Lecture 15
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Questions and Answers

What is the main component of a neoplasm?

  • Reactive stroma
  • Germ cell layer
  • Epithelial tissue
  • Parenchyma (correct)
  • What determines the classification of tumors based on cell of origin?

  • Level of differentiation
  • Germ cell layer (correct)
  • Number of parenchymal cell types
  • Type of neoplasm
  • What is the term for a tumor that arises from more than one germ cell layer?

  • Carcinoma
  • Sarcoma
  • Teratoma (correct)
  • Mixed tumor
  • What is the suffix added to the cell type to form the name of a benign tumor?

    <p>-oma</p> Signup and view all the answers

    What is the term for a malignant neoplasm of epithelial cell origin?

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

    What is the type of epithelium that gives rise to urothelial carcinoma?

    <p>Urinary epithelium</p> Signup and view all the answers

    What is the term for a benign tumor that arises from mesenchymal tissue?

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

    What is the level of differentiation of neoplastic cells in a malignant neoplasm?

    <p>Poorly differentiated or pleomorphic</p> Signup and view all the answers

    What is the term used to describe a genetic disorder of cell growth that is triggered by acquired or inherited mutations?

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

    What does the term 'oncology' refer to?

    <p>The study of tumors or neoplasms</p> Signup and view all the answers

    What is the term used to describe a swelling caused by inflammation?

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

    What is the characteristic of a neoplastic tumor cell's growth?

    <p>It is independent of physiologic growth stimuli</p> Signup and view all the answers

    What is the term used to describe a disordered growth?

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

    What is the term used to describe a congenital anomaly characterized by a heterotopic nest of cells?

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

    What is the term for a malignant tumor arising from mesenchymal tissue?

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

    What is the term used to describe a benign-appearing mass composed of cells indigenous to the particular site?

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

    Which type of tumor is characterized by the presence of both epithelial and mesenchymal components?

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

    What is the term used to describe a malignant tumor?

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

    What is the term for a tumor that comprises multiple tissues foreign to the site of growth?

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

    Which of the following is a benign tumor of fat?

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

    What is the suffix used to form the name of a tumor?

    <p>-oma</p> Signup and view all the answers

    Which of the following is a characteristic that distinguishes benign tumors from malignant tumors?

    <p>Localized growth</p> Signup and view all the answers

    What is the term for a malignant tumor of skeletal muscle?

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

    Which of the following is an example of a malignant tumor of glandular epithelium?

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

    What is characterized by the reversible replacement of one mature cell type with undifferentiated cells of abnormal sizes and shapes?

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

    What is a precancerous condition that may not necessarily progress to cancer?

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

    What is the term for the abnormal growth of cells that can be benign or malignant?

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

    Which type of neoplasm is characterized by invasive growth and the ability to metastasize?

    <p>Malignant neoplasm</p> Signup and view all the answers

    What is the term for the reversal of abnormal cell growth to normal cell growth?

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

    What is the term for the change in cell type from one adult cell type to another?

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

    What is the term for the abnormal growth of cells that is confined to a specific site and does not invade adjacent tissues?

    <p>Benign neoplasm</p> Signup and view all the answers

    What is the term for the growth of cells that can invade and destroy adjacent tissues and spread to distant sites?

    <p>Malignant neoplasm</p> Signup and view all the answers

    What does differentiation refer to in the context of neoplastic cells?

    <p>The extent to which neoplastic cells resemble normal cells</p> Signup and view all the answers

    What is the characteristic of a well-differentiated neoplasm?

    <p>Tumor cells that resemble mature cells of tissue of origin</p> Signup and view all the answers

    What is anaplasia?

    <p>The loss of functional and structural differentiation of cells</p> Signup and view all the answers

    What is the characteristic of an undifferentiated or anaplastic tumor?

    <p>Malignant neoplasms composed of poorly differentiated cells</p> Signup and view all the answers

    What is the characteristic of a moderately well-differentiated neoplasm?

    <p>In-between the two extremes of well-differentiated and undifferentiated tumors</p> Signup and view all the answers

    What is the characteristic of benign tumors?

    <p>Well-differentiated with scanty mitoses</p> Signup and view all the answers

    What is the correlation between differentiation and biologic behavior?

    <p>Benign tumors are well-differentiated, while malignant tumors can range from well to undifferentiated</p> Signup and view all the answers

    What is the significance of anaplasia in tumor behavior?

    <p>It indicates a malignant behavior of the tumor</p> Signup and view all the answers

    Study Notes

    Neoplasia and Terminology

    • Neoplasia means "new growth" (Neo...new, Plasia...growth)
    • Neoplasm is the collection of cells and stroma composing new growths
    • Modern definition: a genetic disorder of cell growth triggered by acquired or inherited mutations affecting a single cell and its clonal progeny
    • Tumor originally described swelling caused by inflammation, now equated with neoplasm
    • Oncology (Greek oncos = tumor) is the study of tumors or neoplasms

    Classification of Neoplasms

    • Based on clinical and biological behavior: two main groups - Benign and Malignant
    • Benign: innocent, amenable to surgical removal, remain localized, well-differentiated
    • Malignant: referred to as Cancer, can invade and destroy adjacent tissues, and spread to distant sites

    Characteristics of Benign vs Malignant Tumors

    • Four fundamental rules to differentiate benign from malignant tumors:
      1. Differentiation & Anaplasia
      2. Rate of growth
      3. Local invasion
      4. Metastasis

    Nomenclature of Neoplasms

    • Benign tumors: suffix "-oma" added to the cell type from which the tumor arises (e.g., adenoma, lipoma)
    • Malignant neoplasms of epithelial cell origin: called carcinomas (e.g., squamous cell carcinoma, adenocarcinoma)
    • Malignant tumors arising from mesenchymal tissue: called sarcomas (e.g., fibrosarcoma, leiomyosarcoma)

    Tumor Structure

    • Two basic components:
      1. Parenchyma: composed of clonal/transformed neoplastic cells
      2. Reactive stroma (Non-Neoplastic supporting tissues): composed of connective tissue, blood vessels, and variable numbers of macrophages and lymphocytes

    Other Key Points

    • Dysplasia: disordered growth, reversible replacement of one mature cell type with undifferentiated cells
    • Carcinoma in situ: precancerous stage, marked dysplasia involving entire thickness of epithelium
    • Hamartoma: benign-appearing masses composed of disorganized cells indigenous to the particular site
    • Choristoma: congenital anomaly, heterotopic nest of cells, mature normal tissue at an abnormal site

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    Learn about the definition and classification of neoplasms, tumors, and oncology. Understand the meaning of neoplasia, neoplasm, and its relation to cell growth and mutations.

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