Podcast
Questions and Answers
What is the primary characteristic of malignant cells?
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?
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?
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?
Which statement correctly describes dysplastic nevi?
What is the relationship between hyperplasia and cancer growth?
What is the relationship between hyperplasia and cancer growth?
What mechanism is primarily disrupted in malignant disease?
What mechanism is primarily disrupted in malignant disease?
Which term describes the abnormality in size, shape, and organization of adult cells?
Which term describes the abnormality in size, shape, and organization of adult cells?
What does the term 'metaplasia' specifically refer to?
What does the term 'metaplasia' specifically refer to?
What is the first step in the process described as the androgenic switch?
What is the first step in the process described as the androgenic switch?
What is a characteristic of anchorage independent growth in cancer cells?
What is a characteristic of anchorage independent growth in cancer cells?
What prevents normal cells from proliferating when grown in a semi-solid medium?
What prevents normal cells from proliferating when grown in a semi-solid medium?
What is the final outcome of the processes initiated by cancer cells after they leave the circulatory system?
What is the final outcome of the processes initiated by cancer cells after they leave the circulatory system?
What aspect of normal cells is altered in cancer cells to allow for continuous growth?
What aspect of normal cells is altered in cancer cells to allow for continuous growth?
What is the primary characteristic that distinguishes hyperplasia from hypertrophy?
What is the primary characteristic that distinguishes hyperplasia from hypertrophy?
What term describes cellular enlargement that serves a purpose in response to increased workload?
What term describes cellular enlargement that serves a purpose in response to increased workload?
Which characteristic is associated with malignant cells that allows them to resist programmed cell death?
Which characteristic is associated with malignant cells that allows them to resist programmed cell death?
In cancer cells, what role does telomerase play?
In cancer cells, what role does telomerase play?
How can sustained angiogenesis contribute to tumor growth?
How can sustained angiogenesis contribute to tumor growth?
What property allows cancer cells to survive in circulation during metastasis?
What property allows cancer cells to survive in circulation during metastasis?
Which type of mutation can be caused by environmental exposure during embryonic development?
Which type of mutation can be caused by environmental exposure during embryonic development?
What is a consequence of the loss of contact inhibition in cancer cells?
What is a consequence of the loss of contact inhibition in cancer cells?
Which of the following describes the ability of cancer cells to invade surrounding tissues?
Which of the following describes the ability of cancer cells to invade surrounding tissues?
What is the role of growth factor signaling in cell proliferation?
What is the role of growth factor signaling in cell proliferation?
What defines atrophy in the context of cell biology?
What defines atrophy in the context of cell biology?
Which factor is typically not a characteristic of malignant cells?
Which factor is typically not a characteristic of malignant cells?
Which of the following is a hallmark of cancer that involves nutrient and oxygen supply?
Which of the following is a hallmark of cancer that involves nutrient and oxygen supply?
What is the result of tumors growing beyond their blood supply limits?
What is the result of tumors growing beyond their blood supply limits?
What is a characteristic of benign neoplasms compared to malignant neoplasms?
What is a characteristic of benign neoplasms compared to malignant neoplasms?
Which histogenetic classification is associated with connective tissue?
Which histogenetic classification is associated with connective tissue?
What is a common general effect of tumors?
What is a common general effect of tumors?
Which type of cancer is particularly associated with a high incidence of cancer cachexia?
Which type of cancer is particularly associated with a high incidence of cancer cachexia?
What describes paraneoplastic syndromes?
What describes paraneoplastic syndromes?
Which of the following is a typical method used for cancer diagnosis?
Which of the following is a typical method used for cancer diagnosis?
What is a defining feature of malignant tumors histologically?
What is a defining feature of malignant tumors histologically?
What is an example of a local effect caused by tumors?
What is an example of a local effect caused by tumors?
What role do tumor markers play in cancer management?
What role do tumor markers play in cancer management?
Which of the following is a common endocrine effect associated with tumors?
Which of the following is a common endocrine effect associated with tumors?
What is the primary characteristic of cancer cachexia?
What is the primary characteristic of cancer cachexia?
Which test is typically performed for routine investigations in cancer diagnosis?
Which test is typically performed for routine investigations in cancer diagnosis?
What is a limitation of PSA (prostate-specific antigen) as a tumor marker?
What is a limitation of PSA (prostate-specific antigen) as a tumor marker?
What is the primary reason chemotherapy and radiotherapy may exacerbate cachexia?
What is the primary reason chemotherapy and radiotherapy may exacerbate cachexia?
What is the primary consequence of somatic mutations?
What is the primary consequence of somatic mutations?
Which gene is most commonly associated with increased risk of breast and ovarian cancer?
Which gene is most commonly associated with increased risk of breast and ovarian cancer?
What environmental factor is specifically linked to leukemia?
What environmental factor is specifically linked to leukemia?
Which of the following is a hallmark of Xeroderma pigmentosum?
Which of the following is a hallmark of Xeroderma pigmentosum?
What role does the p53 gene play in cancer prevention?
What role does the p53 gene play in cancer prevention?
Which virus is primarily linked to cervical cancer?
Which virus is primarily linked to cervical cancer?
How do polycyclic aromatic hydrocarbons (PAHs) pose a cancer risk?
How do polycyclic aromatic hydrocarbons (PAHs) pose a cancer risk?
What is one of the major characteristics of an abnormal tissue microenvironment that can promote cancer?
What is one of the major characteristics of an abnormal tissue microenvironment that can promote cancer?
What lifestyle factor is recognized as contributing to the risk of multiple cancer types?
What lifestyle factor is recognized as contributing to the risk of multiple cancer types?
Which type of cancer is linked to the Epstein-Barr virus?
Which type of cancer is linked to the Epstein-Barr virus?
What is a primary environmental risk factor for developing liver cancer?
What is a primary environmental risk factor for developing liver cancer?
What dietary component is associated with an increased risk of stomach cancer?
What dietary component is associated with an increased risk of stomach cancer?
What is the initial step in the multi-step progression of colorectal cancer?
What is the initial step in the multi-step progression of colorectal cancer?
Which of the following is a known risk factor for thyroid cancer related to environmental exposure?
Which of the following is a known risk factor for thyroid cancer related to environmental exposure?
What is considered a normal prostate-specific antigen (PSA) level after prostatectomy?
What is considered a normal prostate-specific antigen (PSA) level after prostatectomy?
Which chemotherapeutic agent is derived from the Pacific Yew tree and inhibits cancer cell proliferation?
Which chemotherapeutic agent is derived from the Pacific Yew tree and inhibits cancer cell proliferation?
What is one significant disadvantage of targeted cancer therapies?
What is one significant disadvantage of targeted cancer therapies?
Which type of therapy uses protons instead of x-rays for cancer treatment?
Which type of therapy uses protons instead of x-rays for cancer treatment?
What common side effect is associated with chemotherapy treatments?
What common side effect is associated with chemotherapy treatments?
What does liquid biopsy detect in patients with cancer?
What does liquid biopsy detect in patients with cancer?
How does hyperplasia respond to pathological conditions?
How does hyperplasia respond to pathological conditions?
What do abnormal cells in cancer often utilize for growth and signaling?
What do abnormal cells in cancer often utilize for growth and signaling?
What is the clinical significance of telomeres in cancer cells?
What is the clinical significance of telomeres in cancer cells?
What impacts the management decision of cancer treatment?
What impacts the management decision of cancer treatment?
What kind of testing is HER2 used for in diagnosing cancer?
What kind of testing is HER2 used for in diagnosing cancer?
What factor is NOT typically associated with the side effects of chemotherapy?
What factor is NOT typically associated with the side effects of chemotherapy?
What does the term 'molecularly targeted therapies' refer to?
What does the term 'molecularly targeted therapies' refer to?
What role do factors like VEGF and FGF play in cancer?
What role do factors like VEGF and FGF play in cancer?
Flashcards
Neoplasia
Neoplasia
An abnormal mass of proliferating cells that have a degree of independence from normal regulatory mechanisms.
Anaplasia
Anaplasia
The lack of differentiation in neoplastic cells, often characterized by a mass of primitive and irregular cells.
Hyperplasia
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
Metaplasia
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Dysplasia
Dysplasia
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Cancer
Cancer
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Dysplastic nevi (DN)
Dysplastic nevi (DN)
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Metastasis
Metastasis
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Somatic Mutation
Somatic Mutation
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Environmental Factors
Environmental Factors
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What is p53's role in cancer?
What is p53's role in cancer?
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BRCA1 and BRCA2
BRCA1 and BRCA2
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Philadelphia Chromosome
Philadelphia Chromosome
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RB Gene
RB Gene
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Oncogenic Viruses
Oncogenic Viruses
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Human Papillomavirus (HPV)
Human Papillomavirus (HPV)
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Burkitt's Lymphoma
Burkitt's Lymphoma
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Nucleotide Excision Repair (NER)
Nucleotide Excision Repair (NER)
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Xeroderma Pigmentosum (XP)
Xeroderma Pigmentosum (XP)
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Bodyweight and Cancer Risk
Bodyweight and Cancer Risk
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Multi-step Cancer Progression
Multi-step Cancer Progression
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Multistep Development and Progression of Colorectal Cancer
Multistep Development and Progression of Colorectal Cancer
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Aetiology of Cancer
Aetiology of Cancer
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Hypertrophy
Hypertrophy
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Atrophy
Atrophy
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Loss of growth control in cancer cells
Loss of growth control in cancer cells
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Resistance to apoptosis in cancer cells
Resistance to apoptosis in cancer cells
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Unlimited replicative potential of cancer cells
Unlimited replicative potential of cancer cells
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Sustained angiogenesis in cancer cells
Sustained angiogenesis in cancer cells
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Invasion and metastasis of cancer cells
Invasion and metastasis of cancer cells
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Anchorage-independent growth in cancer cells
Anchorage-independent growth in cancer cells
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Loss of contact inhibition in cancer cells
Loss of contact inhibition in cancer cells
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Mutations in genes
Mutations in genes
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Germline mutations
Germline mutations
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Telomere shortening in normal cells
Telomere shortening in normal cells
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Telomerase activity in cancer cells
Telomerase activity in cancer cells
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Histogenetic Classification
Histogenetic Classification
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Carcinoma
Carcinoma
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Sarcoma
Sarcoma
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Nausea/Vomiting
Nausea/Vomiting
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Cachexia
Cachexia
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Compression
Compression
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Obstruction
Obstruction
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Ulceration
Ulceration
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Paraneoplastic Syndrome
Paraneoplastic Syndrome
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Hypercalcemia
Hypercalcemia
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Cushing's Syndrome
Cushing's Syndrome
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TNM Classification
TNM Classification
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Cancer Staging
Cancer Staging
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Grading
Grading
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Tumor Markers
Tumor Markers
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Androgenic switch
Androgenic switch
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Anchorage independent growth
Anchorage independent growth
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Invasion
Invasion
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Circulation
Circulation
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Metastatic tumor
Metastatic tumor
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What is proton therapy?
What is proton therapy?
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What is HER2 testing?
What is HER2 testing?
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What is liquid biopsy?
What is liquid biopsy?
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What is targeted cancer therapy?
What is targeted cancer therapy?
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What is Paclitaxel (Taxol)?
What is Paclitaxel (Taxol)?
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What factors determine cancer management?
What factors determine cancer management?
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What is neoplasia?
What is neoplasia?
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What is hyperplasia?
What is hyperplasia?
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What is metaplasia?
What is metaplasia?
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What is dysplasia?
What is dysplasia?
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What is apoptosis?
What is apoptosis?
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What is metastasis?
What is metastasis?
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What is angiogenesis?
What is angiogenesis?
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What is autocrine signaling?
What is autocrine signaling?
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What are telomeres?
What are telomeres?
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What is vascular endothelial growth factor (VEGF)?
What is vascular endothelial growth factor (VEGF)?
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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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