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Pathology 764 - 790 & 807 - 829
Selections from Robbins and Cotran Ch 17
55
Pathology
Graduate
03/14/2011

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Cards

Term
Omphalocele
Definition
abdominal muscle closure is incomplete. 40% have other birth defects
Term
Gastroschisis
Definition
ventral wall defect, involves all of the layers of the abdominal wall
Term
inlet patch
Definition
upper third of the esophagus, most common site of ectopic gastric mucosa
Term
Gastric Heterotopia
Definition
ectopic gastric mucosa in the small bowel or colon, occult blood loss
Term
Meckel Diverticulum
Definition
anti-mesenteric side of the bowel. 2yr/ 2%/ 2 feet from ileocecal valve, 2 inches
Term
Hirschsprung Disease
Definition
Failure of neural crest cells, lacks both Meissner submucosal and Auerbach myenteric plexus, receptor tyrosine kinase RET loss can cause
Term
Zenker Diverticulum
Definition
above upper esophageal sphincter
Term
traction diverticulum
Definition
midpoint of the esophagus
Term
epiphrenic diverticulum
Definition
above the lower esophageal sphincter
Term
mucosal webs
Definition
Associated with women over 40, reflux, iron-deficiency anemia with Paterson-Brown-Kelly or Plummer-Vinson
Term
Schatzki rings
Definition
circumferential thickenings, A rings, squamous mucosa
Term
Achalasia
Definition
Triad: incomplete LES relaxation, increased LES tone, aperistalsis of the esophagus
Term
gray-white pseudomembranes
Definition
Candidiasis
Term
punched-out ulcers
Definition
Herpesviruses
Term
Shallower ulcerations
Definition
CMV
Term
Eosinophilic Esophagitis
Definition
failure of high-dose proton pump inhibitor
Term
Esophageal Adenocarcinoma
Definition
mutation or overexpression of p53, c-ERB-B2, cyclin D1, cyclin E, p16/INK4a, distal third of esophagus
Term
Squamous Cell Carcinoma
Definition
hot beverages, African-Americans, middle of esophagus, rural, poor, alcohol and tobacco, p53, p16/INK4a, obstruction and strictures
Term
Gastritis
Definition
neutrophils above the basement membrane,
Term
Curling ulcers
Definition
proximal duodenum associated with burns or trauma
Term
Cushing Ulcers
Definition
with intracranial disease and a high incidence of perforation
Term
Helicobacter Pylori
Definition
poverty, rural areas, persists for decades, CagA is pathogenic gene, Flagella, urease, adhesins, toxins, uncommon in oxyntic mucosa
Term
Autoimmune Gastritis
Definition
hypergastrinemia secondary to achlorhydria, chief cell destruction, pernicious anemia, thinned rugal folds and fundus, goblet cells, intestinal metaplasia, smooth tongue, antibodies to parietal cells, Romberg sign
Term
Reactive Gastropathy
Definition
gastric antral vascular ectasia or watermelon stomach: longitudinal stripes; fibrin thrombi,
Term
Eosinophilic Gastritis
Definition
infiltrates of eosinophils, allergens like cow's milk
Term
Lymphocytic Gastritis
Definition
women, associated with celiac disease, small nodules with central aphthous ulceration
Term
Granulomatous Gastritis
Definition
diverse group of diseases, often caused by Chrohn's
Term
Peptic Ulcer Disease
Definition
most commonly in the gastric antrum and first portion of the duodenum, sharply punched-out defect, heaped-up margins are more characteristic of cancers, granulation tissue at base, malignant transformation is rare
Term
Menetrier Disease
Definition
excessive TGF-alpha, antrum usually spared
Term
Zollinger-Ellison Syndrome
Definition
gastric-secreting tumor often with duodenal ulcers, parietal cell hyperplasia, associated with MEN-1
Term
Fundic gland polyps
Definition
Associated with FAP, increased gastrin,
Term
Gastric Adenoma
Definition
males, aged, associated with chronic gastritis, less than 2 cm in diameter, intestinal-type columnar epithelium
Term
Gastric Adenocarcinoma
Definition
most common malignancy of the stomach, signet-ring cells, apical mucin vacuoles, discohesive cells, peripheral nuclei, supraclavicular sentinel lymph node, E-cadherin expression is drastically decreased in diffuse gastric cancer (CDH1), p53, p16/INK4a, BRCA2, BAC, IGFRII
Term
Lymphoma
Definition
EBV positive, MALTomas, eradication of H. pylori infection induces durable remissions; t(11;18)(q21;q21) and two others, lymphoepithelial lesions with lymphocytes infiltrating glands, plasmacytic differentiation, monocytoid change, CD19-20
Term
Carcinoid Tumor
Definition
Tracheobroncial tree and lungs are most common. small polypoid lesions; yellow/tan, firm, strands, glands, or sheets of uniform cells, endocrine granule markers
Term
Gastrointestinal Stromal Tumor
Definition
Carney triad in children : GIST, paraganglioma, pulmonary chrondroma; c-KIT gene, PDGFRA, serosal nodulesspindle cell or epithelioid cell type
Term
Ulcerative Colitis
Definition
Extends proximally from the rectum, pseudopolyps and mucosal bridges, mucosal atrophy, no thickening, p-ANCA 75%
Term
Left sided colitis
Definition
distal to the transverse colon
Term
pancolitis
Definition
entirety of colon is affected
Term
backwash ileitis
Definition
severe pancolitis that affects ilium
Term
Crohn's Disease
Definition
skip lesions, thickened walls, creeping fat, knife-like ulcers, malabsorption, aphthous ulcers, cobblestonning, fissures, Saccharomyces Cerevisiae; Genes: ATG1621, IRGM, Th17, NOD2, ECM1
Term
Peutz-Jeghers
Definition
11 yrs, mucocutaneous hyperpigmentation (in mouth) risk of intussusceptions, sex chord tumors, haphazard arborized cellular arrangement; Genes: LKB1/STK11
Term
Inflammatory Polyps
Definition
Triad: rectal bleeding, mucus discharge, inflammatory lesion
Term
Cowden
Definition
macrocephaly, hamartomatous polyps, benign skin tumors, risk of breast carcinoma, PTEN mutation
Term
Bannayan-Ruvalcaba-Riley
Definition
mental retardation, relatively low neoplastic risk, PTEN malfunction
Term
Cronkhite - Canada
Definition
non-hereditary, >50yrs, diarrhea, weight loss, ab. pain, weakness, intestinal polyps, brittle nails/hair, dyspigmentation
Term
Hyperplastic Polyps
Definition
delayed shedding of cells causes serrated architecture
Term
Sessile Serrated adenoma
Definition
right colon
Term
Invasive adenocarcinoma
Definition
breach muscularis mucosa; Genes: APC, MUTYH
Term
Intramucosal Carcinoma
Definition
breach basement; Genes: APC, MUTYH
Term
Familial Adenomatous Polyposis
Definition
autosomal dominant, retinal pigment hypertrophy; Genes: APC, MUTYH
Term
Gardner
Definition
osteomas in FAP
Term
Turcot
Definition
intestinal adenomas, CNS tumors
Term
Hereditary Non-Polyposis Colorectal Cancer (HNPCC) "Lynch"
Definition
younger ages, right colon, Genes: MSH1, MSH2
Term
(Intestinal) Adenocarcinoma
Definition
ileum is uncommon, low fiber/high fat diet, NSAIDS are protective as cells express COX-2, signet ring dysplasia, fatigue, weakness, iron deficiency anemia, Genes: APC, beta-catenin, WNT
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