Podcast
Questions and Answers
What is the most frequent location for hamartomas?
What is the most frequent location for hamartomas?
- Spleen
- Kidney
- Lungs (correct)
- Liver
Which of the following features is NOT associated with malignant tumors?
Which of the following features is NOT associated with malignant tumors?
- Pleomorphism
- Anaplasia
- Rapid growth
- Well-defined capsule (correct)
What type of cancer originates from muscle tissue?
What type of cancer originates from muscle tissue?
- Lymphoma
- Carcinoma
- Sarcoma (correct)
- Teratoma
Which of the following is a characteristic of a benign hamartoma?
Which of the following is a characteristic of a benign hamartoma?
What describes germ cell layer derived tumors?
What describes germ cell layer derived tumors?
What type of teratoma is typically malignant and found in males?
What type of teratoma is typically malignant and found in males?
How do benign tumors typically grow compared to malignant tumors?
How do benign tumors typically grow compared to malignant tumors?
Which of the following symptoms can be caused by tumors?
Which of the following symptoms can be caused by tumors?
Which tumors commonly metastasize through the lymphatic system?
Which tumors commonly metastasize through the lymphatic system?
What condition can be caused by tumors producing hormone-like substances?
What condition can be caused by tumors producing hormone-like substances?
Which of the following is NOT a common target for metastasis?
Which of the following is NOT a common target for metastasis?
What is a characteristic feature of paraneoplastic syndromes?
What is a characteristic feature of paraneoplastic syndromes?
What is a common manifestation of cancer-related cachexia?
What is a common manifestation of cancer-related cachexia?
What term refers to the uncontrolled, disorderly proliferation of cells resulting in a tumor?
What term refers to the uncontrolled, disorderly proliferation of cells resulting in a tumor?
Which of the following is a characteristic of benign neoplasms?
Which of the following is a characteristic of benign neoplasms?
Which suffix is commonly used to designate benign tumors?
Which suffix is commonly used to designate benign tumors?
What distinguishes malignant tumors from benign tumors?
What distinguishes malignant tumors from benign tumors?
In what type of tissue does a papilloma arise?
In what type of tissue does a papilloma arise?
What does cancer specifically refer to in terms of tumor classification?
What does cancer specifically refer to in terms of tumor classification?
What is one significant aspect of the biological behavior of benign tumors?
What is one significant aspect of the biological behavior of benign tumors?
Which of the following statements about cancer incidence and mortality is correct?
Which of the following statements about cancer incidence and mortality is correct?
What condition is primarily associated with selective loss of fatty tissue and muscle mass in cancer patients?
What condition is primarily associated with selective loss of fatty tissue and muscle mass in cancer patients?
What is the prognostic significance of weight loss in cancer patients?
What is the prognostic significance of weight loss in cancer patients?
Which type of cancer is associated with the highest weight loss?
Which type of cancer is associated with the highest weight loss?
What are cytokines such as TNF and IL-6 primarily involved in with respect to cancer?
What are cytokines such as TNF and IL-6 primarily involved in with respect to cancer?
How does cancer-induced anorexia primarily affect patients?
How does cancer-induced anorexia primarily affect patients?
Which diagnostic test is NOT commonly associated with cancer diagnosis?
Which diagnostic test is NOT commonly associated with cancer diagnosis?
What happens to muscle mass during cancer cachexia?
What happens to muscle mass during cancer cachexia?
Which parameter shows the MOST significant difference between normal individuals and cachectic cancer patients?
Which parameter shows the MOST significant difference between normal individuals and cachectic cancer patients?
What is the primary purpose of grading and staging in cancer diagnosis?
What is the primary purpose of grading and staging in cancer diagnosis?
What does the 'T' in the TNM staging system represent?
What does the 'T' in the TNM staging system represent?
Which grading indicates a cancer that is poorly differentiated?
Which grading indicates a cancer that is poorly differentiated?
What does the ann arbor system specifically classify?
What does the ann arbor system specifically classify?
Which of the following is NOT applicable to leukemias and tumors of the central nervous system?
Which of the following is NOT applicable to leukemias and tumors of the central nervous system?
What does a designation of N1 in the TNM system indicate?
What does a designation of N1 in the TNM system indicate?
What characterizes cancer at stage Tis?
What characterizes cancer at stage Tis?
Which of the following best describes chromosomal translocations in relation to carcinogenesis?
Which of the following best describes chromosomal translocations in relation to carcinogenesis?
What genetic change is associated with Burkitt’s lymphoma?
What genetic change is associated with Burkitt’s lymphoma?
What is the first step in the process of carcinogenesis?
What is the first step in the process of carcinogenesis?
Which of the following is considered a natural carcinogen linked to liver cancer?
Which of the following is considered a natural carcinogen linked to liver cancer?
Which chromosome is involved in the Philadelphia chromosome associated with chronic myelogenous leukemia?
Which chromosome is involved in the Philadelphia chromosome associated with chronic myelogenous leukemia?
What type of radiation is mainly linked to causing skin cancer?
What type of radiation is mainly linked to causing skin cancer?
What is one of the outcomes of the promotion phase in carcinogenesis?
What is one of the outcomes of the promotion phase in carcinogenesis?
Which chemical carcinogen is associated with leukemia?
Which chemical carcinogen is associated with leukemia?
The Epstein-Barr virus is primarily associated with which type of cancer?
The Epstein-Barr virus is primarily associated with which type of cancer?
Which carcinogen is specifically cited for causing scrotal cancer in chimney sweeps?
Which carcinogen is specifically cited for causing scrotal cancer in chimney sweeps?
What type of genetic alteration typically occurs before cancer develops?
What type of genetic alteration typically occurs before cancer develops?
Flashcards
Neoplasia
Neoplasia
Uncontrolled, disorderly cell proliferation resulting in a benign or malignant tumor.
Neoplasm
Neoplasm
A neoplastic growth, which can be benign or malignant.
Benign Neoplasm
Benign Neoplasm
A tumor that resembles original tissue, grows slow, doesn't spread, is often encapsulated, and doesn't destroy surrounding tissues.
Malignant Neoplasm
Malignant Neoplasm
An undifferentiated, uncontrolled growth that invades surrounding tissue, metastasizes, and is destructive.
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Cancer
Cancer
Malignant tumor.
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Tumor Components
Tumor Components
Tumors have proliferating tumor cells and supporting stroma with connective tissue and vessels.
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Naming Benign Tumors
Naming Benign Tumors
Benign tumors are named using the suffix "-oma" (e.g., lipoma, fibroma, adenoma).
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Characteristics of Benign Tumors
Characteristics of Benign Tumors
Slow growth, encapsulated, do not metastasize, and are not destructive.
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Papilloma
Papilloma
Benign neoplasm arising from surface epithelium; finger-like projections.
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Hamartoma
Hamartoma
Benign overgrowth of malformed tissue, often found in lungs, kidneys, or spleen.
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Malignant Tumor
Malignant Tumor
Cancerous tumor with invasive growth and potential metastasis.
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Metastasis
Metastasis
Spread of cancer cells from the primary tumor to other parts of the body.
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Anaplasia
Anaplasia
Poorly differentiated cancerous cells.
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Pleomorphism
Pleomorphism
Wide variation in the shape and appearance of cancer cells.
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Carcinoma
Carcinoma
Cancer originating from epithelial cells (skin, glands, lining of organs).
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Squamous Cell Carcinoma
Squamous Cell Carcinoma
Carcinoma originating from squamous cells, often found in skin, mouth, esophagus.
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Adenocarcinoma
Adenocarcinoma
Carcinoma originating from glandular tissue, frequently in the digestive system.
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Sarcoma
Sarcoma
Cancer originating from muscle, bone, or connective tissue.
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Teratoma
Teratoma
Tumor derived from germ cells (e.g., ovary, testis).
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Cancer Cachexia
Cancer Cachexia
Selective loss of muscle and fat tissues in cancer patients; not fully understood but a significant prognostic factor.
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Cachexia's effect on weight loss
Cachexia's effect on weight loss
Weight loss of 30-35% is often seen as fatal in cancer patients with cachexia, this is especially prominent in gastric and pancreatic cancer.
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Cancer cachexia effects on body composition
Cancer cachexia effects on body composition
Cancer-related cachexia significantly decreases total body weight, fat, and muscle protein, while leaving other tissues relatively unchanged.
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Cancer's impact on Metabolism
Cancer's impact on Metabolism
Cancer can disrupt lipid and protein metabolism, producing factors and cytokines to promote this disruption.
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Effect of Cancer on Appetite
Effect of Cancer on Appetite
Cancer often leads to decreased appetite (anorexia) in afflicted patients.
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Impact of Cancer on Respiratory Function
Impact of Cancer on Respiratory Function
Loss of muscle mass in cachectic patients can lead to respiratory failure, such as hypostatic pneumonia due to reduced mobility.
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Cancer-related Diagnostic Clues: Weight Loss
Cancer-related Diagnostic Clues: Weight Loss
Notable weight loss in cancer patients serves as a significant clinical sign for diagnosis.
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Cancer-related Diagnostic Methods
Cancer-related Diagnostic Methods
Diagnosis often includes clinical observation (like weight loss), imaging techniques (like X-ray, CT, MRI), biopsies, and laboratory tests (like CBC, PSA, CEA).
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Teratoma
Teratoma
A tumor containing different types of tissues, often benign, but capable of being malignant. Typically develops from stem cells.
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Immature Teratoma
Immature Teratoma
A malignant type of teratoma, usually found in male testicles, and containing immature tissues.
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Mature Teratoma
Mature Teratoma
A benign type of teratoma, often found in females. It contains well-developed tissues.
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Benign Lesion
Benign Lesion
A non-cancerous growth that grows by pushing surrounding tissue aside, usually with its own capsule.
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Malignant Tumor
Malignant Tumor
A cancerous growth that invades surrounding tissues without respect for boundaries. Doesn't have a capsule.
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Metastasis
Metastasis
The spread of cancer from one part of the body to another through the bloodstream or lymphatic system.
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Carcinomas
Carcinomas
Cancers that arise from epithelial cells, most commonly spread through lymphatics.
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Sarcomas
Sarcomas
Cancers that arise from connective tissue, more likely spread by bloodstream.
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Paraneoplastic syndromes
Paraneoplastic syndromes
Symptoms caused by cancer, but not directly from the tumor's local effects. These are related to the cancer's production of hormones or antibodies.
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Hypercalcemia (cancer)
Hypercalcemia (cancer)
Elevated calcium levels caused by cancer-produced parathyroid hormone-like protein.
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Invasion & Metastasis
Invasion & Metastasis
Essential steps in the biological behavior of cancerous cells. Invasion is the local spread, metastasis is the spread to distant sites.
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Cancer Death Causes
Cancer Death Causes
Death due to cancer often results from the tumor's effects on organs, obstruction, bleeding, or the spread (metastasis) to vital tissues (liver, lungs, brain) that are essential for the body to function.
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Cancer Diagnosis Difficulty
Cancer Diagnosis Difficulty
Cancer symptoms can mimic other conditions (like infections or benign growths), making diagnosis challenging.
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Grading & Staging Cancer
Grading & Staging Cancer
Classifying cancer based on its characteristics (like tissue appearance, size, and spread) to predict its behavior and guide treatment.
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Grading Cancer
Grading Cancer
Evaluating cancer cells' differentiation (how much they resemble normal cells) to assess its aggressiveness.
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Staging Cancer
Staging Cancer
Determining cancer's size, spread to lymph nodes, and distant metastasis to understand its extent for effective treatment targeting.
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TNM System
TNM System
A system for staging cancer based on Tumor size/spread (T), Lymph Node involvement (N), and Metastasis (M).
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Tumor Grade I
Tumor Grade I
Well-differentiated cancer cells; closely resemble normal cells; often slow-growing.
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Tumor Grade IV
Tumor Grade IV
Nearly anaplastic cancer cells; little resemblance to normal cells; usually aggressive.
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Cancer Staging Tis
Cancer Staging Tis
Cancer is in situ; non-invasive (confined to the original tissue layer).
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Cancer Staging T4
Cancer Staging T4
Cancer is large and/or highly invasive, spreading to adjacent organs.
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Cancer Staging M1
Cancer Staging M1
Cancer has spread to distant locations in the body (metastasis).
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Carcinogenesis
Carcinogenesis
The process by which cancer forms; involves changes in a cell's genome.
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Viral Oncogenes
Viral Oncogenes
Genes introduced by viruses that stimulate cancer development.
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Burkitt's Lymphoma
Burkitt's Lymphoma
A cancer of the lymphatic system, often linked to a translocation involving chromosome 8 and 14.
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T(8;14)
T(8;14)
A chromosomal translocation in Burkitt’s lymphoma, where a proto-oncogene (c-myc) moves to the Immunoglobulin heavy chain locus.
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Chronic Myelogenous Leukemia (CML)
Chronic Myelogenous Leukemia (CML)
A cancer of the blood characterized by a specific translocation (Philadelphia chromosome T(9;22)).
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T(9;22)
T(9;22)
A chromosomal translocation in CML leading to the formation of the Philadelphia chromosome and activation of oncogene BCR-ABL
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BCR-ABL
BCR-ABL
A fusion protein formed by a translocation in Chronic Myelogenous Leukemia (CML). It activates a tyrosine kinase.
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Chemical Carcinogenesis
Chemical Carcinogenesis
Cancer development from exposure to chemicals; involves initiation and promotion.
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Tumor Initiator
Tumor Initiator
A substance that causes initial genetic damage leading to cancer.
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Tumor Promoter
Tumor Promoter
A substance that stimulates abnormal cell growth and proliferation in the presence of initiated cells.
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Carcinogens
Carcinogens
Substances that can increase the risk of developing cancer.
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Asbestos
Asbestos
A carcinogen linked to lung and mesothelioma cancer.
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Benzene
Benzene
A carcinogen associated with leukemia.
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UV light
UV light
A carcinogen leading to skin cancer.
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Ionizing radiation
Ionizing radiation
Carcinogens leading to leukemias, lung cancer, and other cancers.
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HPV
HPV
A virus linked to cervical cancer development.
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Percivall Pott
Percivall Pott
Noted chimney sweeps' cancer in 18th-century England.
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Neoplasia & Cancer
- Neoplasia means "new growth" (Greek)
- Neoplasm is neoplastic growth
- Neoplasia is uncontrolled, disorderly proliferation of cells, forming a benign or malignant tumor
- Cancer is a malignant tumor; a crab-like growth that takes hold of tissue
- In 2023, more than 20 million new cancer cases globally and 10 million deaths
- In 2023, over 1.9 million new cancer cases annually in the US, with approximately 610,000 deaths
General Characteristics of Benign Tumors
- Naming: Benign tumors end in "-oma" (e.g., lipoma, fibroma, adenoma).
- Biological behavior: slow growth, encapsulated, do not metastasize, not destructive
- Papilloma: benign neoplasm arising from surface epithelium (finger-like projections)
- Adenoma: benign neoplasm arising from glandular epithelium
- Benign neoplasms from mesenchymal origin (e.g., muscle, connective tissue, fat, bone, cartilage): fibroma, lipoma, leiomyoma, rhabdomyoma, chondroma.
General Characteristics of Malignant Tumors (Cancer)
- Form metastasis—most defining characteristic of malignant tumors.
- Invasive growth; no capsule.
- Undifferentiated; may hardly resemble the original tissue.
- Important cellular features:
- Anaplasia (poorly differentiated).
- Pleomorphism (wide variation in shape and appearance of tumor cells).
- Hyperchromatic nucleus (dark staining nucleus).
- High nuclear-to-cytoplasm ratio.
- Prominent nucleoli.
- Rapid growth.
- Frequently necrosis (lack of sufficient blood supply).
Cancer Naming
- Carcinoma: malignant tumor of epithelial cell origin (e.g., squamous cell carcinoma, adenocarcinoma, transitional cell carcinoma).
- Sarcoma: cancer of muscle, bone, connective tissue, fat tissue (e.g., leiomyosarcoma, rhabdomyosarcoma, osteosarcoma, chondrosarcoma, liposarcoma).
Specific Cancers
- Burkitt's lymphoma
- Hodgkin's disease
- Wilms' tumor
Teratoma
- Germ cell layer-derived tumor (ovary, testis); may contain bone, teeth, etc.
- Immature teratoma: malignant, typically in males.
- Mature teratoma: benign, typically in females.
Cancer Invasion and Metastasis
- Benign lesions grow by pushing surrounding tissue.
- Malignant tumors invade nearby tissues.
- Metastasis: tumor cells enter blood or lymphatic vessels, travel, and form new tumors in other parts of the body (e.g., metastasis to lymph nodes, liver, lungs, brain, bone marrow).
Clinical Manifestations of Malignancies
- Symptoms due to location of the tumor or metastasis: pain, swellings, obstruction, bleeding, color changes, edema, body function changes.
- Symptoms related to features of the tumor: wasting (cachexia), weight loss, weakness, loss of appetite, anemia, infection.
- Hormones that may be produced by tumors can cause hormone abnormalities (e.g. growth hormone causing gigantism or acanthosis nigricans)
- Paraneoplastic syndromes: cancer-related symptoms such as hypercalcemia (parathyroid hormone-like protein), hypoglycemia or Cushing’s syndrome from hormone-like effects and neurologic abnormalities (antibodies associated with cancer).
Diagnosis of Cancer
- Symptoms (visual tumor, bleeding, weight loss).
- Diagnostic tests (X-rays, CT scans, MRIs, biopsies).
- Lab tests (CBC, PSA, CEA).
Grading and Staging
- Grading: histopathologic evaluation of cellular differentiation (degree of abnormality)
- Staging: assessment of tumor size, lymph node involvement, and metastasis (extent of spread)
- TNM system (Tumor, Node, Metastasis) is used to classify and stage specific cancers.
Carcinogenesis
- Cancer development occurs due to changes in the cell's genome—DNA changes.
- New genes or damaged/mutated genes that promote uncontrolled growth
Causes of Cancer
- Chemical carcinogens (e.g., asbestos, arsenic, benzene, vinyl chloride, benzopyrene, tobacco smoke components, and radiation like UV light, ionizing radiation)
- Viral carcinogens (e.g., HPV, Epstein-Barr virus, other viruses).
- Other factors: environmental exposure
Why Do People Die of Cancer?
- Direct interference with body functions (obstruction).
- Bleeding.
- Treatment-related deaths.
- Production of substances that alter tissue function (e.g., hormones).
- Cancer-induced cachexia and anorexia (loss of muscle and fat tissue).
Cachexia and Cancer Death
- Selective loss of fatty tissue and muscle mass.
- Cancer cells may disrupt lipid and protein metabolism, and produce factors that induce lipolysis and proteolysis.
- Loss of muscle mass due to immobility and insufficient protein intake.
- Anorexia (loss of appetite).
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