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46 Cards in this Set

  • Front
  • Back
neoplasm
uncontrolled cell division leading to tumor or mass
malignant neoplasm
cancer
benign
tumor that isn't cancerous
Stages of cancer
normal, hyperplasia, dysplasia, carcinoma (severe dysplasia), cancer (invasive)
Types of cancer
sarcoma, carcinoma, hematopoetic, lymphoid
sarcoma
cancer in bone and soft tissues
carcinoma
cancer in linings, skin, lumen, GI tract, lungs
hematopoetic and lymphoid
cancers from things made in the bone marrow, blood, immune
Leading cancers in men/women
lung, prostate/breast, colon
oncogenes
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
inherited oncogenes
MET (renal papillary carcinoma)
RET (thyriod, parathyroid, pheo)
proto-oncogenes (activated)
MYC, RAS (in cell just usually turn off)
RET and MET both activate
tyrosine kinases, inappropriately increase enzymatic activity and cell growth
RAS
GTPase, activates cell growth, survival, differentiation, attaches to PM, ON/OFF switch
philadephia chromo
9/22 translocation, cytogenetic abnormality, translocates proto oncogene, translocation turns off regulatory mech.
burkitt lymphoma
myc proto oncogene
cancer causes general chromosomal instability
inapprop. telomerase activity, defective checkpoints, probs with centromere function, defects in condensation
tumor suppressors
highly heterogeneous, typically work in regulation of cell cycle, inhibit growth via cell-cell contact, repairing DNA, recessive inheritance.
retinoblastoma
rare malignant retinal tumor, 1 in 20,000, two hit hypothesis, sometimes inherited sometimes not, inherited early age of onset...only one hit needed.
two hit hypothesis math
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 !
RB1
tumor supressor - retinoblastoma
TP53
tumor suppressor -
Li-Fraumeni
NFB1
tumor suppressor-
neurofromatosis
BRCA
tumor supressor-
breast and ovarian cancer
MLH1, MSH2, MSH6, PMS2
tumor suppressor -
lynch syndrome
Tumor suppressor mutations
deletion of part or whole gene, point mutations, dna methylation
enviromental causes of cancer
ionizing radiation,chemicals, hormones, virus'
BRCA1 and 2 cause
increased risk of breast cancer, 1 is on chrom17 and one on chrom13, dominant inhertiance, early onset >50
preventative measures for BRAC1 2 carriers
tamoxifen, mastectomy, bilateral spilogoorectomy
HNPCC
hereditary non polysis coleretal cancer, LYNCH SYNDROME, MSH2, MSH6,
MISmatchREPAIR pathway
LYNCH SYNDROME may include subcutaneous tumors called __ or CNS tumors called ___.
Muirre - Torre syndrome
Turcot syndrome

Tumors exhibit microsallites instability
Microsatellites instability suggest what syndrome?
Lyches
What are microsatellites?
Are stretches of repetitive sequences
FAP
Autosomal dominant, increase risk CC - Gardner syndrome (polys and soft tissue tumors) Turcot sydrome polys in CNS tumors
Mutation of the APC gene in epithelial tissue
DNA hypomethylation leads to epithelial hyperprofilerate
Judging the quality of a genetic test:
Sensitivity
Specificity
FALSE NEGATIVE RATE vs
FALSE POSITIVE RATE
Does the test pick up other mutations?
Specificity
How well does the test detect the mutation?
Sensitivity
Different genes can cause the same mutation?
locus heterogenity PDK1 PDK2
Different mutations in the same gene can cause the same disease?
allelic heterogenity, CFTR >1000 mutations
In sickle cell beta globin there is how many mutations seen in that gene?
ONE
In CFTR how many mutations can be seen in that gene?
>1000, delta508, 5t/5t absence of vans deferens
familial hypertrophic myocardiomyopathy is inherited?
AD, and x linked
What is hemochromatosis inheritance pattern? What mutation causes 60% penetrance?
Recessive, c282Y/c282y
non paternity results in what %?
5 to 30%
Children should not be genetically tested unless there is ____
IMMEDIATE medical benefit