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11 Cards in this Set

  • Front
  • Back
what six properties of cancer cells endow them with their biologic characteristics?
1. abnormal regulation of cell cycle
2. immortality
3. autonomous cell growth
4. angiogenesis
5. tissue invasion & metastases
6. genome instability
when is a neoplasm considered benign?
when the pathology predicts that it will remain localized and does not have capacity to metastasize
what pathological changes indicate that a neoplasm has become malignant?
cellular atypia
disordered growth
stromal invasion
Barrett's esophagus
metaplasia of distal esophagus
normal squamous mucosa is replaced by intestinal type mucosa.
(possible causes: tobacco and acid reflux)
dysplasia
disordered growth with morphological features somewhere between normal physiologic hyperplasia and cancer
cancer cell appearance
less differentiated
pleomorphic (variation in size & shape)
show loss of polarity
exhibit altered protein production
lose specialized structures (ex. cilia)
atypical
ratio of area of nucleus to cytoplasm increases
nucleus is large and more basophilic (increased DNA content)
nucleus may show shape changes including nuclear envelope irregularity
increased and abnormal mitoses
what does CIN refer to?
(cervical intraepithelial neoplasia) refers to histologically defined pre-invasive dysplasia of cervical epithelial cells (it is the antecedent of malignant disease).
CIN 1
(mild dysplasia)
cells begin to "mature" within the lower third of the epithelium
where do most cervical cancers arise?
from the transformation zone of the cervix, where squamous and columnar cells join (squamo-columnar jxn)
brachytherapy
close radiotherapy, either intracavitary or interstitial
colposcopy
examination of the cervix with a colposcope, a magnifying devise which projects light onto the cervix...used for evaluation of abnormal pap smears, special stains are applied to the cervix to enhance contrast betw. normal and abnormal tissue