Molecular Biology of Cancer BC.504
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What is a key characteristic that distinguishes malignant tumors from benign tumors?

  • Benign tumors often require surgical removal.
  • Malignant tumors have the ability to metastasize. (correct)
  • Benign tumors can invade surrounding tissues.
  • Malignant tumors grow more slowly than benign tumors.
  • Which of the following processes is a typical mechanism involved in the progression of cancer cells from normal cells?

  • Temporal stability of cell DNA
  • Acquisition of genetic mutations (correct)
  • Increased oxygen consumption
  • Increased sensitivity to antigrowth signals
  • Which type of carcinoma is characterized by a mutation in the APC tumor suppressor gene as an initiation event?

  • Hepatocellular carcinoma
  • Breast carcinoma
  • Non-small cell lung carcinoma
  • Colorectal adenocarcinoma (correct)
  • What hallmark of cancer involves tumors developing the capability to promote their own blood supply?

    <p>Sustained angiogenesis</p> Signup and view all the answers

    Which of the following best describes the term 'epigenetic alterations' in the context of cancer development?

    <p>DNA modifications that do not change the sequence but affect gene expression</p> Signup and view all the answers

    Which of the following factors can trigger the progression from normal liver to hepatocellular carcinoma (HCC)?

    <p>Hepatitis C or B, ethanol, or NASH</p> Signup and view all the answers

    How many hallmark capabilities are commonly recognized as essential for malignant growth in all human tumors?

    <p>6</p> Signup and view all the answers

    What is the significance of somatic mutations in the evolution of cancer cells?

    <p>They can occur in non-germline tissues, contributing to tumorigenesis.</p> Signup and view all the answers

    What characteristics are typical of malignant tumors?

    <p>Can spread to other parts of the body.</p> Signup and view all the answers

    Which of the following is a type of cancer originating from epithelial cells?

    <p>Carcinoma</p> Signup and view all the answers

    Which statement about benign tumors is accurate?

    <p>They have distinct borders and do not spread.</p> Signup and view all the answers

    What type of cancer is classified as originating from connective and supportive tissues?

    <p>Sarcoma</p> Signup and view all the answers

    Which type of cancer is characterized by the presence of two or more cancer components?

    <p>Mixed type</p> Signup and view all the answers

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

    <p>Malignant tumors invade surrounding tissues.</p> Signup and view all the answers

    Which type of carcinoma is characterized by glandular tissue?

    <p>Adenocarcinoma</p> Signup and view all the answers

    Which type of sarcoma originates from fat cells?

    <p>Liposarcoma</p> Signup and view all the answers

    How do external factors contribute to the development of cancer?

    <p>They lead to abnormal cell behavior and excessive proliferation.</p> Signup and view all the answers

    Which mechanism is NOT typically involved in the carcinogenesis process?

    <p>Single-step genetic mutation</p> Signup and view all the answers

    What distinguishes sarcomas from carcinomas?

    <p>Sarcomas arise from connective tissues.</p> Signup and view all the answers

    Which of the following cancers is classified under leukaemias?

    <p>Lymphoma</p> Signup and view all the answers

    What does the term 'metastasis' refer to in cancer biology?

    <p>The spread of cancer cells to distant sites</p> Signup and view all the answers

    Which of the following types of sarcoma is derived from cartilage?

    <p>Chondrosarcoma</p> Signup and view all the answers

    What role do inherited mutations play in cancer development?

    <p>They can increase susceptibility to cancer.</p> Signup and view all the answers

    Which of the following describes sarcomas?

    <p>Cancers that arise from bones and soft tissues.</p> Signup and view all the answers

    Which of the following is a benign tumor derived from epithelial tissue?

    <p>Adenoma</p> Signup and view all the answers

    What is a key characteristic of adenocarcinoma?

    <p>Exhibits glandular-related tissue cytology.</p> Signup and view all the answers

    Which tumor is classified as a malignant counterpart of leiomyoma?

    <p>Leiomyosarcoma</p> Signup and view all the answers

    What does the term 'anaplastic carcinoma' refer to?

    <p>Carcinomas lacking distinct histological or cytological evidence.</p> Signup and view all the answers

    Which type of tumor arises from glial tissue?

    <p>Glioma</p> Signup and view all the answers

    Small cell carcinoma is characterized by which of the following features?

    <p>Round cells less than three times the size of lymphocytes.</p> Signup and view all the answers

    Which of the following is true about lymphomas?

    <p>They arise from the immune system.</p> Signup and view all the answers

    Which tumor type is a benign counterpart of osteosarcoma?

    <p>Osteoma</p> Signup and view all the answers

    Adenosquamous carcinoma is defined by the presence of which cell types?

    <p>Both adenocarcinoma and squamous cell carcinoma in significant proportions.</p> Signup and view all the answers

    Which of the following is NOT one of the original six hallmarks of cancer?

    <p>Avoiding immune destruction</p> Signup and view all the answers

    Which intrinsic risk factor is primarily attributed to random DNA errors?

    <p>Biologic aging</p> Signup and view all the answers

    What distinguishes benign tumors from malignant tumors?

    <p>Benign tumors do not metastasize.</p> Signup and view all the answers

    Which type of carcinoma arises from epithelial tissue?

    <p>Adenocarcinoma</p> Signup and view all the answers

    Which of the following is considered an exogenous non-intrinsic risk factor?

    <p>Exposure to radiation</p> Signup and view all the answers

    What mechanism can lead to carcinogenesis through cellular metabolism?

    <p>Nutrient imbalance causing metabolic dysregulation</p> Signup and view all the answers

    Which hallmark of cancer involves the ability of cancer cells to form new blood vessels?

    <p>Inducing or accessing vasculature</p> Signup and view all the answers

    Which of the following sarcomas arises from bone tissue?

    <p>Osteosarcoma</p> Signup and view all the answers

    Which emerging hallmark of cancer relates to the ability of tumor cells to withstand immune system attacks?

    <p>Avoiding immune destruction</p> Signup and view all the answers

    Which of the following best describes nonmutational epigenetic reprogramming in cancer?

    <p>Alterations in gene expression without changing the DNA sequence</p> Signup and view all the answers

    Study Notes

    Molecular Biology of Cancer BC.504

    • Cancer incidence and mortality are rapidly increasing globally
    • Cancer, a group of diseases, features unregulated cell growth, invasion, and spread from the primary site to other body sites (metastasis)
    • Over 100 different cancer types exist
    • Benign tumors grow slowly, have distinct borders and do not invade surrounding tissue or other parts of the body. They often appear normal.
    • Malignant tumors grow rapidly, have irregular borders, invade surrounding tissue and potentially spread to other sites (metastasis). They can be cancerous.

    Cancer Epidemiology

    • Cancer incidence and mortality rates are rapidly increasing worldwide.
    • The 10 Most Common Cancers (2018 & 2020): data regarding incidence and mortality are presented in pie charts for both sexes, also with male and female specific breakdown. Data sources are from GLOBOCAN 2018 & 2021 for the given years
    • Cancer incidence and mortality are broken down by specific cancer types (e.g., Lung, Breast, Colon, etc.)
    • Data present incidence and mortality rates in various countries.

    Insights into Cancer

    • Cancer development involves both external Environmental factors and Internal cellular factors
    • These factors include a variety of exposures such as tobacco, chemicals, radiation and Infectious organisms.
    • Inherited and acquired genetic mutations or cellular epigenetic changes are also key contributing factors.

    Molecular Basis of Cancer

    • The transition from a normal cell to a metastatic cancer cell is a multi-step process.
    • At least three mechanisms allow these changes from inherited mutations, to somatic mutations, to methylation of DNA within the progeny of a malignant cell.

    Malignant Transformation of HCC

    • Chronic hepatitis, cirrhosis and hepatocellular carcinoma (HCC) are risk factors for liver cancer. Hepatitis B and C infections, along with ethanol abuse, and NAFLD (non-alcoholic fatty liver disease) are strongly linked.
    • Epigenetic and genetic alterations, including dysplastic nodules, are important stages in the progression of HCC.

    Multistep Genetic Model

    • A mutation in the APC tumor suppressor gene is usually an initiating event, leading to sequential accumulation of epigenetic and genetic changes
    • These changes result in progression from a normal cell to a metastatic tumor

    Hallmarks of Cancer Cells

    • Hallmarks of cancer cells - Several key characteristics like resisting cell death, sustaining proliferative signaling, evading growth suppressors, enabling replicative immortality, inducing angiogenesis, activating invasion and metastasis, and reprogramming cellular metabolism, and avoiding immune destruction.
    • There are additional "emerging" hallmarks which are actively being researched.

    Risk Factors

    • Intrinsic risk factors (uncontrollable) include random errors in DNA replication and endogenous risk factors like genetic susceptibility, DNA repair machinery, hormones, growth factors, and inflammation.
    • Non-intrinsic risk factors (modifiable) include exogenous risk factors like radiation, chemicals, tumor-causing viruses, lifestyle factors such as smoking, lack of exercise, and poor nutrition.

    Cancer Classification

    • Cancer Classifications are based on the type of tissue where the cancer has originated. Carcinomas originate in epithelial cells; Sarcomas in mesoderm cells (bone, muscle); Adenocarcinomas in glandular tissue; and others. There are several other classifications based on tissue type. Specific examples are included for Adenocarcinoma, Squamous cell carcinoma, Adenosquamous carcinoma, Anaplastic carcinoma, Large cell carcinoma, and Small cell carcinoma. Specific sarcoma cancers, and cancers of specific body parts are mentioned in other sections of the data.

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    Description

    This quiz covers the fundamental aspects of cancer, including its incidence and mortality rates globally, and the distinctions between benign and malignant tumors. It also highlights statistical data on the most common cancer types and their impact on various demographics. Gain insights into the molecular mechanisms underlying cancer biology.

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