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pathology N
Neoplasia
59
Medical
Graduate
09/07/2008

Additional Medical Flashcards

 


 

Cards

Term
What are the characteristics of benign neoplasms
Definition

Slow growth

 

do not invade

 

encapsulated by fibrous tissue

 

more differentiated

Term
What are the characteristics of malignant neoplasms
Definition

invade

 

show less differentiation

 

can have anaplasia (no differentiation

 

show pleomorphism (variation in size and morphology

Term
Are some malignant tumors curable by surgical resection?
Definition
Term
What is a fibrosarcoma
Definition

type of malignant tumor

 

 derived from mesenchymal cells

Term
What is a melanoma
Definition

malignant neoplasm

 

found predominantly in skin

Term
What is a hepatocellular carcinoma
Definition

malignant of liver cells

 

caused by HBV and HCV

 

caused by aflatoxin

Term
what is a seminoma
Definition
benigin tumor of testicles
Term
lymphoma ?
Definition
malignant
Term
What is a leukemia?
Definition
cancer of blood or bone marrow
Term
What is an enchrondroma
Definition
benign cartilage tumor in bone
Term
What is an adenoma
Definition

benign tumor

 

glandular origin

Term
what is a harmartoma
Definition

not true neoplasm

 

result of disordered growth during embryonic development

 

normal tissue

Term
What is a choristoma
Definition
normal tissue in abnormal location
Term
What is a carcinoma-in-situ
Definition
Hasn't penetrated basement membrane
Term
What is the significance of lymphatic metastasis
Definition
Term

What is the significance of hematogenous metastasis

Definition

metastatis via blood

 

goes to very perfused tissues

 

(lungs, liver, brain, bone marrow, adrenal glands)

Term
Why are the liver and lungs common sites for metastatic tumors
Definition
Both areas have high perfusion and lymphatic drainage
Term
What are the steps in tumor invasion and metastasis
Definition

leaves cell by invading basement membrane

 

infiltration into ECM

 

vascular and lymphatic invasion

Term

What is the role of:

 

1. proteases

 

2. collagenases

 

 

3. integrins

 

4. angiogenesis factors

Definition

1.

 

2. aid in infiltration and invasion

 

3. aid in invasion though basement membrane and infiltration to ECM

 

4. give tumor blood supply

Term
What is the difference between grading and staging?
Definition

grading = degree of anaplasia, capacity to proliferate

 

staging = extent of growth, metastasis

Term
What is meant by initiation?
Definition
Term
What is meant by "promotion"?
Definition

clonal expansion of the initiated cell

 

requires continued presence of promoting stimulus

Term
What makes a substance carcinogenic ?
Definition

conversion in body to biologically active form

Term
What has to happen to DNA for it to become carcinogenic ?
Definition

mutation

 

+

 

inhibition of apoptosis

Term
List the four elements of carcinogenesis
Definition

intiation

 

promotion

 

progression

 

cancer

Term
Where is major target for promotion?
Definition
cell surface membrane
Term
What defines "progression"
Definition
autonomous growth
Term
What kind of  cancer is associated with Polycyclic aromatic hydrocarbons
Definition

skin cancer (site of application)

 

soft tissue

 

breast

Term
vinyl chloride?
Definition

liver cancer

 

 

(mnemonic: both have "v" )

Term
aflatoxin causes _______cancer
Definition

hepatocellular carcinoma

 

 

(think: aflat rhymes with hepat)

Term
aromatic amines/ azo dyes
Definition

urothelium and urinary bladder cancer

 

 

(think: aromatic dye in pee)

Term
nitrosoamines ?
Definition
Gi tract
Term
Nickel
Definition

lung

 

paranasal sinus

 

larynx

 

(think of nickel stuck in nose, throat, and lung)

Term
arsenic
Definition

skin

 

lung

Term
benzene
Definition

leukemia

 

 

(think: "z" and "k" are two weird letters)

Term
thyroid cancers are caused by which type of physical carcinogen?
Definition

ionizing radiation

 

 

Term
The parasite schestosoma haematobium causes what?
Definition
squamous cell carcinoma of urinary bladder
Term
Parasite clonorchis causes which cancer
Definition

cholangiocarcinoma

 

 

(both starts with "c")

Term
Virus account for 1 out of every _____cancers worldwide
Definition
7
Term
HBV results in what kind of cancer
Definition
hepatocellular carcinoma
Term
WHich type of viruses cause hepatocellular carcinomas
Definition

Hep B

 

Hep C

Term
which type of virus cause oral squamous cell carcinoma
Definition

HPV

 

(ew!)

Term
EBV causes which kind of cancers ?
Definition

Burkitt lymphoma

 

nasopharyngeal carcinoma

 

other lymphomas

Term
Kaposi sarcoma and multicentric Castleman disease are caused by which virus ?
Definition

HHV 8

 

 

Term
adult T cell leukemia ?
Definition

HTLV I and II

 

 

Term

What viruses are associated with :

 

a. Burkitt's lymphoma

b. Kaposi's sarcoma

c. Castleman disease

Definition

a. EBV

 

b. HHV 8

 

c. HHV 8

Term
What are some "omas" that are not benign
Definition

melanoma

 

hepatoma

 

lymphoma

Term
what is a sarcoma
Definition
malignant neoplasm of mesenchymal origin
Term

In the TNM cancer staging system,

 

what does the following mean

 

1. T

 

2. N

 

3. M

Definition

1. tumor size and extent of local invasion

 

2. lymph node presence/ absence

 

3. distant metastatis

Term
IF a tumor was stage T3, N0, M0 what does that mean
Definition

big tumor size and some local invasion

 

no lymph nodes

 

no metastasis

Term

Regarding paraneoplastic syndrome, what is associated with:

 

*cachexia, wasting

*Cushing's syndrome

*hypercalcemia

*precocious puberty

*hypoglycemia

 

 

 

Definition

*cachexia --> TNF +other cytokines

 

*Cushing's syndromes --> small cell lung carcinoma

 

*hypercalcemia --> squamous cell carcinoma

 

*precocious puberty --> gonadotrophins

 

*hypoglycemia --> pancreatic islet tumors

Term

The association with cancer and venous _________has long been recognized. An example is

______________________

Definition

thombosis

 

Trousseau syndrome

Term
Cancers account for ___% of total mortality
Definition
20 %
Term
what is the frequent kind of cause of cancer death among men and women
Definition

lung cancer

Term

what other cancers are common in men?

 

women?

Definition

lung, colorectal, pancreatic

 

lung, colorectal, breast

Term

Are epithelial cancers more common in children or adults?

Definition
adults
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