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Pathology: Cancer
CANCER
72
Science
Professional
10/27/2007

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Cards

Term

what is neoplasm?

Definition
growth of new cells like cancer cells
Term
What is cancer?
Definition
is a DZ of cells

it is an abnormal growth of cells which tend to proliferate in an uncontrolled way and metastasize
Term
When does cancer develops?
Definition
in a part of the body begin to grow out of control
Term
What is Malignancy?
Definition
a tumor that is malignant when it can invade and destroy nearby tissue and may spread to other parts of body
Term
What is benign?
Definition
non-malignanct growth

ARE NOT CANCER
Term
Is cancer one dz? T/F
Definition
NO, it is a group of 200 different and distinctive DZ

NOT CONTAGIOUS
Term
What is causes cancer?
Definition
some virus or bacteria

radiation
some chemicals
hereditary
diet
hormones
Term
IS cancer tissue specific?
Definition
Yes
Term
Is cancer multifactorial
Definition
yes, many factors

no single cause for any one type of cancer
Term
What is carcinogen?
Definition
is something that can help cause cancer
Term
Most types of cancer become common as we get older. T/F
Definition
true
Term
What are the players of cancer?
Definition
immune
diet
environmental
hereditary
virus
Term
What is the downside of cancer?
Definition
early cancer may not have any symptoms

can cause almost any sign of symptoms

can t pick up subtle stuff
Term

Can be Asymptomatic until large. T/F

Definition
T

will not know til advanced stage
Term

What are some symptoms of cancer?

Definition
fever, fatigue, weight loss,
skin color changes--hyperpigmentation , jaundice, reddening, excessive hair growth

, pain
Term

What are the specific cancer signs and symptoms

Definition
change in bowel habits or bladder function

sores that do not heel

unusual bleeding or discharge

thickeining or lump in breast or other parts of the body
Term
Most ocular tumors are metastatic process. T/F
Definition
True
Term
What is the most common metastatic choroidal tumor?
Definition
Breast cancer
Term

What are the tumor detection?

Definition

increase in size
discoloration compared to surround
neovascular growth
indistinct margins
distortion of surrounding tissue
loss of function

Term
What are the tumor diagnosis?
Definition
history and clinical examination
imagin g
tumor markers
cytology
BIOPSY
molecular tech
Term
What are the microscopic appearance of cancer cells?
Definition

large number of irregularity shaped dividing cells
large, variable shaped nuclei
small cytoplasmic volume relative to nuclei
variation in cell size and shape
loss of normal specialized cell features
disorganized arrangement of cells
poorly defined tumor boundry

Term
what are the cell growth ?
Definition
cytokines
growth factors
growth inhibitors
cancer suppressor genes P53
oncogenes
Term
What is hyperplasia?
Definition

more growth

Term

what is carcinoma is situ?

Definition
cancer cells that stays in one place
Term
What is Neoplasia? PPPP
Definition
Progressive, purposeless, pathologic, proliferation of cells characterized by LOSS OF CONTROL over cell division


DNA damage at growth control genes is central to development of neoplasm
Term
NEOPLASIA pathogenesis?
Definition
normal -> hyperplasia-> metaplasia -> DNA DAMAGE->dysplasia->
DNA damage ->anaplasia -> DNA DAMAGE-> infiltration   DNA DAMAGE
MEtastsis
Term
What the statistic of cancer?
Definition
1 out 3 will develop cancer
Term
Tumors may be considered new but USELESS ORGANS.  T/F
Definition
TRUE,
Term

When they remove a benign tumor it looks like? cancer?

Definition
round balls

cauliflowers
Term

Cancers that arise from epithelium are called

Cancers that arise from mesenchyme/mesoderm are called

Definition
carcinomas

sarcomas
Term
Neoplasmis literally mean :
Definition
new growth ; is 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 the cessation of the stimuli which evoked the change.
Term
ALL neoplasm  are heritable changes that allow excessive and unregulated proliferation that is INDEPENDENT OF PHYSSILOGIC GROWTH REGULATORY STIMULI. T/F
Definition
true
Term
What is adenoma? adenocarcinoma?
Definition
- benign tumor of glandular epithelial  tissue
- malignant tumor of glandular epithelial tissue
Term
carcinoma?osteoma? sarcoma? papillomas
Definition

malignant tumor of epithelial tissue

benign tumor of bone tissue

malignant tumors of mesenchymal origin

benign microscopic or macroscopic fingerlike projections growing on a surface

Term
What is squamous cell carcinomas?
Definition
arise where is a stratified squamous epithelium
 or glands
Term
Malignant tumors are graded by two things, which are?
Definition
type and determined by rules
Term

What happens at grade V?

Definition
worst of all, not as well-differentiated.

less differentiated the higher the grade
Term
What is clonal overgrowth?
Definition
it takes one cell to produce clones, where clones that have arisen from clones
Term
What are the two step of carinogenesis?
Definition
Initiation and promation
Term
What is the initiation?promation?
Definition
- the result of exposure of a cell or cells to a carcinogen

-a substance that causes initiated cells to turn into tumors
Term

What is Ames test?

Definition

mutagenicity and how carcinogenic the chemical is

Term

What are some clinical manifestation of CANCER?

Definition
tissue integrity
cancer cachexia--WEIGHT LOSS
paraneoplastic syndrome
Term
WHat finally kills the cancer pt?
Definition
PNEUMONIA

due to sepsis, neutropenia, non-specific immunosuppresion, hemmorrhage, pulmonary thromboemboli
Term
What is Cachexia?
Definition
Weight loss, loss of appetite

give them steroids
Term
Tumor Stages:
1.
2
3
Definition
tumor is smaller than 1 cm diameter without metastases

tumor is larger than 1 cm and/or  symptomatic and/or there are metastases to the regional lymph nodes

the tumor has infiltrated a non resectable structure and or there are DISTANT METASTASES
Term

What does initiator cause? promoter? progressor?

Definition
genetic mutation

cause rapid cell growth

cause cancer to become aggressive and spread (w/out this can lead to benign)
Term
What are the methods by which Cancer spreads?
Definition
- direct invasion and extension

-seeding of cancer cells in body cavities

-metastatic spread thru the BLOOD or LYMPH pathways
Term
WHere does beingn tumors stay?
Definition
in localized tissues and cant spread by invasion or metastasis
Term
What are the HALLMARKS of Cancer? 6 changes for cancer
Definition
self-sufficiency in growth signals(does not need a signal to start)

insenstiy to growth-inhibitory signals

evasion of apoptosis

limitless replicative capacity
sunstained angiogenesis
tissue invasion and metastasis
Term
AGAIN, what are the steps involving the transformation of NORMAL CELLS--into--CANCER CELLS?
Definition
initiation --cells exposed to carcinogenic agentes


promotion-- unregulated accelerated growth in already initiated cells caused by various chmicals nd growth factors


progression -- tumor cells acquire malignant prhenotypic changes that promote invasiveness
Term
What does hormones help? estrogen?
Definition
-promote the growth of tumor

-act as initiators or promoters
Term
Hormones as promoter. t/f
Definition
true

-tissue specific
-promote tissue specific cell division
- has the biggest role in cancer if the hormone drives cell division
Term
What is tomoxifen?
Definition

used in breast cancer

Term
What is selective estrogen receptor modulator?
Definition
synthetic ligands for the estrogen receptor that act as estrogen agoinsts in some tissues and as antagonists in others
Term
what are good estrogen actions? bad estrogen actions
Definition
maintain bone
maintain sexual function
CV protection
protect brain

promote proliferative
mammary epi
endometrial epi
Term
What are oncogenes?
Definition
some role in growth and regulation
Term
What are tumor suppresssor genes?
Definition
are normal genes whose ABSENCE can lead to cancer
Term
What is the tumor suppressor protein triggers cell suicide?
Definition
p53 apopstosis gene
Term
LOOK @ Notes for Hallmark 1-6
Definition
Term

The big difference between benign and malignant tumors are?

Definition
rate of growth, degree of differentiation, local invasiveness and distant spread
Term
What is p53?
Definition
is a cell cycle regulator that has a key role, not only in regulating G1/S phase cell cycle progression, but also in monitoring DNA damage
Term

What is immune surveillance?

Definition
tumor cells can be recognized by the immune systems as non self and destroyed.
Term
What is Herceptin?
Definition
monoclonal antibody that reduces cancer and binds to the extracellular  domain of the human epidermal growth factor receptor

Trastuzumab
Term
what is anaplasia?
Definition
dediffreentiation or loss of the structural and functional differentiation of normal cells
Term
What are the pathways of metastatic spreads?
Definition
seeding within body cavities
lymphatic spread
hematogenous spread
Term

What occurs with spread by seeding?

Definition
when neoplasm invade a natural body cavity
Term
What is lymphatic spread?
Definition
carinomas, whereas hematogenous spread is favored by sarcomas
Term
What is sentinal lymph node?
Definition
is defined as the first lymph node in a regional lymphati basin that receivelymph flow from a primary tumor

drain towrard a specific node and can tell the extent of spread of tumor
Term

What are the clinical changes due to tumor

Definition

tumor impingement on nearby structure

ulceration/bleeding

infection
rupture or infraction

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