of malignant neoplasm

 

what factor

 

is it from nutritional demands of tumor

Definition

cancer cachexia

 

TNF-alpha

 

not from nutritional demand of tumor.

Term

hormonal secretion:

 

acromegaly

cushing's syndrome

hypertension

hypercalcemia

Definition

pituitary tumor

adrenal cortical tumor

adrenal medulla tumor

parathyroid neoplasm

Term
most common paraneoplastic syndrome
Definition

hypercalcemia

 

 

Term
some paraneoplastic syndrome
Definition

endocrinopathy

acanthosis nigrican

trousseau's sign

hypertrophic osteoarthropathy

hypercalcemia

neuromyopathy

polycythemia

Term

endocrinopathy of paraneoplastic syndrome

 

ACTH

 

insulin-like substance

Definition

small cell undifferentiated carcinoma of lung

 

mesothelioma, fibrosarcoma

Term
90% of what cancer has acanthosis nigrican
Definition
GI carcinoma
Term
Trousseau's sign/migratory venous thrombosis, usually in 3 ca.
Definition

pancreas

 

lung

 

GI tract

Term

paraneoplastic syndrome

 

hypertrophic osteoarthropathy

Definition
lung cancer
Term

paraneoplastic syndrome

 

hypercalcemia via 2 ways.

 

2 cancer for each of the 2 ways

Definition

bone resorption:

breast cancer

MM

 

parathormone-like peptide

squamous cell ca. of lung

head and neck

Term

paraneoplastic syndrome:

 

neuromyopathy

Definition
Eaton-Lambert syndrome
Term

paraneoplastic syndrome:

 

polycythemia, 3 causes

Definition

renal cell carcinoma

 

hepatocellular

 

angiocarcinoma

Term
what is most common ca increased in immunodeficient host
Definition
lymphoma
Term
spontaneous regression ca.
Definition
hemangioma
Term

immunohistochemistry for tumor:

 

what do u use for

 

leukocyte

neuronal tumor

muscle tumor

mesenchymal tumor

epithelial tumor

Definition

CD45

neurofilament protein

desmin

vimentin

cytokeratin

 

VS - vimentin for sarcoma

CC - cytokeratin for carcinoma

Term

tumor marker

 

hcG

AcTH

parathyroid like hormone

calcitonin

CEA

AFP

PSA

IgG kappa

Definition

choriocarcinoma, teratocarcinoma

small cell carcinoma of lung

squamous cell carcinoma of lung

thyroid medullary carcinoma

colon ca.

hepatocarcinoma

prostate ca.

MM

Term
most important prognostic indicator of tumor
Definition
staging
Term
what 3 caner is in young people with no age extremes
Definition

osteosarcoma

testicular tumor

hodgkin's disease

Term

type of genetic tumor

 

xeroderma pigmentosum

ataxia telangiectasia

bloom's syndrome

fanconi's anemia

familial retinoblastoma

FAP

MEN

neurofibromatosis

breast-ovarian

Definition

AR

AR

AR

AR

AD

AD

AD

AD

familial

Term

carcinogen

 

polycyclic hydrocarbon

Definition

lung

mouth

esophagus

pancreas

urinary bladder

cervix

Term

carcinogen

 

aniline dye

Definition
transitional cell ca. of bladder
Term

carcinogen

 

benzene

Definition
leukemia
Term

carcinogen

 

nitrosamine

Definition

esophageal

 

gastric cac.

Term

carcinogen

 

arsenic

Definition
skin ca.
Term

carcinogen

 

asbestos

Definition

mesothelioma

 

lung

Term

carcinogen

 

vinyl chloride

Definition
angiosarcoma of liver
Term

carcinogen

 

DES

Definition
vaginal clear cell ca.
Term

carcinogen

 

alkylating agent

Definition
leukemia, lymphoma
Term

carcinogen

 

cyclophosphamide

Definition
bladder ca.
Term

carcinogen

 

aflatoxin B

Definition
HCC
Term

carcinogen

 

HPV

Definition
cervical squamous cell ca.
Term

carcinogen

 

EBV

Definition

Burkitt lymphoma

nasopharyngeal ca.

Term

carcinogen

 

HepB, Hep C

Definition
HCC
Term

carcinogen

 

HSV8

Definition

Kaposi's sarcoma

high grade B lymphoma

Term

carcinogen

 

ultraviolet radiation

Definition
skin
Term

carcinogen

 

ionizing radiation

Definition

leukemia

thyroid ca.

Term

leukemia caused by 3

carcinogen

 

Definition

alkylating agent

ionizing radiation

benzene

Term
2 extracellular matrix are on BM as condensed sheetlike structures that separate epi and endo from interstitial CT
Definition

Type 4 collagen

 

laminin

Term
2 ECM on interstitial extracellular matrix
Definition

Type 1 collagen

fibronectin

Term
3 mechanism of degrade of ECM by tumor
Definition

Type 4 collagenase by metalloproteinase

 

plasminogen activator converting plasmin to break laminin + secrete type 4 collagenase

 

degradation of type 1+3 by another collagenase

Term

homing to specific organs

 

prostate:

 

lung:

Definition

bone

 

brain, adrenal

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