Definitions Flashcards

(53 cards)

1
Q

Define proliferation

A

Cell proliferation is the process that results in an increase of the number of cells, and is defined by the balance between cell divisions and cell loss through cell death or differentiation.

Pathological proliferation is seen following tissue damage

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2
Q

Define apoptosis
(4)

A

Programmed cell death is termed apoptosis

It is a complicated process in which nuclei condense and fragmentation of the cell occurs forming apoptotic bodies.

The cytoplasmic organelles remain intact during these events.

Apoptosis is a physiological event but may be induced by pathological conditions e.g. malignancy, infection

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3
Q

Define necrosis
(2)

A

Accidental cell death - necrosis - occurs when a cell is damaged as a consequence of some injurious stimulus e.g. when it is derived of oxygen

The cell and cytoplasmic organelles swell and rupture, spilling their contents into the surrounding environment

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4
Q

Define hyperplasia

A

Increase int he number of cells in response to increased functional demands

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5
Q

Define neoplasia

A

When inappropriate or excessive cellular growth persists in the absence of any continuing stimulus the resulting tissue mass is termed a neoplasm

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6
Q

Define hyperplasia

A

Increase in the number of cells in response to increased functional demands

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7
Q

Define neoplasia

A

When inappropriate or excessive cellular growth persists in the absence of any continuing stimulus the resulting tissue mass is termed a neoplasm

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8
Q

Define hypertrophy

A

Increase in the size of cell because of extra functional demands, e.g. skeletal muscle following exercise

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9
Q

Define atrophy

A

Decrease in cell size due to decreased demanded on the cell or tissue

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10
Q

Define metaplasia

A

Alteration in cell morphology due to changes in cell differentiation. This results in a change to another cell type (usually associated with trauma or irritation)

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11
Q

Define dyplasia

A

Abnormal growth of a tissue or organ, cells present may signify the stage preceding the development of cancer

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12
Q

Define inclusions

A

Inclusions are stored nutrients, secretory products, and pigment granules

e.g. bile, iron, copper, fat

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13
Q

Define fibrosis

A

The formation of excess fibrous connective tissue in an organ or tissue in a reparative or reactive process

This can be a reactive, benign, or pathological state

In response to injury, this is called scarring, and if fibrosis arises from a single cell line, this is called a fibroma

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14
Q

Define amyloid

A

An abnormal extracellular protein, which is derived from many precursor proteins and gives rise to a condition called Amyloidosis

It is deposited extracellularly as a homogenous acellular substance and is most commonly found in the walls of blood vessels, beneath the endothelial linings

The progressive nature of deposition may result in occlusion of vessels and destruction of parenchyma with loss or organ function

The condition may be systemic or localised. In systemic conditions, amyloid is deposited in a wide variety of tissues and organs such as kidneys, spleen, liver, adrenal glands and heart

In localised form it is present only in the organ involved

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15
Q

Define foam cells

A

A type of macrophage that localise to fatty deposits on blood vessel walls, where they ingest low-density lipoproteins and become laden with lipids, giving them a foamy appearance

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16
Q

Define cirrhosis

A

Defined histologically as diffuse hepatic process characterised by fibrosis and conversion of the normal liver architecture into structurally abnormal nodules

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17
Q

Define cirrhosis

A

a diffuse hepatic process characterised by fibrosis and conversion of the normal liver architecture into structurally abnormal nodules

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18
Q

Define inflammation

A

A process by which the body attempts to deal with injury to the tissues

Such damage may be caused by a variety of physical, chemical or biological agents

In the inflammatory response the body attempts to eliminate or neutralise injurious agents and repair the tissues

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19
Q

Define acute inflammation

A

The initial series of events following injury to a tissue, directed towards neutralizing the injurious agents and restoring the tissues to useful function

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20
Q

Define resolution

A

When tissue damage is minimal, the exudate is reabsorbed into local vessels and no evidence of injury remains

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21
Q

Define inflammatory exudate

A

Composed of serum, leucocytes (mostly PMLs? and fibrin

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22
Q

Define chronic inflammation

A

Results from persistence of injurious stimulus over a long period of time causing continuing tissue damage

It most commonly follows acute inflammation where the process has failed to eradicate the causative agent

23
Q

Define granulomas

A

An organised collection of inflammatory cells including activated macrophages (epitheliod histiocytes), Langhand’s giant cells (multinucleated macrophages) and lymphocytes

Granulomas are associated with M. tuberculosis infections where organism is resistant to destruction by neutrophils and fail to excite a strong acute reaction

24
Q

Define exudate

A

Acute inflammation exudate can be:
- purulent: Neutrophils dominate
- Fibrinous: fibrin abundant
- Serous: fluid is major component

25
Define granulation tissue
When tissue damage is extensive, the exudate undergoes a process called organisation and repair In this process the dead tissue is phagocytosed and the necrotic area is replaced with granulation tissue composed of a vascularised connective tissue laid down by fibroblasts
26
Define hyperaemia
An increase in the amount of blood in the tissue Typically seen in acute inflammation due to the release of histamine which stimulated blood flow to the area
27
Define granuloma
Some microorganisms are resistant to destruction by neutrophils and fail to excite a strong acute reaction. The initial neutrophil response is usually sparse and is quickly followed by a macrophage response. This local accumulation of macrophages produces a discrete lesion called a granuloma
28
Define giant cell
Activated macrophages enlarge and sometimes fuse to form multinucleated giant cells (Langhan's giant cells)
29
Define a koilocyte
A squamous epithelial cell that has undergone a number of structural changes, which occur as a result of infection of the cell by human papillomavirus
30
What is neoplasia (2)
When inappropriate or excessive cellular growth persists in the absence of any continuing stimulus the resulting tissue mass is termed a neoplasm In neoplasia, the mechanisms regulating cell division fail and this lack of regulation characteristic is transmitted to each new generation of cells
31
What are benign neoplasms
These may grow large but do not spread into, or invade nearby tissues or other parts of the body Contained within epithelium or connective tissue capsule/sheath
32
What are malignant neoplasms?
Can display aggressive characteristics, spread into, or invade nearby tissues Can spread to other parts of the body through the blood and lymph systems Cancer is a term that is associated with malignant neoplasms
33
What is dysplasia
Abnormal cells within a tissue or organ Morphologically the cells look abnormal however they are not classified as cancerous Can be graded as mild, moderate, or severe depending on how abnormal the cells look under a microscope and how much of the tissue or organ is affected May be a stage of abnormality preceding development of malignancy in some tissues
34
Define intraepithelial neoplasia (5)
Development of benign neoplasm or high grade dysplasia in an epithelium The neoplastic cells are still contained within (intra) the epithelium and have not yet invaded through the basement membrane of the epithelium or gland The epithelial cell of origin can be either: - squamous - CIN/VAIN/VIN - Glandular - CGIN/PIN
35
Define carcinoma in-situ
Abnormal cells presenting as 'non-invasive' malignancy The morphology of the cells meets the criteria of malignancy but they have not yet invaded surrounding tissue While still localized, CIS have a high probability of progressing to become invasive
36
Give three examples of Carcinoma in situ
Ductal carcinoma in-situ of breast Lobular carcinoma in-situ of breast Bladder carcinoma in-situ
37
Define a haemangioma
Benign neoplasm of blood vessels. Increased number of blood vessels surrounded by connective tissue
38
Define phaeochromocytoma
Pheochromocytoma is a rare tumor of the adrenal medulla composed of chromaffin cells, also known as pheochromocytes
39
Define well differentiated
Phenotypically similar to cell of origin. Look the same, expresses same antigens Squamous carcinomas - may have keratinization Adenocarcinomas - form glands, may produce
40
Define moderately differentiated
Similar to cell of origin, but not fully structurally similar
41
Define poorly differentiated
Some similarities, but not forming structural components
42
Define undifferentiated (anaplastic)
No resemblance to cell of origin, often immuno-negative for biomarker found on cell of origin
43
Define differentiation
Refers to tumour grading system based on how much the cells have matured and look like the normal cells in the tissue from which it arose How much the cells have phenotypically developed to look like terminally differentiated cells Differentiation is important as a prognostic indicator and often well differentiated tumours have a better prognosis that poorly or undifferentiated tumours
44
Define microinvasion
Tumour is invading through the basement membrane, but can only be seen microscopically
45
Define micrometastases
Small microscopic foci of clumps of tumour cells
46
Define occult metastases
Metastases are hidden or not easily seen
47
Define distant metastases (2)
Tumour has spread to another distant organ through lymphatic or vascular spread Common sites are lung, liver, bone, brain
48
Define invasion
Refers to the direct extension and penetration by cancer cells into neighbouring tissues
49
Define metastasis
Refers to the spread of cancer cells to other parts of the body via the blood or lymph system This is a multistep process
50
What is an adenocarcinoma
malignancy of glandular epithelium
51
What is a squamous cell carcinoma
Malignancy of squamous cells
52
growth of blood vessels
Haemangioma
53
Adrenal medulla malignancy
Phaeochromocytoma