Lecture 2 1/31/25 Flashcards
What is a tumor?
a swelling or swollen state
What are some examples of findings that are considered tumors?
-cyst
-abscess
-granuloma
-hyperplasia
What are the characteristics of hyperplasia?
-increase in the number of cells
-increase in cell division
-can only occur in cell types capable of mitosis
How does hyperplasia differ from neoplasia?
-hyperplasia typically subsides if initial stimulus is removed
-stimulus can include inflammation, trauma, hormones, or increased functional demand
-hyperplasia can be diffuse or nodular
What are the characteristics of compensatory hyperplasia?
-done for wound healing
-only needs to get big enough to replace lost tissue
-well-controlled and driven by growth factors
What are the characteristics of idiopathic hyperplasia?
-often age associated
-no functional significance
Which types of hyperplasia are typically nodular?
-compensatory
-idiopathic
Which type of hyperplasia is typically diffuse?
hormone-driven
What are the characteristics of neoplasia?
-new growth
-DNA mutations allow for uncontrolled cell proliferation and tumor formation
-formerly normal cells undergo irreversible genetic changes
-cells become unresponsive to ordinary cell growth controls
What is oncology?
the study of tumors
What is oncogenesis?
process of tumor development, whether benign of malignant
What is carcinogenesis?
processes involved in the development of cancer and/or the malignant transformation of cells
What are the characteristics of benign neoplasms?
-“easily” cured
-do not invade surrounding tissues or spread to new anatomic locations within the body
What is an adenoma?
a benign neoplasm originating from the epithelial cells; endoderm or ectoderm in origin
Which tissues are epithelial?
-skin
-intestines
-lungs
Which tissues are mesenchymal?
-connective tissue
-muscle
-bone
What is a fibroma?
a benign neoplasm originating from the mesenchymal cells; mesoderm in origin
What are the characteristics of malignant neoplasms/cancer?
-not “easily” cured
-have potential to spread/metastasize within tissue, to lymph nodes, or to distant sites
What is a carcinoma?
a malignant neoplasm of the epithelial cells; ectoderm or endoderm in origin
What is a sarcoma?
a malignant neoplasm of the mesenchymal cells; mesoderm in origin
What are the gross features of benign neoplasm?
-localized and/or encapsulated
-“easily” removed
-similar to normal tissue/well differentiated
-slower growth rate with fewer mitotic figures
What are the gross features of malignant neoplasm?
-invasive and infiltrative with possible metastases
-not “easily” removed
-disorganized compared to normal tissue/poorly differentiated
-fast growth rate with more mitotic figures
What are the histologic features of benign neoplasm?
-well-differentiated
-expansive and/or compressive; may have a capsule
-minimal to mild pleomorphism
-minimal to mild nuclear atypia
-low numbers of mitotic figures
-lack a stromal reaction
What are the histologic features of malignant neoplasm?
-poorly or undifferentiated
-invasive and infiltrative with poor demarcations
-moderate to marked pleomorphism
-moderate to marked nuclear atypia with multinucleated or karyomegalic cells
-high numbers of mitotic figures
-scirrhous/desmoplastic response