Cell Types and Cancer Biology

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Questions and Answers

How do cancer cells from sarcoma primarily spread throughout the body?

  • Via the lymphatic system
  • Through hormonal pathways
  • Through blood circulation (correct)
  • By direct contact with nearby cells

What type of tissues are affected by carcinoma?

  • Epithelial tissues (correct)
  • Connective tissues
  • Muscle tissues
  • Nervous tissues

Which of the following statements best describes the initiation step in carcinogenesis?

  • Initiators such as carcinogens change the cellular DNA. (correct)
  • Cancer does not alter genetic structures.
  • Cells always repair their DNA after damage.
  • The process occurs exclusively due to environmental factors.

Which organ is commonly noted as a site for metastasis of carcinoma?

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

Which of the following is NOT a characteristic of sarcoma?

<p>It mainly affects epithelial tissues. (C)</p> Signup and view all the answers

What is true about permanent cells?

<p>They regenerate from stem cells. (B)</p> Signup and view all the answers

What is the main characteristic of stable cells?

<p>They can divide under certain conditions. (A)</p> Signup and view all the answers

How do labile cells respond to chemotherapy?

<p>Chemotherapy has a negative impact on them. (A)</p> Signup and view all the answers

What is a key difference between normal cells and cancer cells regarding apoptosis?

<p>Cancer cells often evade apoptosis, allowing unchecked growth. (D)</p> Signup and view all the answers

What role do tumor suppressor genes play in normal cells?

<p>They help regulate the cell cycle and prevent DNA damage. (D)</p> Signup and view all the answers

What is a common characteristic of cancer cells regarding cell cycle progression?

<p>They often have mutations that allow them to bypass checkpoints. (A)</p> Signup and view all the answers

Why do normal cells have functional checkpoints during the cell cycle?

<p>To ensure proper DNA damage response and replication. (A)</p> Signup and view all the answers

Which statement best describes malignant tumors?

<p>They have the ability to invade tissues and metastasize. (D)</p> Signup and view all the answers

What is the primary function of immunotherapy in cancer treatment?

<p>To activate or suppress the immune system (A)</p> Signup and view all the answers

What type of cancer is primarily discussed in the content?

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

Which drug targets the Epidermal Growth Factor (EGF)?

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

Which statement is true concerning breast cancer in the Philippines?

<p>Three out of 100 women will get it before age 75. (D)</p> Signup and view all the answers

What is the role of the 'T' in the context of tumor characteristics?

<p>It provides information about the size and location of the tumor. (D)</p> Signup and view all the answers

What is a common type of breast cancer mentioned in the content?

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

What is the most common feature of breast cancer at diagnosis?

<p>Presence of a hard, non-tender nodule (A)</p> Signup and view all the answers

Which drug is associated with targeting lymphocyte markers?

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

What is the primary purpose of surgery in cancer treatment?

<p>To remove the tumor and nearby tissue (C)</p> Signup and view all the answers

Which of the following best describes chemotherapy?

<p>A treatment using antineoplastic drugs to destroy cancer cells (A)</p> Signup and view all the answers

What is the function of radiation therapy in treating cancer?

<p>To kill cancer cells with high doses of radiation (B)</p> Signup and view all the answers

What are monoclonal antibodies (MoAbs) used for in cancer treatment?

<p>To target specific features of cancer cells (D)</p> Signup and view all the answers

Which type of cancer treatment is an oncologist primarily responsible for?

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

What is the role of antineoplastic drugs in chemotherapy?

<p>To interfere with the replication of cancer cells (C)</p> Signup and view all the answers

How does targeted therapy differ from traditional chemotherapy?

<p>It focuses on specific characteristics of cancer cells (D)</p> Signup and view all the answers

What type of cancer does Alemtuzumab target?

<p>Markers on lymphocytes, monocytes, and macrophages (A)</p> Signup and view all the answers

What occurs during the promotion stage of carcinogenesis?

<p>Repeated exposure to promoting agents activates mutant genes. (A)</p> Signup and view all the answers

What is the role of the P53 gene in cellular stability?

<p>Prevents genome mutation and influences cell survival. (A)</p> Signup and view all the answers

How do malignant cells invade surrounding tissues?

<p>Through mechanical pressure and destructive enzymes. (B)</p> Signup and view all the answers

Which of the following statements about metastasis is true?

<p>It is the spread of cancer cells to distant sites. (A)</p> Signup and view all the answers

What enables tumor angiogenesis?

<p>Vascular Endothelial Growth Factor (VEGF). (B)</p> Signup and view all the answers

Which physical agent is associated with an increased risk of cancer?

<p>Excessive radiation and sunlight exposure. (B)</p> Signup and view all the answers

What is the primary consequence of mutated tumor suppressor genes?

<p>Lack of regulation of cell division. (A)</p> Signup and view all the answers

Which mechanism is the most common for the spread of cancer cells?

<p>Lymphatic spread. (C)</p> Signup and view all the answers

How can viruses contribute to cancer development?

<p>By spreading their DNA, affecting the host's genetic makeup. (A)</p> Signup and view all the answers

Which factor is not associated with tumor promotion?

<p>Normalization of mutated genes. (B)</p> Signup and view all the answers

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Study Notes

Cell Types

  • Permanent Cells are constantly in G0, they don't divide and are regenerated from stem cells.

  • Stable Cells are quiescent (inactive) cells that are stimulated to move from G0 to G1 under certain conditions.

  • Labile Cells are never in G0 and have a very short G1 phase.

Normal Cells vs Cancer Cells

  • Cell Cycle Regulation in normal cells is controlled by functional checkpoints and tumor suppressor genes/proteins.

  • Cancer Cells often have mutations in key regulatory genes, allowing them to bypass checkpoints and avoid apoptosis.

  • Apoptosis is programmed cell death that occurs in normal cells when they are damaged or no longer needed. Cancer cells often evade this process.

Benign Tumors

  • They grow slowly but remain localized without invading surrounding tissues.

Malignant Tumors

  • They are characterized by poorly differentiated cells and irregular nuclei.

Metastasis

  • Carcinoma is a cancer originating from epithelial tissues.
  • Sarcoma is a cancer originating from connective tissues.
  • Metastasis occurs through both lymphatic and blood systems.

3 Step Cellular Process of Carcinogenesis

  • Initiation: Environmental factors (carcinogens) alter the genetic structure of the cellular DNA.
  • Promotion: Repeated exposure to promoting agents like growth factors causes the expression of abnormal genetic information.
  • Progression: Cellular changes during initiation and promotion lead to increased malignant behavior. This includes invasion and metastasis.

Etiology

  • Physical agents such as radiation and excessive sunlight can contribute to carcinogenesis.
  • Chemical agents such as tobacco use, drugs, and toxic waste contribute to cancer development.
  • Viruses and bacteria can infect cells and alter their DNA, leading to potential cancer development.

Tumor Markers

  • Cancer cells release specific substances called tumor markers that can be detected in blood or other body fluids.

Treatment Options

  • Surgery: The oldest and most effective treatment method for many cancer types.
  • Chemotherapy: Uses antineoplastic drugs to destroy cancer cells by interfering with cellular function.
  • Radiation Therapy: Utilizes high doses of radiation to kill cancer cells and shrink tumors.
  • Targeted Therapies: Focus on specific features of cancer cells to stop their growth and spread.
  • Immunotherapy: Activates or suppresses the immune system to combat cancer.

Breast Cancer

  • Often begins as a hard, non-tender nodule in the upper outer quadrant of the breast.
  • Most breast cancers are adenocarcinomas originating in the ducts and lobes.

Breast Cancer in the Philippines

  • The Philippines has the highest incidence of breast cancer among Asian countries.

Breast Cancer TNM Staging System

  • T = tumor size and location
  • N = lymph node involvement
  • M = metastasis

Herceptin (Trastuzumab)

  • Trastuzumab is a monoclonal antibody that targets the HER2 receptor, a protein found on the surface of some cancer cells. It blocks the growth signals that tell cancer cells to grow and divide.

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