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Neoplasia
Quiz 1 PBD
12
Physiology
Graduate
09/29/2011

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Term
DNA oncogenic viruses
Definition
•Papilloma viruses (Papovavirus family) -benign squamous papillomas progressing to squamous cell carcinoma
•Epstein-Barr virus (Herpes family) -Burkitt's lymphoma and undifferentiated nasopharyngeal carcinoma
•Hepatitis B virus (Hepadenovirus family) -hepatocellular carcinoma
•Kaposi's sarcoma-associated herpesvirus (HHV8)
Term
RNA oncogenic viruses (retroviruses)
Definition
•Acute Transforming Viruses -Rous sarcoma virus
•Slow Transforming Retroviruses -chronic leukemia virus
•Human T-cell Leukemia Virus (HTLV-1) -adult T-cell leukemia/lymphoma
Term
Benign neoplasms
Definition
•Usually encapsulated; exceptions: leiomyomas of the uterus; dermatofibroma
•Remain localized and do not penetrate adjacent tissue borders nor they do spread to distant sites
•Well differentiated than malignant tumors and resemble tissue of origin
•Exhibit normal mitotic spindles (not tetraploid)
•Composed of parenchymal cells that closely resemble the tissue of origin and frequently classified, with some exceptions, by adding the suffix-oma to the cell type, e.g. lipoma
•Non invasive with the exception of the dermatofibroma,; invasive mole (trophoblastic tumor)
•Often cease to enlarge
•Can secret hormones
-adrenal adenoma hypercortisolism, hyperaldosterinism
-Parathyroid adenoma hyperapathyroidism with hypercalcemia
-Prolactionoma > secretes prolactin
•Rarely fatal; exception meningioma arising from arachnoid granulations and can be fatal by virtue of its location
•Benign tumors of epithelial origin are known as adenomas if they gain origin from the glandular epithelium (e.g. follicular adenoma of thyroid, or papillomas if they have a papillary (frond-like) appearance (e.g. squamous papilloma)
Term
Malignant tumors
Definition
•Usually non-encapsulated with the exception of renal adenocarcinoma
•Less differentiated than benign tumors
•Exhibit abnormal abundant mitotic spindles
•Have rapid growth rate
•Invasive
Term
Paraneoplastic syndromes
Definition
•Systemic effects of cancers in the host that are not due primarily to tumor or its metastases
•FEVER: especially with Hodgkin's, Renal cell carcinomas, osteogenic sarcomas
•Anorexia and weight loss
•Endocrine syndromes
-Inappropriate antidiuresis
•Hypercalcemia-About ten percent of all patients. Usually attributed to secreted of a PTH-like peptide by an epithelial tumor
Term
Ectopic Hormone Production
Definition
the inappropriate secretion of hormones from a tumor, which can occur in any tumor regardless of its origin
-Cushing‘s syndrome can result from ectopic production of cortisol
-Gonadotropic Syndrome
-Hypoglycemia
•Neurologic Syndromes
-Spinal cord
-Peripheral
•Skeletal
Term
Hematologic Syndromes
Definition
•Anemia: Frequently cause is not understood. Sometimes from tumor bleeding
•Thrombocytosisoccurs in about one third of patients and the cause is unknown
•Hypercoaguable State
•Venous thrombosis: Often found in mucin-secreting cancers, such as pancreatic cancers
-Disseminated Intravascular Coagulation(DIC)
-Nonbacterial Thrombotic Endocarditis
•Malabsorption
•Renal syndromes
•Cutaneous syndrome
Term
Angiosarcoma
Definition
Express Weibel Palade bodies
Term
Small cell carcinoma of the lung
Definition
neuroblastomas and carcinoid tumors neurosecretory granules
Term
Rhabdomyosarcomas
Definition
thick and thin myofilaments
Term
Histiocytosis X
Definition
(malignant histiocytic tumor) Birbeck granules in Langerhan's cells (histiocytes)
Term
Histochemical stains
Definition
-Cytokeratin separates a carcinoma (positive) from a malignant lymphoma (negative) and a mesothelioma (positive) from an adenocarcinoma (negative).
-S 100 positive in malignant melanoma and neuroblastomas
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