4 - Neoplasia Flashcards
(49 cards)
Metastasis
Dissemination of neoplastic cells to discontinuous secondary sites where they proliferate to form a macroscopic mass
Metastasis has decreased
E - cadherin
Metastasis steps
Cancer cells leaves the site of primary tumor, pass through to tumor basement membrane then through or between endothelial cells, enter the circulation , resist annoikis, evade immune recognition, arrest at distant organs , leave circulation, survive in a hostile microenvirommetn
What is inefficient
Metastasis
What % of cancer cells survive at distant sites
1
Premetastatic niche
Modulation of the secondary micro environment before the cancer cell arrive
The commone feature of cancer is
Uncontrolled cellular proliferation
Tumors arise from
Accumulation of mutations
Neoplasms evade
Normal constrains of proliferation
Mutations can be
Inherited or environmental
Most mutations are silent and
Do not affect cell function
What are examples of preneoplasia
Hypertrophy , hyperplasia, metaplasia and dysplasia
You can go from preneoplastic back to normal cells, but not
Neoplastic back to preneoplasti/normals
Multi - stage carcinogensis results from
Accumulation of mutations in a stepwise fashion overtime
What is the key to carcinogenesisi
Non lethal genetic damage
Tumor is formed by what type of expansion
Clonal expansion
What are the steps of mutations
Initiation, promotion, ad progression
Initiation
Mutation of a single gene, irreversible
ProMotion
Proliferation of the initiated cell in response to stimuli
Promotion can result in
Formation of a benign tumor
Is promotion reversible
Yes
Progression is
Benign to malignant
An accumulation of mutations lead to
Uncontrolled cell growth
What are some intrinsic factors which allow mutations to arise
Inherited, hormonal, reactive oxygen intermediates