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Pathology Unit III
Neoplasia
130
Pathology
Graduate
02/03/2013

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Term
Neoplasia
Definition
New Growth
Term
Neoplasm
Definition
an abnormal mass of tissue, the growth of which exceeds and is uncoordinated with that of the normal tissues and persists in the same excessive manner after cessation of the stimuli which evoked the change
Term
Tumor
Definition
swelling caused by inflammation
Term
Oncology
Definition
the study of tumors/neoplasms
Term
Cancer
Definition
the common term for all malignant tumors.
Term
Benign
Definition
not malignant.
Term
Malignant
Definition
having properties of anaplasia [primitive], invasion [secondary], metastasis[primary], and immortality.
Term
Parenchyma
Definition
proliferating neoplastic cells
Term
Importance of Parachyma in the growth of neoplasms
Definition
largely determines its biologic behavior, component from which the tumor derives its name.
Term
Supportive Stroma
Definition
made up of connective tissue, blood vessels, and possibly lymphatics
Term
Importance of Supportive stroma in the growth of neoplasms
Definition
necessary to maintain tumor growth
Term
Medullary tumor stroma
Definition
soft, cellular tumor with little connective tissue stroma
Term
desmoplastic tumor stroma
Definition
abundant collagenous or mucinous stroma and are grossly hard to the touch
Term
benign tumor nomenclature
Definition
suffix -oma
Term
malignant mesenchymal tumors nomenclature
Definition
sarcoma
Term
malignant epithelial tumors nomenclature
Definition
carcinoma
Term
mixed tumors nomenclature
Definition
tumors showing both epithelial and mesenchymal differentiation. Can be benign or malignant.
Carsinosarcoma, or pleomorphic adenoma/mixed
Term
teratogenous tumors nomenclature
Definition
tumor made up of a variety of parenchymal cell types representative of more than one germ layer (often all three, called teratoma
Term
Benign tumor of fibrous tissue
Definition
Fibroma
Term
Malignant tumor of fibrous tissue
Definition
Fibrosarcoma
Term
Benign tumor of Fatty issue
Definition
lipoma
Term
Malignant tumor of fatty tissue
Definition
liposarcoma
Term
Benign tumor of cartidlege tissue
Definition
chrondroma
Term
Malignant tumor of cartilege tissue
Definition
chondrosarcoma
Term
Benign tumor of bone tissue
Definition
osteoma
Term
Malignant tumor of bone tissue
Definition
osteogenic sarcoma
Term
Benign tumor of mesothelium
Definition
can only be malignant
Term
Malignant tumor of mesothelium
Definition
mesothelioma
Term
Benign tumor of blood vessels
Definition
hemangioma
Term
Malignant tumor of blood vessels
Definition
angiosarcoma
Term
Benign tumor of lymph vessels
Definition
lymphangioma
Term
Malignant tumor of lymph vessels
Definition
lymphangiosarcoma
Term
Benign tumor of hemopoietic cells
Definition
only maligant
Term
Malignant tumor of hemopoietic cells
Definition
leukemia
Term
Benign tumor of lymphoid tissue
Definition
only malignant
Term
Malignant tumor of lymphoid tissue
Definition
lymphomas (note ending -oma)
Term
Benign tumor of smooth muscle
Definition
leiomyoma
Term
Malignant tumor of smooth muscle
Definition
leiomyosarcoma
Term
Benign tumor of striated (skeletal) muscle
Definition
Rhabdomyoma
Term
Malignant tumor of striated (skeletal) muscle
Definition
Rhabdomyosarcoma
Term
Benign tumor of stratified squamous cell epithelium
Definition
squamous cell papilloma
Term
Malignant tumor of stratified squamous cell epithelium
Definition
squamous cell or epidermoid carcinoma
Term
Benign tumor of granular epithelium
Definition
adenoma
Term
Malignant tumor of granular epithelium
Definition
adenocarcinoma
Term
Benign tumor of liver cells
Definition
liver cell adenoma
Term
Malignant tumor of liver cells
Definition
hepatocellular carcinoma
Term
Benign tumor of melanocytes
Definition
nevus
Term
Malignant tumor of melanocytes
Definition
malignant melanoma
Term
Benign tumor of placenta
Definition
hydatifiform mole
Term
Malignant tumor of placenta
Definition
choriocarcinoma
Term
Differentiation difference between benign and malignant tumors
Definition
benign tumors are usually well-differentiated and malignant tumors can range in differentiation
Term
Differentiation
Definition
the extent to which parenchymal cells resemble comparable normal cells, both morphologically and functionally. Poorly differentiated cells are more likely to be malignant.
Term
anaplasia
Definition
lack of differentiation, backward formation, dedifferentiaion or loss of the structural and functional differentiation of normal cells
Term
Anaplastic differences between benign and malignant tumors
Definition
Anaplasia is a hallmark of malignancy
Term
Rate of growth
Definition
refers to the time it take the tumor to grow
Term
Rate of growth differences between benign and malignant tumors
Definition
benign tumors grow more slowly and most cancers grow much faster
Term
Encapsulation
Definition
development of a fibrous capsule that separated the tumor from the host tissue
Term
Encapsulation differences between benign and malignant tumors
Definition
Most benign tumors have capsules, and most malignant tumors do not. Encapsulation is not the rule in benign tumors, the lack of a capsule does not mean that a tumor is malignant
Term
invasion
Definition
progressive infiltration, invasion, destruction and penetration of surrounding tissue.
Term
Invasion differences between benign and malignant tumors
Definition
most reliable feature that distinguishes malignant from benign, malignant cancer. Malignant cancers develop crablike feet penetrating the margin and infiltrating adjacent structures.
Term
Metastasis
Definition
secondary implants of a tumor that are discontinuous with the primary tumor and located in remote tissues
Term
metastasis differences between benign and malignant tumors
Definition
Benign tumors do not metastasize. The more anaplastic and the larger the primary neoplasm, the more likely it is to metastasize
Term
dedifferentiation
Definition
loss of structural and functional differentiation of normal cells
Term
undifferentiation
Definition
the cells are very immature and "primitive" and do not look like cells in the tissue from it arose
Term
Nucear pleomorphism
Definition
extremely hyperchromic and large nuclei, characteristic of undifferentiated ananplastic cells
Term
Mitosis
Definition
numerous and distinctly atypical, tripolar or quadrpolar mitotic figures, characteristic of undifferentiated anaplastic cells
Term
Tumor giant cells
Definition
considerably larger than their neighbors with enomorous nucleus or severl nuclei, characteristic of anaplastic undifferentiated cells
Term
Keratin production
Definition
keratinization- characteristic of well-differentiated squamous cell carcinomas
Term
Disorganized sheets of tumor cells
Definition
common in well-differentiated cancers
Term
Factors that are related to rate of growth of benign and malignant neoplasms
Definition
circulationing levels or hormones, adequacy of blood supply, and cancer stem cells
Term
Four ways that a tumor cell can disseminate throughout the body
Definition
(1)Direct seeding of body cavities or surfaces
(2)Lymphatic spread
(3)Blood vessels spread- hematogenous spread
(4)Transplantation- mechanical transport of tumor fragments
Term
Geographic location and cancer
Definition
Environmental factors are the predominant cause of the most common sporadic cancer.

For example - breast cancer is much more common in the United States than in Japan. Stomach cancer is relatively uncommon in the United States but is much more common in Japan.
Term
Environment and cancer
Definition
as carcinogens found the workplace, food, exposure to cigarette smoking, asbestos [mesothelioma], alcohol, etc.
Term
age and cancer
Definition
in general the frequency of cancer increases with age, although certain cancers occur primarily in children (Wilms tumor, retinoblastoma). Explained by the accumulation of somatic mutations associated with the emergence of malignant neoplasms. Also the decline in immune competence that accompanies ageing.
Term
hereditary factors and cancer
Definition
familial predisposition has been noted in such tumors as carcinoma of the breast, colon, ovary, prostate, uterus, and melanoma.
Term
predisposing factors and cancer
Definition
conditions that may, but do not always, predispose to development of cancer
Term
Genetic damage and carcinogensis
Definition
nonlethal genetic damage lies at the heart of carcinogenesis. Genetic damage can be acquired by action of environmental agents, or can be inherited. The tumor mass results from the clonal expansion of a single progenitor cell that has incurred genetic damage
Term
normal regulatory genes ane carcinogensis
Definition
(growth promoting proto-oncogenes, growth inhibiting tumor suppressor genes, genes that regulate programmed cell death, and genes involved in DNA repair)- principle targets of genetic damage, genetic alterations in tumor cells confer growth and survival advantages over normal cells.
Term
Chemical carcinogens
Definition
direct-acting alkylating agents, polycyclic aromatic hydrocarbons, amines and azo dyes, and naturally occurring carcinogens.

Example: cigarette smoke
Term
Radiation carcinogens
Definition
UV light, ionizing radiation,
Term
Oncogenic virus
Definition
HPV, Epstein-Barr Virus, AIDS
Term
Local and hormonal effects on tumor on host
Definition
can be due to benign or malignant tumors - compression, obstruction, elaboration of hormones, ulceration, secondary infection, bleeding, torsion and infarction.
Term
Cachexia effects of tumor on host
Definition
progressive loss of body fat and lean body mass, profound weakness, anorexia, and anemia, seen in patients with advanced cancer
Term
Paraneoplastic syndromes of tumor on host
Definition
symptoms in cancer patients that are not due to local or distant spread of tumor or to production of hormones native to the tissue from which the tumor arose
Term
Effects of host on tumor
Definition
humoral and cellular immune defense mechanisms
Term
Grading Neoplasms
Definition
the cytologic differentiation of the tumor cells (how much they resemble normal cells) and the number of mitoses within the tumor as presumed
Term
Significance of grading neoplasms
Definition
correlates of the neoplasms' aggressiveness and level of malignancy.
Term
Grade I
Definition
Well differentiated-(25% of cells are dedifferentiated; 75% of cells resemble normal counterpart)
Term
Grade II
Definition
Moderately differentiated- (50% of cells are dedifferentiated; 50% of cells resemble normal counterpart)
Term
Grade III
Definition
Poorly differentiated-(75% of cells are dedifferentiated; 25% of cells resemble normal counterpart)
Term
Grade IV
Definition
Undifferentiated, anaplastic- (100% of cells are dedifferentiated)
Term
Staging neoplasms
Definition
is based on the size of the primary lesion, its extent of spread to regional lymph nodes, and presence or absence of blood-borne metastases
Term
Significance of staging neoplasms
Definition
Purpose of staging system is to be able to enter patients into various clinical protocols.
Term
TNM method of staging
Definition
"T" - size of the primary tumor and can be designated "T 0"(T zero) (an in situ lesion) or T1-T4 with increasing size of the primary lesion.

"N"-regional lymph node involvement and can be designated "N 0" (N zero) (indicates no nodal involvement) or N1-N3, indicating involvement of an increasing number of nodes.

"M”-metastasis and can be designated "M 0" (M zero) (indicates no metastasis) or M1 or M2, indicating the presence and amount of metastases.
Term
usefulness of identifying tumor markers in the classification of malignant neoplasms
Definition
there are markers that may be useful in identifying the cell of origin of a metastatic tumor or a poorly differentiated primary tumor
Term
Immunologic markers
Definition
E rosettes, MaBs, Specific heavy-chain immunoglobulins, Kappa, lambda light chains
Term
E rosettes
Definition
Leukemia/lymphoma T cells
Term
Monoclonal antibodies
Definition
Leukemia/lymphoma T and B cells
Term
Specific heavy-chain immunoglobulins
Definition
Leukemia/lymphoma B cells
Term
Kappa, lambda light chains
Definition
Leukemia/lymphoma B cells
Term
Tumor associated antigens
Definition
CEA and AFP
Term
CEA
Definition
Carcinoembryonic antigen, Colon, pancreatic, gastric and breast carcinomas
Term
AFP
Definition
Alpha-fetoprotein, Hepatocellular carcinoma, yolk-sac tumor (endodermal sinus tumor)
Term
Hormones
Definition
calcitonin, chorionic gonadotrophin
Term
calcitonin
Definition
Thyroid medullary carcinoma
Term
Human chorionic gonadotropin
Definition
Choriocarcinoma, hydatidiform mole
Term
A well differentiated ductal carcinoma of the breast closely resembles
Definition
normal ductal tissue of the breast.
Term
Of the following, which finding is the BEST indication that a breast neoplasm is malignant?
Definition
metastasis
Term
A typical breast carcinoma feels firm/hard on palpation. This is due to what type of tissue reaction?
Definition
scirrhous change
Term
In a woman with breast carcinoma, the MOST important factor for predicting prognosis is
Definition
stage of disease.
Term
Inflammatory breast cancer clinically presents with reddened, inflamed skin because
Definition
cancer cells have obstructed dermal lymphatic channels causing local edema and erythema.
Term
Which is the highest incidence cancer in males?
Definition
Prostate
Term
Which is the highest incidence cancer in females?
Definition
Breast
Term
Which cancer has the highest death rate in males and females?
Definition
Lung
Term
choristoma
Definition
ectopic rest of normal tissue
Term
hamartoma
Definition
mass of disorganized (but mature) tissue native to a particular site
Term
Proto-oncogenes
Definition
gas pedal
Term
Suppressor genes
Definition
brakes
Term
Which mutation is more likely to lead to malignant cell development
Definition
suppressor gene mutation
Term
name 4 tumor suppressor genes
Definition
Rb, p53, APC, and p16
Term
3 criteria for diagnosing cancer
Definition
morphology, relationship to surrounding tissue and experience
Term
4 steps to developing metastasis
Definition
tissue and vascular invasion
tumor cell migration
remote localization
successful colonization and progressive growth
Term
how is cancer presumptively diagnosed
Definition
imaging studies
Term
how is cancer definitively diagnosed?
Definition
cytologic/histologic means
Term
[image]
Definition
Anaplastic cells
Term
[image]
Definition
anaplastic nuceli
Term
[image]
Definition
Invasive Cancer Cells
Term
[image]
Definition
Invasive nuceli
Term
[image]
Definition
Normal Cells
Term
[image]
Definition
Normal Nuceli
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