Histopath - Systemic, Endo, CTD, Bone & Soft tissue Flashcards

1
Q

AA Amyloid type

A

Serum amyloid A (acute phase protein synthesised by liver)

Long standing inflammatory disease e.g., Crohn’s, Rh arthritis

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2
Q

Al amyloid type

A

Derived from light chains

Seen in Multiple myeloma, B cell lymphoma

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3
Q

Hallmark feature of PID

A

Salpingitis

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4
Q

Classical of Cervical intraepithelial neoplasia

A

CIN 1 = lower third
CIN 2 = lower two thirds
CIN 3 = entire thickness

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5
Q

Most common cervical cancer type

A

Squamous cell carcinoma

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6
Q

high risk (of cancer) HPV strains

A

16, 18, (33)

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7
Q

Which HPV viral proteins involved in cancer pathogenesis

A

E6 - binds p53

E7 - binds Retinoblastoma (Rb)

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8
Q

Most common uterine tumour

A

Leiomyoma (fibroid)

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9
Q

Staging of (endometrioid) uterine cancer

A

Stage 1A = <50% myometrial invasion
Stage 1B = >50% myometrial invasion

Stage 2 = invades cervical stroma

Stage 3A = invades serosa of corpus uteri and/or andexa
3B = vaginal and/or parametrial
3C1 = pelvic LN
3C2 = para-aortic LN

Stage 4A = bladder and/or bowel
Stage 4B = distant mets (intra-abdominal and/or inguinal lymph nodes)

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10
Q

Importance of POLE mutation in endometrial cancer?

A

Better prognosis

tumours often appear high grade histologically

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11
Q

What uterine cancers respond to Anti PD-1 mono therapy

A

EEC with POLE mutation

MSI tumour groups

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12
Q

Most common benign ovarian tumour

A

Serous cystadenoma

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13
Q

Syndromes that pre-dispose to ovarian sex cord stromal tumours

A

DICER 1 syndrome

Peutz-Jeghers syndrome

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14
Q

Most common renal cell carcinoma type

A

Clear cell renal cell carcinoma (70%)

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15
Q

Which renal disease has Abs against phospholipase A2

A

Membranous glomerulonephritis

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16
Q

Which renal disease has Abs against (Type IV collagen in) basement membrane

A

Anti GBM “Goodpasture’s”

Causes acute crescentic glomerulonephritis

17
Q

Stages of diabetic nephropathy

A
1 = thickening of basement membrane on EM
2 = increase in mesangial matrix, without nodules
3 = nodular lesions / Kimmelstiel-Wilson
4 = advanced glomerulosclerosis
18
Q

Most specific Ab for SLE

A

Anti smith (against ribonucleoproteins)

but only 30% patients have it

19
Q

Ab seen in drug related SLE

A

Anti-histone

20
Q

Abs in systemic sclerosis

A

Limited (CREST) = anti centromere

Diffuse = topoisomerase (Scl70)

21
Q

Ix findings in sarcoidosis

A

Hypergammaglobulinaemia
Raised ACE
Hypercalcaemia (vit D hydroxylation by activated macrophages)

Histology: (non caseating) granuloma +/- multinucleate giant cells