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42 Cards in this Set

  • Front
  • Back
aging brain
thyroid size after pituitary resection

what category of cell adaptation?
atrophy
protective mechanism that may lead to loss of function
metaplasia
myocardial cells in high BP
what category of cell adaptation?
hypertrophy
callus
what category of cell adaptation?
hyperplasia
sex organs at puberty
what category of cell adaptation?
hypertrophy
hormonal stimulation of the endometrium
hyperplasia
increase of prostate gland
hyperplasia
distinguish aplasia, agenesis, hypoplasia
Agenesis (complete absence)
aplasia(absent with only rudimentary)
hypoplasia- reduced in size, incomplete developement
name exceptions to "OMA" that are actually malignant
melanoma, lymphoma, mesothelioma
elevated mucosal projection
polyp
benign with fingerlike projection
papilloma
tumor with mesenchymal origin vs. epithelial origin ...their names
sarcoma vs. carcinoma
lack of differentiation
anaplasia
extent that tumor resemble the normal cell
differentiation
(more differentiated, more normally functioning)

note: not all well differentiated are benign.
true of false
basemembrane is intact in carcinoma in situ
true.
carcinoma in situ is sever dysplasia...not metasized yet.
frequent sites of hematogenous spread
liver and lung
four possible cavities involved in seeding
peritoneum, pleural, pericardium, subarachnoid
gene types

RAS, ABL
protoncogenes
p53, APC, BRCA, RB, WT-1
tumor suppressor
BCL-2
what kind? results in what disease
apoptosis regulating gene, result in lymphoma
2 sources of angiogenic factors
tumor cells
inflammatory cells infiltrating tumor
this part of tumor determines the growth and progression
stroma ( cos it supplies blood and nutrient)
factors involved in invastion of ECM
in detachment, degradation of ECM, attachment, movement
detachment: decrease cadherin
degredation: collagenase, cathepsin B
attachment: laminin receptors, integrin, MMP2/9 establishing new site
moving: autocrine motility factors
tumor forms this by agregating with platelet and wbc
emboli
receptors for homing of breast cancer
ligands that bind there, likely site?

treatment option based on this?
receptor : CXCR 4/7
ligand: CCL12, CCL21 (likely in site for metastasizing)

treatment: block the receptor
anti tumor mechanisms ( cells involved etc)
cytotoxic T lymphocytes (CTL)
NK cells
Macrophaged (secrete TNF/Free radicals)
Humoral destruction by complement
used to determine stage of cancer
TNM
(tumor size - primary lesion, node spread, metastases)
which ones more important
grade of stage
stage (spreading) not grade ( differentiation)
state tumors that may cause these symptoms
torsion
bleeding
bowel obstruction
destruction of remaining gland
press on facial nerve
blindness
valvular stenosis
hemoptysis
torsion: ovarian
bleeding: leiomyoma, GI, UG,
bowel obstruction: gut
destruction of remaining gland: pituitary tumor
press on facial nerve: parotid gland
blindness: choroidal melanoma
valvular stenosis: atrial myxoma
hemoptysis: lung
more on matching with cancer

hypoglycemia+ death
2ndary cushing syndrome
increased hormone production
hypoglycemia+ death: Bcell pancrease adenoma
2ndary cushing syndrome: adrenal cortex
increased hormone production : carcinoid tumour
unexplained symptom due to tumor spreading to elsewhere in the body ( to different system)
paraneoplastic syndrome
which one is paraneoplastic syndrome?

insulin increase in lung vs. in islet cell
in lung ( because insulin is not normally synthesized in lung)

key phrase for paraneoplastic syndrome- "not original function of the system"
form filled out for lab Dx
properly filled requisition form
most tissues are fixed in
10% formalin
HTLV

type of gene, cancers associated
retrovirus,
T- cell leukemia/lymphoma
most tumors are monoclonal. exceptions
leukemia- polyclonal
H. Pylori infectino can lead to
maltoma ( B cell lymphoma in MALT)
gastritis, gastric cancer
t(8:14)
t(9:22) - exmplain path for this one

lead to
t(8:14)- burkitt lymphoma
t(9:22)- CML ( tranlocation--> activated BCR-ABL, protoconcogene--> increase TYROSINE KINASE --> cml)
what kind of mutation occur in RAS
poiny mutation
gene amplification of cmyc leads to
neuroblastoma
NF1, WT1 lead to

what kind of genese are these
NF1- neurofibromatosis
WT1- wilm's tumor

tumor supressor genes
BCL-2

what kind of gene? mutation here lead to what tumor?
apoptosis regulating gene, lead to B- cell lymphomas, chronic lymphocytic leukemia