Metastasis and Tumor Invasion
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Questions and Answers

What is metastasis?

  • The spread of tumour from a primary site to a distant secondary location (correct)
  • The process of tumour cells differentiating into healthy cells
  • The process of tumour cells adapting to their environment
  • The process of tumour cells invading surrounding tissue

What percentage of tumour cells survive in circulation after 24 hours?

  • 1%
  • < 0.1% (correct)
  • > 50%
  • 10%

What is the first phase of the metastatic cascade?

  • Invasion of ECM (correct)
  • Tissue homing and colonization
  • Vascular dissemination
  • Detachment of tumour cells

What is the minimum number of tumour cells required to form a metastasis?

<p>1 (D)</p> Signup and view all the answers

What is intravasation?

<p>The process of tumour cells entering blood or lymphatic vessels (C)</p> Signup and view all the answers

What is the main reason for mortality in cancer patients?

<p>Tumour cells metastasizing to distant locations (B)</p> Signup and view all the answers

What is pagetoid infiltration named after?

<p>Paget’s disease of nipple (A)</p> Signup and view all the answers

What is the term 'pagetoid' used to describe in dermatology?

<p>Upward spreading of abnormal cells (D)</p> Signup and view all the answers

How many pathways are there for tumour cells to spread?

<p>3 pathways (C)</p> Signup and view all the answers

What is one way tumour cells can disseminate through?

<p>Direct seeding of body cavities or surface (B)</p> Signup and view all the answers

What is the pattern of cancer cell invasion seen in a few other epithelial malignancies?

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

What is the single most important criterion for malignancy?

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

What serves as a clear line of demarcation for epithelial tumours?

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

What is the combination of molecules that forms interstitial connective tissue?

<p>Collagen, glycoproteins, and proteoglycans (D)</p> Signup and view all the answers

What is the first major step in tumour invasion of ECM?

<p>Loosening of intercellular junctions (B)</p> Signup and view all the answers

What type of enzymes are involved in the degradation of ECM?

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

What is the reason why biopsies of testicular masses are never done?

<p>To avoid haematogenous spread (B)</p> Signup and view all the answers

Which type of cavity is prone to direct seeding and transcoelomic spread?

<p>All of the above (D)</p> Signup and view all the answers

What is a clinical example of lymphatic spread in the breast?

<p>Peau d'orange (D)</p> Signup and view all the answers

What is the term for the distended limb due to obstructed lymphatics?

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

What is the characteristic of Krukenberg's tumour?

<p>It spreads to the peritoneal surface producing a heavy cancerous coating (C)</p> Signup and view all the answers

What is the primary site of haematogenous spread in renal cell carcinoma?

<p>Branches of the renal vein (C)</p> Signup and view all the answers

What is the most common pathway of dissemination for carcinomas?

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

What is the purpose of sentinel lymph node mapping?

<p>To assess the presence or absence of metastases (D)</p> Signup and view all the answers

Which of the following is a rare site of metastasis?

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

What happens to the lymph nodes when tumour cells reach them via afferent lymphatic channels?

<p>They become firmer and larger (C)</p> Signup and view all the answers

What is the term for the growth of tumour cells into small blood vessels at the site of primary neoplasm?

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

Which type of carcinoma penetrates portal and hepatic radicles and grows into main venous channels?

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

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