Cancer Biology: Characteristics of Malignant Cells

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Questions and Answers

What is the primary characteristic of malignant cells?

  • They exhibit controlled growth.
  • They display uncontrolled growth. (correct)
  • They primarily undergo apoptosis.
  • They differentiate into specialized cells.

What does anaplasia refer to in neoplastic cells?

  • Loss of differentiation. (correct)
  • Formation of a benign tumor.
  • Normal cell structure.
  • Increased differentiation.

Which of the following terms describes the formation of an abnormal mass of proliferating cells?

  • Hyperplasia
  • Metaplasia
  • Dysplasia
  • Neoplasia (correct)

Which statement correctly describes dysplastic nevi?

<p>They have irregular shapes and uneven colors. (D)</p> Signup and view all the answers

What is the relationship between hyperplasia and cancer growth?

<p>Hyperplasia may indicate early growth of cancer. (C)</p> Signup and view all the answers

What mechanism is primarily disrupted in malignant disease?

<p>Balance of cell division and apoptosis. (B)</p> Signup and view all the answers

Which term describes the abnormality in size, shape, and organization of adult cells?

<p>Dysplasia (C)</p> Signup and view all the answers

What does the term 'metaplasia' specifically refer to?

<p>The transformation of one differentiated cell type into another. (C)</p> Signup and view all the answers

What is the first step in the process described as the androgenic switch?

<p>Cell-cell adhesion breaks down (C)</p> Signup and view all the answers

What is a characteristic of anchorage independent growth in cancer cells?

<p>Cancer cells pile up on one another without inhibiting growth (D)</p> Signup and view all the answers

What prevents normal cells from proliferating when grown in a semi-solid medium?

<p>Contact inhibition when cells touch each other (B)</p> Signup and view all the answers

What is the final outcome of the processes initiated by cancer cells after they leave the circulatory system?

<p>They produce secondary metastatic tumors (A)</p> Signup and view all the answers

What aspect of normal cells is altered in cancer cells to allow for continuous growth?

<p>Their contact inhibition mechanisms (A)</p> Signup and view all the answers

What is the primary characteristic that distinguishes hyperplasia from hypertrophy?

<p>Increase in cell number (C)</p> Signup and view all the answers

What term describes cellular enlargement that serves a purpose in response to increased workload?

<p>Physiological hypertrophy (A)</p> Signup and view all the answers

Which characteristic is associated with malignant cells that allows them to resist programmed cell death?

<p>Resistance to apoptosis (A)</p> Signup and view all the answers

In cancer cells, what role does telomerase play?

<p>It maintains telomere length (C)</p> Signup and view all the answers

How can sustained angiogenesis contribute to tumor growth?

<p>By increasing blood supply (A)</p> Signup and view all the answers

What property allows cancer cells to survive in circulation during metastasis?

<p>Anchorage-independent growth (B)</p> Signup and view all the answers

Which type of mutation can be caused by environmental exposure during embryonic development?

<p>Psychotic mutations (B)</p> Signup and view all the answers

What is a consequence of the loss of contact inhibition in cancer cells?

<p>Cancer cells proliferate uncontrollably (C)</p> Signup and view all the answers

Which of the following describes the ability of cancer cells to invade surrounding tissues?

<p>Immune evasion (B)</p> Signup and view all the answers

What is the role of growth factor signaling in cell proliferation?

<p>It regulates gene expression for growth (B)</p> Signup and view all the answers

What defines atrophy in the context of cell biology?

<p>Decrease in cell size and number (A)</p> Signup and view all the answers

Which factor is typically not a characteristic of malignant cells?

<p>Increase in apoptosis (B)</p> Signup and view all the answers

Which of the following is a hallmark of cancer that involves nutrient and oxygen supply?

<p>Angiogenesis (D)</p> Signup and view all the answers

What is the result of tumors growing beyond their blood supply limits?

<p>Cellular necrosis (A)</p> Signup and view all the answers

What is a characteristic of benign neoplasms compared to malignant neoplasms?

<p>Benign neoplasms are generally encapsulated. (D)</p> Signup and view all the answers

Which histogenetic classification is associated with connective tissue?

<p>Sarcoma (C)</p> Signup and view all the answers

What is a common general effect of tumors?

<p>Fatigue (C)</p> Signup and view all the answers

Which type of cancer is particularly associated with a high incidence of cancer cachexia?

<p>Pancreatic cancer (A)</p> Signup and view all the answers

What describes paraneoplastic syndromes?

<p>They are symptoms not readily explained by local or metastatic disease. (D)</p> Signup and view all the answers

Which of the following is a typical method used for cancer diagnosis?

<p>Genetic testing (C)</p> Signup and view all the answers

What is a defining feature of malignant tumors histologically?

<p>Nuclear enlargement (D)</p> Signup and view all the answers

What is an example of a local effect caused by tumors?

<p>Compression of nearby structures (A)</p> Signup and view all the answers

What role do tumor markers play in cancer management?

<p>They assist in diagnosing and monitoring cancer. (A)</p> Signup and view all the answers

Which of the following is a common endocrine effect associated with tumors?

<p>Cushing's syndrome (C)</p> Signup and view all the answers

What is the primary characteristic of cancer cachexia?

<p>Progressive loss of skeletal muscle mass (C)</p> Signup and view all the answers

Which test is typically performed for routine investigations in cancer diagnosis?

<p>Blood tests (B)</p> Signup and view all the answers

What is a limitation of PSA (prostate-specific antigen) as a tumor marker?

<p>It may also be elevated in benign tumors. (B)</p> Signup and view all the answers

What is the primary reason chemotherapy and radiotherapy may exacerbate cachexia?

<p>They can induce systemic inflammation. (D)</p> Signup and view all the answers

What is the primary consequence of somatic mutations?

<p>They will not be passed to the next generation. (A)</p> Signup and view all the answers

Which gene is most commonly associated with increased risk of breast and ovarian cancer?

<p>BRCA1 (A)</p> Signup and view all the answers

What environmental factor is specifically linked to leukemia?

<p>Translocation of ABL and BCR genes (B)</p> Signup and view all the answers

Which of the following is a hallmark of Xeroderma pigmentosum?

<p>Deficiency in repairing DNA damage from UV light (A)</p> Signup and view all the answers

What role does the p53 gene play in cancer prevention?

<p>It functions as a tumor suppressor gene. (A)</p> Signup and view all the answers

Which virus is primarily linked to cervical cancer?

<p>Human papillomavirus (HPV) (B)</p> Signup and view all the answers

How do polycyclic aromatic hydrocarbons (PAHs) pose a cancer risk?

<p>They derive from burning fossil fuels and can cause cellular damage. (A)</p> Signup and view all the answers

What is one of the major characteristics of an abnormal tissue microenvironment that can promote cancer?

<p>Hypoxia (B)</p> Signup and view all the answers

What lifestyle factor is recognized as contributing to the risk of multiple cancer types?

<p>Tobacco use (A)</p> Signup and view all the answers

Which type of cancer is linked to the Epstein-Barr virus?

<p>Burkitt's lymphoma (D)</p> Signup and view all the answers

What is a primary environmental risk factor for developing liver cancer?

<p>Long-term infection with hepatitis B and C (A)</p> Signup and view all the answers

What dietary component is associated with an increased risk of stomach cancer?

<p>Red meat consumption (D)</p> Signup and view all the answers

What is the initial step in the multi-step progression of colorectal cancer?

<p>Acquisition of mutations (C)</p> Signup and view all the answers

Which of the following is a known risk factor for thyroid cancer related to environmental exposure?

<p>Radioactive exposure (D)</p> Signup and view all the answers

What is considered a normal prostate-specific antigen (PSA) level after prostatectomy?

<p>4.0 ng/ml or lower (C)</p> Signup and view all the answers

Which chemotherapeutic agent is derived from the Pacific Yew tree and inhibits cancer cell proliferation?

<p>Paclitaxel (Taxol) (A)</p> Signup and view all the answers

What is one significant disadvantage of targeted cancer therapies?

<p>They can also affect normal cells that express similar molecules. (C)</p> Signup and view all the answers

Which type of therapy uses protons instead of x-rays for cancer treatment?

<p>Proton therapy (C)</p> Signup and view all the answers

What common side effect is associated with chemotherapy treatments?

<p>Frequent infections (C)</p> Signup and view all the answers

What does liquid biopsy detect in patients with cancer?

<p>Circulating tumor cells (CTCs) and circulating tumor DNA (ctDNA) (A)</p> Signup and view all the answers

How does hyperplasia respond to pathological conditions?

<p>It leads to uncontrolled cell growth. (C)</p> Signup and view all the answers

What do abnormal cells in cancer often utilize for growth and signaling?

<p>Autocrine signaling (C)</p> Signup and view all the answers

What is the clinical significance of telomeres in cancer cells?

<p>Their shortening is associated with replicative senescence. (C)</p> Signup and view all the answers

What impacts the management decision of cancer treatment?

<p>Aggressiveness of the tumor and predictability of its spread (A)</p> Signup and view all the answers

What kind of testing is HER2 used for in diagnosing cancer?

<p>Breast cancer (A)</p> Signup and view all the answers

What factor is NOT typically associated with the side effects of chemotherapy?

<p>Increased appetite (C)</p> Signup and view all the answers

What does the term 'molecularly targeted therapies' refer to?

<p>Drugs that block specific molecules involved in tumor growth. (B)</p> Signup and view all the answers

What role do factors like VEGF and FGF play in cancer?

<p>They stimulate blood vessel formation. (C)</p> Signup and view all the answers

Flashcards

Neoplasia

An abnormal mass of proliferating cells that have a degree of independence from normal regulatory mechanisms.

Anaplasia

The lack of differentiation in neoplastic cells, often characterized by a mass of primitive and irregular cells.

Hyperplasia

An increase in the number of cells in a tissue or organ, often in response to a specific stimulus. It can be a normal part of growth or a sign of pathology.

Metaplasia

The transformation of one mature differentiated cell type into another mature differentiated cell type.

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Dysplasia

Abnormal development of cells, characterized by a change in size, shape, and organization of adult cells.

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Cancer

A collection of different diseases characterized by uncontrolled cell growth and the potential to invade surrounding tissues and spread to distant sites (metastasis).

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Dysplastic nevi (DN)

Moles that are larger than ordinary moles and have irregular shapes, uneven colors, and may extend above the skin's surface. They have increased risk of becoming melanoma.

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Metastasis

The ability of cancer cells to break away from the original tumor and spread to other parts of the body.

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Somatic Mutation

A type of mutation that occurs in non-reproductive cells and is not passed down to offspring. It can lead to cancer but does not affect the genetic makeup of the next generation.

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Environmental Factors

Factors like viruses, chemicals, and radiation that can increase the risk of somatic mutations and cancer.

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What is p53's role in cancer?

A tumor suppressor gene that plays a critical role in maintaining the integrity of the genome by controlling cell cycle progression and apoptosis.

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BRCA1 and BRCA2

Mutations in BRCA1 and BRCA2, two tumor suppressor genes, increase the risk of breast and ovarian cancer.

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Philadelphia Chromosome

A chromosomal translocation involving the ABL and BCR genes, creating a fusion gene that contributes to the development of chronic myelogenous leukemia (CML).

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RB Gene

A tumor suppressor gene that regulates cell cycle progression and is often mutated in retinoblastoma, a type of eye cancer.

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Oncogenic Viruses

Viruses that can integrate their genetic material into the host cell's genome, potentially leading to cancer development.

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Human Papillomavirus (HPV)

A common sexually transmitted infection that can cause cervical cancer.

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Burkitt's Lymphoma

A type of lymphoma associated with Epstein-Barr virus infection.

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Nucleotide Excision Repair (NER)

A DNA repair mechanism that removes damaged nucleotides from DNA, particularly those caused by UV radiation.

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Xeroderma Pigmentosum (XP)

An autosomal recessive genetic disorder that causes defects in DNA repair, leading to increased susceptibility to skin cancer.

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Bodyweight and Cancer Risk

A condition that increases the risk of cancer, particularly in those who are overweight or underweight.

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Multi-step Cancer Progression

A multi-step process of cancer development, involving various stages of cell growth, proliferation, and metastasis.

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Multistep Development and Progression of Colorectal Cancer

A model used to study the multi-step progression of cancer, focusing on the example of colorectal cancer.

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Aetiology of Cancer

The study of the causes of cancer, including genetic mutations, environmental factors, and lifestyle factors.

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Hypertrophy

An increase in the size of cells in a tissue or organ. The number of cells remains unchanged.

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Atrophy

A decrease in the size and number of cells in a tissue or organ.

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Loss of growth control in cancer cells

Cells lose control of their growth and division, becoming insensitive to signals that normally stop their growth. This can lead to uncontrolled cell proliferation.

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Resistance to apoptosis in cancer cells

Cancer cells don't undergo programmed cell death (apoptosis) like normal cells do, allowing them to survive and multiply.

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Unlimited replicative potential of cancer cells

Cancer cells can divide indefinitely, unlike normal cells which have a limited lifespan. This is due to the activation of telomerase, an enzyme that prevents the shortening of telomeres (protective caps at the ends of chromosomes) during cell division.

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Sustained angiogenesis in cancer cells

Cancer cells stimulate the growth of new blood vessels (angiogenesis) to provide oxygen and nutrients for their growth.

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Invasion and metastasis of cancer cells

Cancer cells break away from the original tumor and invade neighboring tissues. They can also travel through the bloodstream or lymphatic system to spread to distant sites (metastasis).

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Anchorage-independent growth in cancer cells

Cancer cells can survive and grow without being attached to a surface, a property that helps them spread through the body.

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Loss of contact inhibition in cancer cells

Cancer cells can continue to divide even when they're crowded by other cells, unlike normal cells that stop dividing when they come into contact with each other.

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Mutations in genes

Changes in genes that control cell growth and division. These changes can be inherited from parents or acquired during a person's lifetime due to environmental factors.

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Germline mutations

Mutations that occur in the germ cells (eggs or sperm) and are passed down from parent to offspring.

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Telomere shortening in normal cells

Shortening of telomeres in normal cells with each cell division. This eventually limits the number of times a normal cell can divide.

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Telomerase activity in cancer cells

Telomerase activation in cancer cells, allowing them to maintain the length of telomeres and divide indefinitely.

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Histogenetic Classification

A tumor classified based on the type of cell or tissue it originates from. It helps determine the tumor's behavior and treatment.

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Carcinoma

A type of tumor that originates from epithelial tissue, which lines organs and cavities.

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Sarcoma

A type of tumor that arises from connective tissue, such as muscle, bone, and cartilage.

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Nausea/Vomiting

A general effect of tumors that involves experiencing nausea and vomiting. It can be caused by pressure on the digestive system.

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Cachexia

A general effect of tumors that involves a significant loss of body mass, often accompanied by muscle wasting and weakness. It is a severe complication associated with advanced cancer.

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Compression

Local effect of tumors that involves the tumor pressing on surrounding tissues or organs, potentially causing obstruction or compression.

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Obstruction

Local effect of tumors that involves the tumor blocking a passageway, such as a blood vessel or a duct.

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Ulceration

Local effect of tumors that involves the tumor damaging the lining of an organ, often resulting in inflammation and pain.

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Paraneoplastic Syndrome

A symptom of cancer that is not directly caused by the tumor but rather by the body's response to the presence of the tumor.

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Hypercalcemia

A common paraneoplastic syndrome that results in elevated calcium levels in the blood, often affecting bone health.

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Cushing's Syndrome

A type of paraneoplastic syndrome characterized by excessive production of cortisol, leading to various symptoms like weight gain and fatigue.

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TNM Classification

A clinical examination technique to assess the spread of cancer to nearby tissues or lymph nodes. The tumor size (T), lymph node involvement (N), and presence of distant metastases (M) are evaluated.

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Cancer Staging

A system used to categorize cancer based on its severity and extent of spread. It may involve stages I to IV, where stage I represents localized cancer and stage IV indicates widespread metastasis.

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Grading

A method of classifying cancer based on the microscopic appearance of the cancerous cells. The grade reflects how much the cells resemble normal cells.

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Tumor Markers

A substance found in the blood, urine, or tissues that can be used as a marker for a specific type of cancer. These markers help in diagnosis, monitoring treatment, and detecting recurrence.

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Androgenic switch

A critical step in metastasis where cancer cells break away from the original tumor and invade surrounding tissues.

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Anchorage independent growth

Ability of cancer cells to grow and proliferate in a semi-solid medium, independent of attachment to a solid surface.

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Invasion

The process where cancer cells break down cell-to-cell junctions, penetrate the basement membrane, and enter the bloodstream.

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Circulation

The process by which cancer cells travel through the bloodstream or lymphatic system to reach distant sites in the body.

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Metastatic tumor

The formation of new tumors at distant locations in the body, derived from the original primary tumor.

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What is proton therapy?

A type of radiation treatment for cancer that uses protons instead of x-rays.

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What is HER2 testing?

A test for HER2, a marker for breast cancer, that is used in pathological labs. Immunohistochemistry (IHC) and In Situ Hybridization (ISH) are some methods used for this test.

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What is liquid biopsy?

A technique used to diagnose cancer by examining circulating tumor cells (CTCs) and circulating tumor DNA (ctDNA) in the blood.

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What is targeted cancer therapy?

A cancer treatment approach targeting specific molecules involved in tumor growth and progression, aiming to interfere with their growth and spread.

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What is Paclitaxel (Taxol)?

A type of chemotherapy drug derived from Pacific Yew, that inhibits cell division by interfering with microtubule assembly, and is used to treat various cancers.

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What factors determine cancer management?

A measure used to assess how aggressive a tumor is, its likelihood of spreading, and the potential mortality or morbidity associated with treatment.

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What is neoplasia?

Uncontrolled growth of cells that lack normal regulation, often characterized by abnormal cell differentiation and the ability to invade surrounding tissues.

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What is hyperplasia?

A type of cell growth that is often a normal response to specific stimuli, but can also be a sign of pathology.

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What is metaplasia?

A change in the mature cell type of a tissue, often as a response to chronic irritation or injury.

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What is dysplasia?

Abnormal development of cells that can be a precursor to cancer, often characterized by changes in cell size, shape, and organization.

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What is apoptosis?

A type of cell death programmed by the cell itself, often triggered by cellular stress or damage.

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What is metastasis?

The ability of cancer cells to break away from the original tumor and spread to other parts of the body.

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What is angiogenesis?

The process of forming new blood vessels, often stimulated by factors released from tumors.

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What is autocrine signaling?

A type of cellular signal that acts on the same cell that produced it, often involved in regulating cell growth and development.

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What are telomeres?

Protective caps at the ends of chromosomes that shorten with each cell division. Stem cells and germ cells can maintain telomere length.

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What is vascular endothelial growth factor (VEGF)?

A type of growth factor that stimulates the growth of blood vessels, often released by tumors.

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Study Notes

Malignant Disease

  • Cancer arises from any cell type in multicellular organisms, representing a collection of distinct diseases.
  • The core characteristic of cancer is uncontrolled growth, disrupting the balance between cell division/differentiation and survival/apoptosis.
  • Invasion and metastasis are common features, often described as "crab-like" spread.

Cancer Characteristics

  • Loss of growth control: Cells exhibit autonomy in growth signaling and insensitivity to inhibitory signals.
  • Resistance to apoptosis: Cancer cells evade programmed cell death, exhibiting immortality.
  • Unlimited replicative potential: Telomerase activity maintains telomere length, enabling continued cell division.
  • Sustained angiogenesis: Cancer cells stimulate blood vessel formation for nutrient supply.
  • Invasion and metastasis: Cancer cells can invade surrounding tissue and spread to other parts of the body (metastasis).
  • Anchorage-independent growth: Cancer cells can grow without attachment to a surface.
  • Loss of contact inhibition: Cancer cells continue to proliferate even when in contact with other cells.

Cancer Development

  • Aetiology (Causes): Cancer development is linked to genetic mutations, which can be inherited or acquired.

    • Mutations: Inborn (zygotic) or somatic (acquired). Acquired mutations can result from environmental factors.
    • Environmental factors: Viruses, chemicals, and radiation.
    • Abnormal tissue microenvironment: Hypoxia within the tissue.
    • Lifestyle and other factors: Age, lifestyle choices also influence cancer risk.
  • Genetic mutations and increased cancer risk: Certain genetic mutations increase the likelihood of specific cancers. Examples include BRCA1/2 (breast/ovarian cancer), p53 (Li-Fraumeni syndrome), and the Philadelphia chromosome (CML).

Cancer Classification

  • Benign vs. Malignant: Benign tumors are localized, encapsulated, and non-invasive, while malignant tumors are invasive and may metastasize.
  • Histogenetic classification: Tumors are categorized based on the tissue type of origin (e.g., carcinomas from epithelial tissue, sarcomas from connective tissue).
  • TNM classification, staging, and grading: Systems for classifying and staging tumors based on their size, location, and spread to aid in treatment planning.

Clinical Effects of Tumors

  • General effects: Fatigue, weight loss, fever, nausea/vomiting, and loss of appetite.
  • Local effects: Compression, obstruction, ulceration, hemorrhage, rupture, perforation, and infarction due to tumor pressure.
  • Endocrine effects: Tumors can disrupt hormone production.
  • Paraneoplastic syndromes: Symptoms unrelated to tumor's direct effects, like hypercalcemia and Cushing's syndrome.

Cancer Diagnosis

  • Clinical signs: Identifying lumps, unusual bleeding, or changes in moles can raise suspicion for cancer.
  • Screening tests: Pap smears for cervical cancer.
  • Routine investigations: Blood tests and X-rays.
  • Imaging: CT scans, MRI, PET scans, ultrasounds, endoscopy, and surgical biopsies.
  • Genetic testing for specific genes linked to cancer susceptibility.
  • Tumor markers: Substances in blood, urine, or tissue associated with certain cancers (e.g., PSA for prostate cancer, HER2 for breast cancer).

Cancer Treatment

  • Chemotherapy: Using drugs to target rapidly dividing cells, including cancer cells.
  • Targeted cancer therapies: Drugs that interfere with specific molecules involved in cancer growth.
  • Radiation therapy: Using high-energy radiation to kill cancer cells.
  • Proton therapy: A form of radiation therapy that uses protons instead of x-rays.

Cancer Risk Factors

  • Viruses: HPV (cervical cancer), Epstein-Barr virus (Burkitt's lymphoma).
  • Chemicals: Polycyclic aromatic hydrocarbons (PAHs) in barbecued meats, and some occupational exposures
  • Radiation: UV radiation from the sun and exposure to ionizing radiation.
  • Lifestyle: Obesity, smoking, alcohol consumption influencing cancer risk.
  • Age: Risk increases with age.

Other Key Concepts

  • Cachexia: A severe wasting syndrome occurring in advanced stages of some cancers.
  • Nucleotide Excision Repair (NER): DNA repair mechanism, defects in which can increase cancer risk, like Xeroderma pigmentosum (XP).
  • Telomeres and telomerase: Telomeres are protective caps at the ends of chromosomes shortening with each cell division, telomerase is an enzyme which counteracts this, found in cancer cells and stem cells maintaining telomere length.
  • Tumor Microenvironment: The surrounding cells, extracellular matrix, and factors that influence cancer cell behavior.

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