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46 Cards in this Set
- Front
- Back
neoplasm
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uncontrolled cell division leading to tumor or mass
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malignant neoplasm
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cancer
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benign
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tumor that isn't cancerous
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Stages of cancer
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normal, hyperplasia, dysplasia, carcinoma (severe dysplasia), cancer (invasive)
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Types of cancer
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sarcoma, carcinoma, hematopoetic, lymphoid
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sarcoma
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cancer in bone and soft tissues
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carcinoma
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cancer in linings, skin, lumen, GI tract, lungs
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hematopoetic and lymphoid
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cancers from things made in the bone marrow, blood, immune
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Leading cancers in men/women
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lung, prostate/breast, colon
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oncogenes
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1st discovered by tumor virus, mutant gene results in abnormal cell proliferation, DOMINANT NEGATIVE EFFECT - mutation has effect on normal copy of gene, de novo and inherited
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inherited oncogenes
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MET (renal papillary carcinoma)
RET (thyriod, parathyroid, pheo) |
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proto-oncogenes (activated)
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MYC, RAS (in cell just usually turn off)
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RET and MET both activate
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tyrosine kinases, inappropriately increase enzymatic activity and cell growth
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RAS
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GTPase, activates cell growth, survival, differentiation, attaches to PM, ON/OFF switch
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philadephia chromo
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9/22 translocation, cytogenetic abnormality, translocates proto oncogene, translocation turns off regulatory mech.
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burkitt lymphoma
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myc proto oncogene
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cancer causes general chromosomal instability
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inapprop. telomerase activity, defective checkpoints, probs with centromere function, defects in condensation
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tumor suppressors
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highly heterogeneous, typically work in regulation of cell cycle, inhibit growth via cell-cell contact, repairing DNA, recessive inheritance.
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retinoblastoma
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rare malignant retinal tumor, 1 in 20,000, two hit hypothesis, sometimes inherited sometimes not, inherited early age of onset...only one hit needed.
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two hit hypothesis math
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10^6 youll have mutation in gene, 10^12 that you'll have two mutations in that gene, 10^6 chance you'll have mutation in you already inherited first, that is, a million times more likely !
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RB1
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tumor supressor - retinoblastoma
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TP53
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tumor suppressor -
Li-Fraumeni |
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NFB1
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tumor suppressor-
neurofromatosis |
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BRCA
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tumor supressor-
breast and ovarian cancer |
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MLH1, MSH2, MSH6, PMS2
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tumor suppressor -
lynch syndrome |
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Tumor suppressor mutations
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deletion of part or whole gene, point mutations, dna methylation
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enviromental causes of cancer
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ionizing radiation,chemicals, hormones, virus'
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BRCA1 and 2 cause
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increased risk of breast cancer, 1 is on chrom17 and one on chrom13, dominant inhertiance, early onset >50
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preventative measures for BRAC1 2 carriers
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tamoxifen, mastectomy, bilateral spilogoorectomy
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HNPCC
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hereditary non polysis coleretal cancer, LYNCH SYNDROME, MSH2, MSH6,
MISmatchREPAIR pathway |
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LYNCH SYNDROME may include subcutaneous tumors called __ or CNS tumors called ___.
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Muirre - Torre syndrome
Turcot syndrome Tumors exhibit microsallites instability |
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Microsatellites instability suggest what syndrome?
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Lyches
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What are microsatellites?
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Are stretches of repetitive sequences
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FAP
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Autosomal dominant, increase risk CC - Gardner syndrome (polys and soft tissue tumors) Turcot sydrome polys in CNS tumors
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Mutation of the APC gene in epithelial tissue
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DNA hypomethylation leads to epithelial hyperprofilerate
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Judging the quality of a genetic test:
Sensitivity Specificity |
FALSE NEGATIVE RATE vs
FALSE POSITIVE RATE |
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Does the test pick up other mutations?
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Specificity
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How well does the test detect the mutation?
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Sensitivity
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Different genes can cause the same mutation?
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locus heterogenity PDK1 PDK2
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Different mutations in the same gene can cause the same disease?
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allelic heterogenity, CFTR >1000 mutations
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In sickle cell beta globin there is how many mutations seen in that gene?
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ONE
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In CFTR how many mutations can be seen in that gene?
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>1000, delta508, 5t/5t absence of vans deferens
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familial hypertrophic myocardiomyopathy is inherited?
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AD, and x linked
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What is hemochromatosis inheritance pattern? What mutation causes 60% penetrance?
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Recessive, c282Y/c282y
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non paternity results in what %?
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5 to 30%
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Children should not be genetically tested unless there is ____
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IMMEDIATE medical benefit
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