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Pathoma
Principles of Neoplasia
61
Pathology
Graduate
12/12/2013

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Term
how measure clonality for neoplasia
Definition
G6PD or Ig liht chains
Term
benign nomenclature:
- epithelium
- mesenchyme
-lymphocyte
- melanocyte
Definition
- adenoma/papilloma
- lipoma
- does not exist
- nevus
Term
malignant nomenclature:
-epithelium
- mesenchyme
- lymphocyte
- melanocyte
Definition
- adenocarcinoma/papillary carcinoma
- liposarcoma
- lymphoma/leukemia
- melanoma
Term
most common cancers by incidence
Definition
breast/prostate, lung, colorectal
Term
most common cancers by mortality
Definition
lung, breast/prostate, colorectal
Term
_________ divisions before clinical symptoms
Definition
30
Term
goal of screening is to _________ or _________
Definition
catch dysplasia before carcinoma, or carcinoma before clinical symptoms
Term
categories of oncogenes
Definition
growth factors, growth factor receptors, signal transducers, nuclear regulators, cell cycle regulators
Term
aflatoxins
Definition
heptocelluar carcinoma, from Aspergillus
Term
alkylating agents
Definition
leukemia/lymphoma, from chemo
Term
alcohol
Definition
SCC of oropharynx and upper esophagus, pancreatic carcinoma and hepatocellular carcinoma
Term
arsenic
Definition
SCC of skin, lung cancer, angiosarcoma of liver; in cigarette smoke
Term
asbestos
Definition
lung carcinoma and mesothelioma
Term
cigarette smoke
Definition
oropharynx, esophagus, lung, kidney and bladder; most common carcinogenn; polycyclic hydrocarbons
Term
nitrosamines
Definition
stomach carcinoma; smoked foods in Japan
Term
naphthylamine
Definition
urothelial carcinoma of bladder; cigarette smoke
Term
vinyl chloride
Definition
angiosarcoma of liver; in pipes
Term
nickel, chromium, beryllium or silica
Definition
lung carcinoma; occupational
Term
EBV
Definition
nasopharyngeal carcinoma, Burkitt, and CNS lymphoma in AIDS
Term
HHV8
Definition
kaposi sarcoma: easter europeans, AIDS and transplant pts
Term
HBV and HCV
Definition
hepatocellular carcinoma
Term
HTLV-1
Definition
adult T cell leukemia/lymphoma
Term
HPV 16, 18, 31, 33
Definition
SCC of vulva, vagina, anus and cervix; adenocarcinoma of cervix
Term
ionizing radiation
Definition
AML, CML and papillary carcinoma of thyroid
Term
non-ionizing radiation
Definition
BCC< SCC and melanoma of skin; formation of pryimidine dimers
Term
growth factor oncogene
Definition
PDGFB
Term
PDGFB
Definition
astrocytoma
Term
growth factor receptor oncogenes
Definition
HER2/neu, RET, KIT
Term
Her2/neu (ERBB2)
Definition
breast carcinoma
Term
RET
Definition
MEN 2A, MEN 2B, sporadic medullary carcinoma of thyroid
Term
KIT
Definition
GI stromal tumor
Term
signal transducer oncogenes
Definition
RAS, ABL
Term
RAS
Definition
carcinomas, melanoma and lymphoma
Term
ABL
Definition
CML; t(9;22)
Term
nuclear regulator oncogenes
Definition
c-MYC, N-MYC, L-MYC
Term
c-myc
Definition
burkitt lymphoma: T(8;14)
Term
N-MYC
Definition
neuroblastoma
Term
L-myc
Definition
small cell lung cancer
Term
cell cycle regulator oncogenes
Definition
CCND1, CDK4
Term
CCND1
Definition
mantle cell lymphoma; t(11;14)
Term
CKD4
Definition
melanoma
Term
outcome of mutated RAS
Definition
inhibits activity of GTPase activation protein and prolongs activated RAS, resulting in increased growth signals
Term
p53 causing apoptosis
Definition
p53 upregulates BAS which disrupts Bcl2; the causes cytochrome c to leak from mitochondria thus activating caspases
Term
germline mutation in p53
Definition
Li-Fraueni
Term
how Rb regulates G1 --> S
Definition
Rb holds E2F; E2F is released when Rb is phosphorylated
Term
Rb mutation:
-sporadic mutation
- germline mutation
Definition
- unilateral retinoblastoma
- bilateral retinoblastoma and osteosarcoma
Term
Bcl2:
- function
- overexpression
Definition
- normally stabilized mitochondrial membrane, blocking -release of cytochrome c (no apoptosis)
- follicular lymphoma via t(14;18)
Term
how cancer avoids immune surveillance
Definition
downregulating expression of MHC class I
Term
examples of hematogenous spread
Definition
renal cell carcinoma, hepatocellular, follicular, choriocarcinoma
Term
benign histologic features
Definition
organized growth, unifor nuclei, low nuclear:cytoplasmic ratio, minimal mitotic activity, lack of invasion, no metastaic potential
Term
malignant histologic features
Definition
diorganized, nuclear pleomorphism and hyperchromasia, high nuclear:cytoplasmic ratio, high mitotic activity, invasion
Term
keratin
Definition
epithelium
Term
vimentin
Definition
mesenchyme
Term
desmin
Definition
muscle
Term
GFAP
Definition
neuroglia
Term
neurofilament
Definition
neurons
Term
PSA
Definition
prostatic epithelium
Term
ER
Definition
breast epithelium
Term
thyrogolbulin
Definition
thyroid follicular cells
Term
chromogranin
Definition
neuroendocrine cells: small cell lung cancer, carcinoid tumors
Term
S-100
Definition
melanoma
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