neoplasia Flashcards

(77 cards)

1
Q

most severe form of neoplasia

A

cancer

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2
Q

hypertrophy

A

increase in size but not in number of cells

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3
Q

hyperplasia

A

increase in numbers of cells to meet a demand

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4
Q

metaplasia

A

conversion of one tissue to another tissues with a decreased functional capacity
ex normal silia to psuedo stratified in the lungs in the lining of the lungs

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5
Q

dysplasia

A

continued exposure to irritants causes pleomorphism

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6
Q

pleomorphism

A

cells become large, unorganized, variable size and shape, increased mitotic rate

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7
Q

if reversible pleomorphism

A

this is precancerous

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8
Q

if irreversible pleomorphism

A

neoplasia- will have irregular shape and size

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9
Q

Metaplasia vs dysplasia

A

dysplasia- large irregular shapes vs conversion to a nonfunctional or different tissue

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10
Q

progression of dysplasia into neoplasia

A

large irregular nuclei

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11
Q

aplasia

A

abscence of organ development

genetic or developmental

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12
Q

hypoplasia

A

inadequate development

genetic or developmental

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13
Q

benign

A

slow orderly growth

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14
Q

malignant tumors

A

disorganized fast growing if untreated leads to death

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15
Q

carcinoma

A

ectoderm and endoderm

cavity linings/organ linings

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16
Q

sarcoma

A

mesoderm

organ tissue

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17
Q

leukemia

A

lymphocyte producing tissue

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18
Q

neoplastic tissues look like

A

tissue of origin

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19
Q

biochemical changes with neoplasia

A

malignant loose some functional capibility

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20
Q

anaplasia

A

pattern of change producing early cell formation

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21
Q

stroma

A

connective tissue formation around the cells (dense VS loose)

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22
Q

if less than 1 mm then the tumor can

A

rely on tissue for diffusion

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23
Q

larger than 1mm

A

requires angiogenesis

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24
Q

TaF

A

tumor angiogensis factor

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25
tumors can produce what?
hormones of the tissue theyre growing in kidneys: EPO skin: keratin and inflammation ovarian: mucus and serous over production
26
benign traits
increased growth rate form normal but less malignancy orderly pattern of expansile grown dense capsule with distinct margins good prognosis
27
malignant tumors
more invasive and less distinct margins- capsules are rare "fingers" poor surgical outcome
28
metastatic ability
the tumors ability to shed the cells and spread the cancer- the secondary tumors are histologicaly the same as the cells in the primary tumor
29
issues with treating tumors
from time to time tumors can have overlapping characteristics and this can mean that there is a possibility of over treatment of a benign tumor and under treatment of malignant tumors
30
generation time
amount of time between successive cell divisions
31
doubling times
the amount of time needed to double the size of the cell gets longer with age cells go into rest- die- cant reproduce- decreased reproductive times
32
tumor invasion
pressure atrophy tumor cell motilty pressure atrophy
33
pressure atrophy
pressure on blood supply to a tissue and tumor cell replacement of the dead tissue
34
tumor cell motility
cells seperate and migrate into surrounding tissues reduced adhesiveness cells degrade Bm and ECM which decreases the path of resistance
35
chemotaxis
``` chemical stimuli that pulls cells into normal tissues 3 sources normal cellular metabolism degradation of BM and ECM other tumor cells ```
36
areas of high resistance
bone, facsia, thick walled arterioals, pericardial sac
37
areas of low resistance
peritoneal lining and organs
38
embolism
when the tumor cells get into blood- get trapped and grow- gain access to a secondary site
39
metastasis sites
when the emboli get into rt atria they can get into the lungs and metastise into the lungs (common site) liver- through the hepatic vein from the stomach or abdominal tumors more disseminated into tissues of high vascularity
40
lymph vessels metastisis
thin walls easy to penetrate can trap emboli block lymph- increase the amount of lymph which leads to a higher field for metastasis lymph communicates with blood vessels which allows for additional blood vessel metastasis
41
body cavities
tumors leave primary organs through a cavity and settle on a secondary organ
42
latrogenic
spread of the cell through medical intervention- rare
43
only 1 in 1000 shed primary tumor cells
will survive- die bc of high blood flow
44
cells of 5-10 have
a high chance of surviving- pick up fibran
45
factors influencing successful secondary growth
endothelial binding by tumor to endothelium of vessels ability to produce selective tumor enzymes- degrade vessel BM and ECM Variable growth factor at secondary site
46
tissue destruction
- local reaction to tumor expansion into normal tissues and effects normal function - get decline in number of normal cells - cell atrophy occurs in response to tumor pressure - blood vessels become compressed, decreased nutrition and waste removal - all leads to tissue death
47
infection
suppression of bone marrow and lymphoid tissue involvement disruption of body surface and barrier organism tumor reduces normal ciliary movement perforation of intestinal wall
48
anemia
decrease epo production gi tumors prevent iron b12 purine and folate absorption tumors destroy rbc
49
polycythemia
renal tumors increase epo
50
what becomes depleted and causes marrow suppression
decrease purine and folate
51
pain caused by tumor growth
direct invasion of tumor on to nerves tension on nerve endings as tumor grows highly sensitive areas (bones)
52
cachexia
syndrome of general weakness, fatigue, wasting, anorexia, and pallor
53
cachectin
specific growth factor that leads to increased metabolic consumption or nutrients and waste production known as necrosis factor a
54
other affects that can cause cancer symptoms
toxic and necrotic debris | tumor progression steals nutrients from normal tissues
55
if tumors produce hormones they can produce
a very high amount of this tissue
56
oncogenesis
tumor formation involves alteration in cellular reproduction based on chromosomal information governs cell growth and differation
57
heredity
little known BRCA1/BRCA2 colon affected also by environmental and cultural
58
physical agents
suppress nucleac acids and suppress anti-tumor defenses | ex. radiation
59
Radiation types
UV sun exposure | ionizing- industrial and medical exposure
60
viruses
``` dna is interacted by viruses and can cause neoplastic changes few tumors have viral links cervical cancer liver cancer hep b burkitts lymphoma EBV virus ```
61
environmental factors
industrial chemicals and byproducts from food, clothing, medicine, cosmetics
62
intiation
cellular change introduced by inciting factor- irreversible change
63
promotion
factors that increase growth need long term exposure ex fat- colon cancer estrogen- breast cancer
64
solid tumors
surgical, various chemo results | in an organ
65
leukemia
hemotologic cancer, number one malignant tumor of leukocytes are over produced spill into blood invasion of bony cavity = pain
66
acute leukemia
rapid onset severe signs and symptoms more immature cells
67
chronic leukemia
graduall onset and progression mild signs and symptoms more mature cells
68
leukemia types of differenation
myeloid or granulocytic | lymphocytic or lyphoblastic
69
acute lymphoblastic leukemia
children and adolescents panocytopenia 50% cure rate chemo and radiation
70
acute myeloblastic leukemia
adolescents to 40 yo similar to ALL see chromosomal abnormalities 75% recurrence rate at 18 months
71
chronic lymphocytic leukemia
``` most common kind of all leukemias common in those over 50 B cell origin adequate numbers but poor functioning life expectancy after chemo is 10 years ```
72
chronic myeloblastic leukemia
wbc> 100,000 enlarged liver and spleen due to infiltration similar presentation to CLL philadelphia chromosome= damaged chromosome 22 poor prognosis
73
blast chrisis
caused by rapid production of blast cells presents as ALL | poor prognosis
74
malignant lymphoma
solid tumors invades lymph node, but can act on bone marrow- if prolonged then the cancer will replace the lymph tumor
75
prolonged growth
bone marrow, lymphoid tissue replacement, immune deficiencies, anemia, infection, lymph node enlargement
76
hodgkins lymphoma
rare, adolescents and young adults presents as a single lymph node in cervical region rapid spread fatigue, wasting, fever
77
non-hodgkins lymphoma
less regulated, enters blood and acts like leukemia | staging- complicated