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Toledo PT Neoplasia
Toledo PT Neoplasia
103
Physiology
Professional
10/11/2009

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Term
T/F. Malignant neoplasms are the second highest cause of death in the world?
Definition
True
Term
Highest cancer incidenc in males
Definition
prostate
Term
Highest Cancer incidence in female
Definition
breast cancer
Term
Highhest cancer death in males & females
Definition
Lung and Bronchus
Term
What lifestyle factors influence the incidence of cancer
Definition
smoking, alcohol, high fat diet, inactivity & overweight/obesity
Term
Asbestos influence on neoplasms
Definition
naturally occuring silicate mineral with long, thin firbrous crystals. inhalation causes mesothelioma. malignant tumor occurring in linings of internal organs, pleura peritoneum, pericardium
Term
Beryllium
Definition
used in the nuclear power plant; lung cancer is possible result of prolonged exposure to bereyllium laden dust
Term
Soot influences on cancer
Definition
called carbon black, which is a dark powdery deposit of unburned fuel residues; harmful to lungs.
Term
Risk Factors of Cancer based on sex
Definition
prostate most common malignancy in males; breast cancer in females. lung cancer is leading cause of cancer death in both sexes.
Term
T/F There is likely a genetic predisposition to the development of cancers.
Definition
True.
Term
Neoplasa
Definition
the formation of neoplasm
Term
Neoplasm
Definition
new groth, which typically is "uncontrolled" new growth.
Term
Tumor
Definition
literally, a swelling of any kind, but most often refers to a neoplasm
Term
Benign
Definition
localized not to spread to other tissues. NOT potentially fatal
Term
Malignant
Definition
can invade and destroy adjacent tissues, spread to a distant site (metastasis). potentially fatal
Term
Cancer
Definition
any kind of malignant neoplasm
Term
The suffix -oma to a particular cell type refers to what kind of a tumor?
Definition
Benign tumor. eg.) Fibrous tissue: Fibroma, Cartilaginous tissue: Chondroma;
Term
What are the exceptions to the -oma suffix rule?
Definition
Melanoma, leukemia, lymphoma; These tumors are malignant.
Term
Adenoma
Definition
benign epithelial tumor arising in epithelium of mucosa (stomach, small intestine and bowel), glgands (endocrine and exocrine) and ducts: gastric, bronchial, renal tubular, liver cell, thyroid, adrenal, pituitary.
Term
Polyp
Definition
adenoma that grows upward into the lumen of hollow organs (GI tract)
Term
Papilloma
Definition
refers to a benign epithelial tumor, which produces microscopic or macroscopic in finger-like fronds.
Term
What kind of tumor arises from tumors that end in the suffix -sarcoma
Definition
malignant tumors of mesenchymal cells. tissues from mesenchyme: bone, cartilage, muscle, firbous tissue, adipocytes.
Term
Rhabdomyosarcoma tissue of origin
Definition
from skeletal muscle
Term
Leiomyosarcoma tissue of origin
Definition
from smooth muscle
Term
Liposarcoma tissue of origin
Definition
from fat tissues.
Term
What is the name of malignant tumors that arise from epithelial cells called?
Definition
Carcinoma
Term
Adenocarcinoma
Definition
originates from epithhelial lining of gland ducts.
Term
Squamous Cell carcinoma
Definition
tumor cells of epithelium that show squamous cell differentiation. can occur from: skin, mouth, esophagus, prostate, lungs, and cervix, squamous cell carcinoma of skin cancer.
Term
Hemangioma
Definition
Benign tumor of blood vessels
Term
Transitional Cell Carcinoma
Definition
Urinary tract epithelium.
Term
Nevus
Definition
benign tumor of mealnocytes
Term
Malignant Melanoma
Definition
Malignant tumor of melanocytes
Term
What are the 4 characteristics for evaluating neoplasms?
Definition
differentiation, rate of growth, local invasion, metastasis
Term
T/F. Benign tumors are well-differentiated.
Definition
True.
Term
What does well-differentiated mean in regards to tumors?
Definition
means that the neoplastic tissue looks almost like normal tissue.
Term
What kind of tumor is typically "poorly-differentiated"?
Definition
Malignant tumors are usually poorly differentiated.
Term
Anaplasia
Definition
meaning "to form backward"; indicates undifferentiated or de-differntiated tumor cells.
Term
Anaplasia
Definition
"to form backward" indicates undifferentiated or de-differentiated tumor cells. anaplastic nuclei are variable & bizzare in size and shape. mitoses are often numerous and distinctly atypical. common in malignant tumors.
Term
Dysplasia
Definition
disorderly but non-neoplastic proliferation of cells. loss of uniformity of individual cells and loss of architectural orientation. not necessarily progress to cancer.
Term
T/F. Dysplasia is a condition of cell architecture that typically implies that the cell will progress to cancer.
Definition
False. It is a disorderly but non-neoplastic proliferation of cells. A loss of uniformity of individual cells and loss of architectural orientation.
Term
T/F Genetic damage is cause of all carcinogenesis.
Definition
True.
Term
Protooncogenes
Definition
normal genes, which encode proteins that regulate cell growth and differentiation.
Term
Antioncogenes
Definition
growth-inhibibting cancer suppressor genes.
Term
Oncogenes
Definition
mutant/damaged protooncogenes. transforming normal cell to cancerous cell.
Term
BRCA-1 and BRCA-2
Definition
examples of oncogenes that have a point mutation/deletion/insertion. These genes cause breast and ovarian cancer.
Term
Tumor Suppressor genes mutation.
Definition
encoding proteins that are anti-mitogenic, they retard cell division. if mutated, will lose inhibitory functino for cell growth, resulting in unlimited cell growth.
Term
Adenomatous Polypsis Coli is an example of a defect in what kind of gene?
Definition
Tumor suppresor genes
Term
Xeroderma Pigmentosum is a caused by a defect in what kind of a gene?
Definition
DNA repair Gene.
Term
Xeroderma pigmentosum
Definition
autosomal recessive inheritance pattern. characterized by dry , pigmented skin, photosensitivity, premature skin aging, and malignant tumor development due to a cellular hypersensitivity to ultraviolet radiation resulting from a defect in DNA repair.
Term
Metastasis
Definition
refers to development of secondary implants in remote tissues.
Term
T/F Benign tumors typically remain localized, encapsulated and separated from the host tissues.
Definition
True.
Term
Metastasis
Definition
refers to the development of secondary implants in remote tissues.
Term
What are the characteristics of malignant tumors?
Definition
progressive infiltration, invasion, destruction, penetration of the surrounding tissues, metastasis.
Term
T/F. The more anaplastic and the larger the primary neoplasm, the less likely it has the nature of metastatic spread.
Definition
False.
Term
T/F. Carcinomas typically metastasize through lymphatic spread.
Definition
True.
Term
Hematogenous spread
Definition
favored pathway for sarcomas. numerous interconnections between the vascular and lymphatic systems. veins more easily penetrated by the tumors than arteries. liver and lungs are most frequently involved secondary sites.
Term
T/F. Cancer cells do not respond to growth factors.
Definition
False. Cancer cells synthesize growth factors to which they are responsive.
Term
Examples of growth factors that cancer cells respond to
Definition
PDGF, Transforming Growth Factor-a, fibroblast growth factor.
Term
What is the effect of overexpression of mutated & pathological growth factor receptors by oncogenes?
Definition
Sending continuous mitogenic signals
Term
Mutant RAS
Definition
Normal cell: GTPase-activating proteins activate GTPase which hydrolyzes GTP to GDP, inactivating RAS. This is inhibited in RAS leaving it active and activating RAF-MAP kinase mitogenic pathway.
Term
Six hallmarks of cancer cells
Definition
self-sufficiency in growth signals, insensitivity to growth-inhibitory signals, evasion of apoptosis, limitless replicative potential(overcoming aging), sustained angiogenesis, ability to invade and metastasize.
Term
Genes that regulate the phosphorylation of pRB which influence cell proliferation
Definition
mutational activatino of cyclin D or CDK4. muational inactivatino of CDKIs
Term
T/F. 30% of human tumors have a defect in the P53 gene.
Definition
False. 70%
Term
P53
Definition
tumor suppressor gene. antiproliferative effects and regulates apoptosis. induces related target cell to arrest cell in G1 and repair DNA damage.
Term
ABL Proteins
Definition
tyrosine kinase, chronic & acute myeloid leukiemia. Gene is translocated from chromosome 9 to 22. BCR-ABL hybrid gene produce potent tyrosine kinase activity. Activate RAS-RAF cascade. Inhibits apoptotic function of ABL
Term
MYC (transcription factor)
Definition
bind to DNA causing transcriptional activation of several growth-related genes. CDK (cyclin-dependent-kinase)
Term
Cyclins
Definition
family of proteins invovlved in the progeression of cells thorugh the cell cycle.
Term
Progression of a cell from G1 phase to S phase is guarded by what protein?
Definition
pRB. this is regulated by CDKs which are regulatedf by CDKI(inhibitors).
Term
What elements help a cancer cell evade apoptosis?
Definition
reduced level of Fas (CD95). overespressino of antiapoptotic BCL2 protein, which prevents release of cytochrome C. reduced level of pro-apoptotic BAX. loss of APAF-1.
Term
What causes the limited replication potential (60-70x) of normal cells?
Definition
Progressive shortening of telomeres. In cancer cells telomerase which synthesizes telomeres is upregulated preventing telomeres from being shortened.
Term
Examples of Angiogenic Factors
Definition
Vacular Endothelial Growth Factor(VEGF), Hypoxia-induced factor-1a which stimulates VEGF
Term
Antiangiogenic Factos
Definition
P53 gene promotes antiangiogenic factors, thrombospondin-1, angiostatin, endostatin, vasculostatin.
Term
Detachment of tumor cells from each other
Definition
E-adhereins are lost in most epithelial cancers. results in cells that are no longer connected together.
Term
Attachment of tumor cells to matrix component
Definition
carcinoma cells overexpressed receptors for ECM proteins: laminin and fibronectin
Term
Degradation of ECM
Definition
tumor cells secrete proteolytic enzymes or induce the host cells to overexpress proteolyticenzymes such as metalloproteinases, reductino of metalloproteinase inhibitors.
Term
Migration of tumors
Definition
tumor cell-derived cytokines such as autocrine motility factors. IGF-I & II, serve as chemotactic molecules for tumor cells to migrate.
Term
How do tumor cells protect themselves during metastasis
Definition
By aggregating and adhering to platelets and then eventually move out into other organs for metastasis.
Term
Alkylating Agents are examples of what kind of chemical carcinogen?
Definition
Direct-acting carcinogen
Term
Indirect-acting agents
Definition
metabolic conversion necessary to become carcinogenic.
Term
Polycyclic aromatic hydrocarbons are what kind of chemical carcinogen?
Definition
Indirect-acting agents.
Term
UV Ray carcinogen
Definition
extensive exposure to UV light causes skin cancers: melanoma and squamous cell carcinoma.
Term
Epstein-Barr Virus
Definition
associated with Burkitt lymphoma, which is a type of B-cell lymphoma.
Term
Human papillomavirus
Definition
associated with benign squamous papillomas.
Term
TNM & stage system
Definition
Tumor, Node, Metastases; Stage I,II,III,IV.
Term
General Signs/Symptoms
Definition
Unexplained Weight loss, fevere, fatigue, pain, skin changes.
Term
Signs/Symptoms of Colon Cancer
Definition
chronic constipation, diarrhea, change in size of stool
Term
Pain with urination, blood in urine or change in bladder function is related to what kinds of cancer
Definition
Prostate, or bladder cancer.
Term
What is a specific sign of lung cancer
Definition
blood in the sputum may be a sign of lung cancer.
Term
What are the signs/symptoms of cervix, or endometrium
Definition
vaginal bleeding
Term
What is a sign/symptom of breast cancer
Definition
bloody discharge from nipple, lump or thickening.
Term
What is a sign of cancer of larynx
Definition
hoarse cough.
Term
What are the 4 possible treatments of cancer
Definition
surgery, radiation, chemotherapy, immunotherapy
Term
Curative surgery
Definition
removal of a tumor when it is confined to one area, considered primary treatment of cancer.
Term
Debulking surgery
Definition
done if removing tumor entirely would cause too much damage to an organ or surroundin tissues.
Term
Palliative surgery
Definition
treat complications of advanced disease to control pain.
Term
Reconstructive surgery
Definition
to restore a person's appearance or function of an organ or the body part after primary surgery
Term
Radiation Therapy
Definition
high energy photons, electron beams, protons, neutrons. used for local Tx not useful for cncer that has already spread. can cure or shrink early stage cancer.
Term
Chemotherapy
Definition
used for cancer that metastasized to a distant site. 3 possible goals: cure:getting rid of cancer, control: preventing growing and spreading; palliation: relieving symptomms.
Term
Neoadjuvant chemotherapy
Definition
to shrink a large tumor before surgery
Term
Adjuvant Chemotherapy
Definition
to prevent the growth of stray cancer cells remaining in the body after surgery or radiation.
Term
Immunotherapy
Definition
attempts to stimulate immune system to reject & destroy tumors.
Term
Cancer Vaccines
Definition
cancer-associated antigen along with other components to stimulate the immune response against antigen. still experimental to find better antigen
Term
Tumor Cell Vaccines
Definition
use cancer cells removed during surgery. cnacer cells are killed and used for stimulation of a specific immune system response after injecting it into a pt. still in clinical trials.
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