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35 Cards in this Set

  • Front
  • Back

NEOPLASM

Abnormally mass of cells resulting from poorly regulated cell differentiation

Tumour Formation

Inactivation of tumour suppressors, activation of proto-oncogenes, Failure in DNA repair

Histologist Assessment

Look at mitotic spindles, Differentiation, Cell Shape and Size, Polarity, Spread

Chemicals that can cause lung cancer

Polycyclic aromatic hydrocarbon (smoking)




Asbestos



Chemicals that cause bladder cancer

Beta Napthaylamine


Polycyclic aromatic hydrocarbon



Chemicals that cause liver cancer

Aromatic Amine and Azodye - p450 cyclooxygenase




Aflotoxin B1

Chemical cause of Gastric Cancer

Preservatives: Nitrosamines and amides

Cancer caused by ionising radiation

Leukaemia and solid organ metastases (Thyroid)

EBV

Nasopharyngeal carcinoma!?

Dysplasia

Abnormal cells

Metaplasia

Change in cell type (differentiation)



Anaplasia

Malignant neoplasm made from undifferentiated cells

Metastasis

Distant spread



Routes of metastases

Blood (mainly venous), lymph, peritoneal

Mesethelioma

Asbestos

Chemical cause of lymhoid neoplasms and leukaemua

Direct alkylating agents (Cyclophosphamide, chlorambucil)

Epidermal metaplasia

Papilloma

Glandular Metaplasia

Adenoma

Adenocarcinoma

Carcinoma of any glandular tissue

Sarcoma

Connective tissue neoplasm

Leiosarcoma

Smooth muscle neoplasm

Teratoma

Can come from all 3 embryological options, often gonadal

Hamartoma

Mass of mature specialised cells in the right place, but disorganised. Benign focal malformation.

Choristoma

Differentiated cells in the wrong place

How does HPV cause cancer

Cervical epithelial cells: HPV makes proteins E1-7, E6 and E7 cause a decrease in Rb and p53 leading to cancer

Cancer Grading

TNM




T - How developed is the tumour (4)


N- How many nodes are involved (3)


M - Has it metastasised (1)

Tumour Grading in breast cancer

1) Tubular/acinar/gland change


2) Nuclear pleomorphisms


3) Mitotic activity




3-5, 6-7, 8-9

Tumour Staging

1-4: Varies in each cancer

Cachexia in cancer

Catabolism, dysphagia and loss of appetite




TNFalpha, IL 1 and 6

Paraneoplastic Syndrome

Tumour modifies the activity of endocrine tissue which mimics the disease

Dukes Staging of colorectal cancer

A, tumour in situ


B, beyond bowel wall


C, local metastases


D, distant metastases

TNM staging of colorectal cancer

1 in situ


2 extends into muscularis propria


3 - extends into muscularis mucosa


4 - Extends into adjacent organs/penetrate the peritoneum




N1 - up to 3 nodes, N2 - 4 nodes

Lymphoma vs Leukaemia

Lymphoma - solid mass


Leukaemia - cells in plasma/blood

Parenchyma

Proliferating mass of Neoplastic Cells

Stroma

Supporting connective tissue and vessels for neoplasm