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how measure clonality for neoplasia |
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benign nomenclature: - epithelium - mesenchyme -lymphocyte - melanocyte |
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Definition
- adenoma/papilloma - lipoma - does not exist - nevus |
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malignant nomenclature: -epithelium - mesenchyme - lymphocyte - melanocyte |
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Definition
- adenocarcinoma/papillary carcinoma - liposarcoma - lymphoma/leukemia - melanoma |
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most common cancers by incidence |
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Definition
breast/prostate, lung, colorectal |
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most common cancers by mortality |
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lung, breast/prostate, colorectal |
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_________ divisions before clinical symptoms |
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goal of screening is to _________ or _________ |
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Definition
catch dysplasia before carcinoma, or carcinoma before clinical symptoms |
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growth factors, growth factor receptors, signal transducers, nuclear regulators, cell cycle regulators |
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heptocelluar carcinoma, from Aspergillus |
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leukemia/lymphoma, from chemo |
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SCC of oropharynx and upper esophagus, pancreatic carcinoma and hepatocellular carcinoma |
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SCC of skin, lung cancer, angiosarcoma of liver; in cigarette smoke |
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lung carcinoma and mesothelioma |
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oropharynx, esophagus, lung, kidney and bladder; most common carcinogenn; polycyclic hydrocarbons |
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stomach carcinoma; smoked foods in Japan |
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urothelial carcinoma of bladder; cigarette smoke |
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angiosarcoma of liver; in pipes |
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nickel, chromium, beryllium or silica |
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lung carcinoma; occupational |
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nasopharyngeal carcinoma, Burkitt, and CNS lymphoma in AIDS |
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kaposi sarcoma: easter europeans, AIDS and transplant pts |
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adult T cell leukemia/lymphoma |
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SCC of vulva, vagina, anus and cervix; adenocarcinoma of cervix |
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AML, CML and papillary carcinoma of thyroid |
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BCC< SCC and melanoma of skin; formation of pryimidine dimers |
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growth factor receptor oncogenes |
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MEN 2A, MEN 2B, sporadic medullary carcinoma of thyroid |
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signal transducer oncogenes |
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carcinomas, melanoma and lymphoma |
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nuclear regulator oncogenes |
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burkitt lymphoma: T(8;14) |
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cell cycle regulator oncogenes |
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mantle cell lymphoma; t(11;14) |
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Definition
inhibits activity of GTPase activation protein and prolongs activated RAS, resulting in increased growth signals |
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p53 upregulates BAS which disrupts Bcl2; the causes cytochrome c to leak from mitochondria thus activating caspases |
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how Rb regulates G1 --> S |
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Definition
Rb holds E2F; E2F is released when Rb is phosphorylated |
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Term
Rb mutation: -sporadic mutation - germline mutation |
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Definition
- unilateral retinoblastoma - bilateral retinoblastoma and osteosarcoma |
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Term
Bcl2: - function - overexpression |
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Definition
- normally stabilized mitochondrial membrane, blocking -release of cytochrome c (no apoptosis) - follicular lymphoma via t(14;18) |
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Term
how cancer avoids immune surveillance |
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Definition
downregulating expression of MHC class I |
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examples of hematogenous spread |
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Definition
renal cell carcinoma, hepatocellular, follicular, choriocarcinoma |
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benign histologic features |
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Definition
organized growth, unifor nuclei, low nuclear:cytoplasmic ratio, minimal mitotic activity, lack of invasion, no metastaic potential |
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malignant histologic features |
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Definition
diorganized, nuclear pleomorphism and hyperchromasia, high nuclear:cytoplasmic ratio, high mitotic activity, invasion |
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neuroendocrine cells: small cell lung cancer, carcinoid tumors |
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