Neoplasm Classification Quiz
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Questions and Answers

What term is used to describe cells that are significantly abnormal but not cancer?

  • Anaplasia
  • Necrosis
  • Metastasis
  • Carcinoma in situ (correct)
  • Which term refers to the extent to which tumor cells resemble comparable normal cells in terms of functional maturity?

  • Anaplasia
  • Rate of growth
  • Differentiation (correct)
  • Pleomorphism
  • What characteristic of malignant neoplasms refers to the variation in size and shape, with some cells much larger or smaller than normal?

  • Loss of orientation
  • Pleomorphism (correct)
  • Rate of growth
  • Local invasion
  • Which feature is associated with abundant mitosis and hyperchromatism in malignant neoplasms?

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

    What is a characteristic feature of malignant tumors in terms of local invasion?

    <p>Invasive, destroying normal surrounding tissue</p> Signup and view all the answers

    Which aspect differentiates carcinoma 'in situ' from cancerous cells?

    <p>Intact basement membrane</p> Signup and view all the answers

    What does the TNM system characterize in cancer staging?

    <p>Primary tumor, regional lymph node, and metastasis</p> Signup and view all the answers

    What is the key focus of grading in cancer diagnosis?

    <p>Cell differentiation and rate of growth</p> Signup and view all the answers

    Which stage of cancer is typically localized to one part of the body and considered curable?

    <p>Stage I</p> Signup and view all the answers

    What factor determines the size of the primary tumor in the TNM system?

    <p>T grade</p> Signup and view all the answers

    Which of the following is NOT a cause of cancer according to the text?

    <p>Insufficient sleep</p> Signup and view all the answers

    How are carcinogens described in relation to cancer development?

    <p>Linked to mutations</p> Signup and view all the answers

    What is a major difference between benign and malignant neoplasms?

    <p>Local invasion</p> Signup and view all the answers

    Which characteristic is commonly associated with malignant tumors but not with benign tumors?

    <p>Presence of necrosis</p> Signup and view all the answers

    In which type of tumor is metastasis more likely to occur?

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

    Which component of a tumor is responsible for supportive tissue?

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

    From which type of tissue do sarcomas typically arise?

    <p>Mesenchymal tissue</p> Signup and view all the answers

    Which type of tumor is more likely to metastasize via lymphatics in the early stage?

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

    What is the first event in the invasion of epithelial basement membranes by tumor cells?

    <p>Reduced adhesiveness causing detachment of tumor cells from each other</p> Signup and view all the answers

    Which pathway is most commonly associated with carcinoma metastasis?

    <p>Lymphatic pathway</p> Signup and view all the answers

    What is the basis for grading tumors according to the text?

    <p>Degree of differentiation and mitotic activity of tumor cells</p> Signup and view all the answers

    Which type of tumors are classified as grade IV based on the text?

    <p>Low-grade tumors with marked atypia and high mitotic rates</p> Signup and view all the answers

    What is the characteristic feature of a high-grade tumor as described in the text?

    <p>Marked atypia and high mitotic rates</p> Signup and view all the answers

    In cancer staging (I - IV), what does the staging method determine according to the text?

    <p>Extent of spread of cancer in the body</p> Signup and view all the answers

    Which factor has been identified as changing the direction of cancer research?

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

    What is the role of Tumor Markers in cancer?

    <p>Act as a screening tool</p> Signup and view all the answers

    Which family propensity is mentioned in relation to cancer susceptibility?

    <p>Increased risk of developing certain cancers</p> Signup and view all the answers

    What is the primary function of Tumor Markers like Prostate Specific Antigen (PSA)?

    <p>Monitoring of Treatment efficacy</p> Signup and view all the answers

    How do cancer cells influence the immune system according to the text?

    <p>Suppress immune response against them</p> Signup and view all the answers

    Study Notes

    Connective Tissue

    • Includes bone, cartilage, fat, etc.
    • Examples: fibrous tissue, bone, liposarcoma, osteosarcoma

    Carcinoma in Situ

    • Cells are significantly abnormal but not cancerous
    • Entire thickness of epithelium is replaced by atypical dysplastic cells
    • Basement membrane is intact
    • Can potentially become cancer

    Characteristics of Malignant Neoplasms

    • Differentiation: tumor cells resemble normal cells
    • Pleomorphism: variation in size and shape
    • Anaplasia: cellular and nuclear abnormalities
    • Abundant mitosis
    • Hyperchromatism: dark staining
    • Loss of orientation: growth in haphazard fashion
    • Rate of growth: rapid growth
    • Local invasion: destruction of normal surrounding tissue

    Stages of Cancer

    • Stage I: localized to one part of the body, usually curable
    • Stage IV: metastasized to other organs or throughout the body

    Grading and Staging of Cancer

    • Grading: based on cell differentiation and rate of growth
    • Staging: based on progression or spread in the body
    • TNM system: used for staging cancer, characterized by T (primary tumor), N (regional lymph node), and M (metastasis)

    Causes of Cancer

    • Ionizing radiation: X-rays, UV light
    • Chemicals: benzene, arsenic, nitrosamine, tar from cigarettes
    • Viral infections: papilloma virus, hepatitis B, C virus
    • Hereditary predisposition: some families are more susceptible to certain cancers
    • Stress: connection between stress, immune system, and cancer

    Tumor Markers

    • Normal proteins or hormones that increase in neoplasms
    • Uses: screening, monitoring treatment efficacy, detecting recurrence
    • Examples: prostate-specific antigen (PSA), carcinoembryonic antigen (CEA)

    Benign vs. Malignant Neoplasms

    • Benign: well-differentiated, local growth, no metastasis
    • Malignant: poorly differentiated, invasive, metastasis possible

    Types of Malignant Tumors

    • Carcinoma: arises from epithelial and glandular tissue
    • Sarcoma: arises from transformed cells of mesenchymal origin

    Mechanism of Invasion

    • Tumor cells detach from each other
    • Secrete proteolytic enzymes, degrading the basement membrane
    • Circulating tumor cells penetrate lymphatic or blood vessels
    • Tumor cells re-penetrate vessel walls and multiply, forming secondary tumors

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    Test your knowledge on classifying neoplasms as benign or malignant based on characteristics such as differentiation, rate of growth, local invasion, and more.

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