pathology Flashcards

1
Q

what is the double hit hypothesis

A

one working gene is enough, two faulty copies are required to have a functional problem

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2
Q

what is the double hit hypothesis also known as

A

Knudson hypothesis

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3
Q

what are beta napthyline associated with

A

bladder cancers

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4
Q

what does radiation cause

A

formation of pyridime dimers in DNA - repair mechanisms overwhelmed

oxidative stress with the production of free radicals

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5
Q

what does HPV cause

A

cervical head and neck cancer

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6
Q

what does EBV cause

A

burkitt lymphoma, B cell lymphoma hodgkin lymhoma

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7
Q

what can chronic inflammation cause

A

lymphomas - constant lymphocyte production leads to errors

other caused as tissue is replicating so much it is unstable

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8
Q

what does obesity inc the risk of

A

renal cell carcinoma

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9
Q

what are the weinberg hallmarks

A
Increase growth signals
Remove growth suppression
Avoid apoptosis
Achieve immortality
Become invasive
Make  your own blood supply (angiogenesis)
\+ loss of cellular DNA spell checking
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10
Q

is hypoplasia reversible

A

NO

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11
Q

what is hypoplasia

A

failure of organ development

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12
Q

what do matrix metalloproteinases do

A

degrade matrix proteins

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13
Q

how do carcinomas spread

A

lymphatic route

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14
Q

how do sarcomas spread

A

blood route

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15
Q

what is a proto oncogene

A

normal gene that could become an oncogene

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16
Q

what is angiogenesis

A

formation of new blood vessels

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17
Q

what is the reason for angiogenesis

A

supply O2 and nutrients to injured tissue

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18
Q

what is a GF involved in angiogenesis

A

VEGF

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19
Q

what does VEGF do

A

new vessel formation and inc leakiness of cells - endothelial cells contract creating gaps between them

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20
Q

what are the 3 categories of growth receptors

A

receptors with intrinsic tryrosin kinase activity
7 transmembrane G protein coupled receptors
receptors without intrinsic tyrosine kinase activity

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21
Q

what is gardners syndrome

A

FAP with fibromatosis (benign soft tissue tumours) and osteomas.

22
Q

what is JAK 2 associated with

A

haematological malignancies

23
Q

what does p53 do to p21

A

inc it levels - p21 is a CDK inhibitor

24
Q

via what pathway does p53 initiate apoptosis

25
what does PTEN do
inc transcription of p27
26
what does p27 do
block CDK s and cell cycle progression
27
what does BAX do
stop BCL2 - anti-apoptoic
28
in lymphomas what happens to BCL2
switched on - chromosome 18
29
are encaspulated lesions benign or malignant
benign
30
what is a benign squamous lesion called
squamous papilloma
31
what is a malignant squamous lesion called
squamous carcinoma
32
skeletal muscle
rhabdo
33
smooth muscle
leio
34
tumour in CNS
glioma
35
what is an ephelis
freckle
36
what is a naevus
mole
37
is melanoma malignant
yes
38
what does Tis mean
carcinoma in situ
39
what does T 1 mean
limtied to mucosa and submucosa
40
T2
through muscularis propria
41
T3
to subserosa
42
T4
to distant organs
43
N1
up to 3 lymph nodes involved
44
N2
>3 lymph nodes involved
45
what is the nottingham diagnostic index for
breast cancer prognosis
46
what is weight loss in cancer known as
cachexia
47
name 3 tumour suppressor genes
p53/APC/BRCA1
48
what is desmoplasia
growth of connective of fibrous tissue
49
what can hypermethylation do
silence tumour suppressors and cause cancer
50
what are some metabolic alterations in cancer development
anaerobic glycolysis - switch from mitochondrial oxidative phosphorylation
51
what is the Up-regulation of anaerobic glycolysis in cancer cells called
warburg effect