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41 Cards in this Set

  • Front
  • Back
What is pathology?
"A bridging discipline involving both basic science and clinical practice that is devoted to the study of the structural and functional changes in cells, tissues, and organs that underlie disease.
What three types of tissue growth are characterized as non-neoplastic?
Hyperplasia
Hypertrophy
Metaplasia
What are the two types of neoplastic tissue growth?
Benign
Malignant
What causes non-neoplastic changes to tissues?
Stress
Insult

-this is an adaptive means of avoiding injury
What type of tissue response is an increase in cell number?
Hyperplasia
What type of adaptive tissue response is an increase in cell size?
Hyperplasia
What kind of adaptive tissue response is a change in cell type?
Metaplasia
Is hyperplasia reversible?
Yes
What types of things can cause hyperplasia (increase in cell number)?
Hormones
Drugs
Stresses (toxic, infectious)
Which type of adaptive tissue response would you expect to see in cells that are not capable of dividing?

Hyperplasia or Hypertrophy?
Hypertrophy (increase in cell size)
How does the gravid uterus enlarge?
-hypertrophy
-hyperplasia
-both
Both
Is metaplasia reversible?
Yes
What is metaplasia
An adaptive, reversible change from one differentiated adult cell type to another?
(types of epithelium: simple squamous, simple columnar, simple cuboidal, transitional)
In smoking the epithelial cells change
from normal columnar epithelium to squamous cells.

Is this:
hypertrophy
hyperplasia
metaplasia
metaplasia
Is all neoplasia cancer?
No

Cancer is only malignant tumors.
What type of differentiation would you expect to see in a benign tumor?
Well-differentiated
What type of differentiation would you expect to see in a malignant tumor?
a wide-range of differentiation
What is a benign tumor of the fat called?
lipoma
What is a hemangioma
Benign tumor of the blood vessel
What is a leiomyoma
A benign tumor of the smooth muscle
What is a benign tumor of fibrous tissue?
fibroma
What do you call abnormal maturation of tissue "disordered growth"?
Dysplasia
True or False: low grade dysplasia is considered pre-malignant
False

High grade dysplasia is considered pre-malignant
True or False: Dysplasia is a gross pathological finding.
False, dysplasia is seen histologically
Name 5 features pathologists look for during histology
1- abnormal cells (cytology)
2- abnormal tissue architecture
3- abnormal differentiation
4- mitoses
5- lymphovascular invasion
What is an anaplastic tumor?
Poorly differentiated tumor
Whit kind of differentiation in a tumor resembles normal tissue?
well-differentiated
What is tumor grade all about?
tissue differentiation
Benign tumors can have poor prognosis. How is this so?
They can grow to a size that impinges on important organs. They can recur.
The prognosis in malignant tumors is rated based on 5 things.
Name them:
1- Tumor size
2- histologic grade
3- status of surgical margins
4- lymph node involvement
5- metastasis
What do the following terms have in common?
-high grade dysplasia
-carcinoma
-sarcoma-lymphoma
-melanoma
They suggest malignancy
Of all the lesions found in the breast what percent are cancer?
About 10%
What percent of breast cancer is sporadic vs. inherited?
90% sporadic
10% inherited
What factors increase the likelihood of neoplasm in thyroid gland tumors?
a solitary nodule
young patient
male
hx radiation exposure
the nodule is "cold" by radioactive iodine imaging
Name the gene that causes Cowden syndrome:
PTEN
Name the gene that causes Juvenile Polyposis
SMAD4
Name the gene that causes hereditary non-polyposis colon cancer (HNPCC)
Mismatch Repair
Name the gene that causes FAP: familial adenomatous polyposis
APC
Name the gene that causes Peutz-Jegher's Syndrome
STK 11
What is another name for juvenile polyps
hamartomatous polyps
Multiple Hamartomatous Polyps are associated with three genetic syndromes.
Name them:
peutz-jegher
Juvenile polyposis
cowden